HomeMy WebLinkAbout14-Parks & Recreation
ICIlY O'F SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
.
From: ANNIE F. RAMOS, DIRECTOR
Subject:
RESOLUTION OF THE CITY OF SAN
BERNARDINO AUTHORIZING THE
DIRECTOR OF PARKS, RECREATION
AND COMMUNITY SERVICES
DEPARTMENT TO MAKE
APPLICATION FOR AND ACCEPT A
GRANT FROM DEPARTMENT OF
AGING AND ADULT SERVICES FOR
THE SENIOR NUTRI110N PROGRAM
FOR THE PERIOD OF JULY 1,1997
THROUGH JUNE 30, 1998.
Dept:
PARKS, RECREATION & COMMUNITY SERVICES
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" fIt'~ ,. , 'U
L I .J 'wi" 0"'.1.
Date: JULY 28 22, 1997
Synopsis of Previous Council Action:
July, 1996 - Mayor and Common Council approved a similar resolution (No. 96-252) for operation of the Senior
Nutrition Program for the period July 1, 1996 through June 3D, 1997.
Recommended Motion:
Adopt the Resolution.
~ 1- ~., ,.-
Signature
Contact person:
John A. Kramer
Phone:5031
Supporting data attached: Staff Report. Resolution & Aareement
Ward: City-wide
FUNDING REQUIREMENTS:
Amount: None
Source: (Ace!. No.)
(Ace!. Description)
Finance:
Council Notes:
Res 97- ;tiff{
5/28/97 amt
senior nutrition
Agenda Item No.
#/1
8//1/91
, . CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
STAFF REPORT
RESOLUTION OF THE CITY OF SAN
BERNARDINO AUTHORIZING THE
DIRECTOR OF PARKS, RECREATION
AND COMMUNITY SERVICES DEPARTMENT
TO MAKE APPLICATION FOR AND ACCEPT
A GRANT FROM DEPARTMENT OF AGING
AND ADULT SERVICES FOR THE SENIOR
NUTRITION PROGRAM FOR THE PERIOD OF
JULY 1,1997 THROUGH JUNE 30,1998.
The Parks, Recreation and Community Services Department has provided Nutrition Services to
seniors for over 20 years. During Fiscal Year 1996/97, the Senior Nutrition Program served
83,792 total meals for a daily average of 327 meals per day, to eight (8) nutrition sites.
The Senior Nutrition Program is financially supported by a combination of grants, donations and
USDA Reimbursements, allowing for no financial impact upon the city's general fund. The
1997/98 Senior Nutrition Budget is $ 405,997.
7/28/97 amt
senior nutrition
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County Department DEPARTMENT OF Dept.
AGING AND ADULT SERVICES OOA
FQR COUNTY USE ONL Y
Vendor Code Dept.
Contract Number
sc
Orgn.
OOA
A,
I
I
Contractor's License No.
County of San Bernardino
FAS
STANDARD CONTRACT
Organization
OOA
Commodity Code
Ph. Ext.
891-3900
ObjlRev Source
2445
Amount of Clfntract
$196,317
Activity I GRC/PROJfJOB Number I
FY
Estimated Payment Total by Fiscal Year
Amount liD FY Amount liD
Project Name
NUTRITION FOR
SENIORS
7/98 $196,317
THIS CONTRACT is entered into in the State of California by and between the County of San Bernardino, hereinafter called
the County, and
Name
CITY OF SAN BERNARDINO
Address
547 N. SIERRA WAY
hereinafter called CONTRACTOR
SAN BERNARDINO, CA 92401-1211
(gCQ =~~L 7
?hone Birth Date
(909) 384-5231
Federal 10 No. or Social Security No.
95-6000772
.5 HEREBY AGREED AS FOllOWS:
space be/ow and adaitional bond sheets. Set forth .'iervice to be rendered, amount to be paid, manner of payment, time for performance or completion,
minat;cn Gf satisfactory perforrnar'ce and cau~e for :ermlnation, other terms and conditions, and attach plans, specifications, and addenda, if ,my,)
THIS AGREEMENT is entered into on the 1st day of July, 1997, by and
between the County of San Bernardino acting as the Area Agency on Aging,
hereinafter called the Department of Aging and Adult Services "DAAS" and the
the City of San Bernardino, direct service provider, hereinafter called
"Contractor."
WHEREAS, the Older Americans Act of 1965, as amended, provides for
assistance to state and local agencies to develop nutrition and social
supportive services to meet the needs of the elderly; and
WHEREAS, the California Department of Aging (CDA) has allocated funds to
DAAS for the purpose of administering a certain portion of said funds
pursuant to said act; ~d for the purpose of planning service programs and
activities for the elderly; and
WHEREAS, DAAS desires to use CDA monies to fund and the Contractor
desires to operate and execute a Nutrition Program, this contract is executed
to identify the specific terms and conditions covering the funding,
execution, and operation of the program provided by this contract,
THEREFORE, in consideration of the mutual promises and covenants
4IIJontained herein, DAAS and the Contractor agree as follows:
0212311000 Rev 11..91
Page 1 01 26
ARTICLE I. DEFINITIONS AND RESOLUTIONS OF LANGUAGE CONFLICTS
A. The term "Agreement" shall mean the coversheet; the Terms and
~nditions; Scope of Work Plan; Budget Display; Budget summary; exhibits;
~ttachments; addendums; and amendments, unless otherwise provided in this
Article;
B. "DAAS" means the San Bernardino County Department of Aging and
Adult Services, the designated Area Agency on Aging.
C. "State," "Department" and "CDA" mean the State and the California
Department of Aging interchangeably.
D. "Contractor" means the entity to which funds are awarded under this
Agreement and which is accountable to DAAS for use of these funds and is
responsible for executing its provision and services.
E. In the event of conflict between the provisions set forth in the
Contract Terms and Conditions and any Project Application or Scope of Work,
Proposal, or Area Plan, the provisions listed in the Contract Terms and
Conditions shall prevail.
F. "Reimbursable item" also means "allowable cost" and "compensable
item."
G. "CFR" means Code of Federal Regulations. "CCR" means California
Code of Regulations. "GC" means Government Code. "W&I" means Welfare and
Institutions Code. "USC" means United States Code. .OHBW means Office of
~anagement and Budget.
. H. -CDA PJII- refers to the "Title III Program Manual for Area Agencies
on Aging." This manual is based on Federal regulations for Title III
published March 31, 1980 (CPR, Chapter 8, Subchapter C, Par 1321). Pertinent
parts of 45 CPR Sub-title A, Part 74, published June 3, 1980, have also been
used. A copy of the manual is available for review at the Department of Aging
and Adult Services, 686 East Mill Street, San Bernardino, CA 92415 during
regular office hours.
I. -Program Income or grant related income- refers to any income
earned by a Contractor during the contract period from activities supported
in part or total by Federal funds. It includes, but is not limited to, income
in the form of fees for services perfoxmed during the contract period,
proceeds from sale of tangible property or real property and from the sale of
equipment and supplies acquired for use, usage or rental fees, interest, and
patent or copyright roya~ties. Contributions/donations made by older persons
are considered program income.
J. -General Program Income- refers to meal income received in the form
of contributions/donations made by the elderly for services rendered.
K. -In-Kind Contributions- are property, equipment, services (e.g.
volunteer services) and supplies benefiting a Title III supported program or
activity contributed by non-federal third parties without charge to the
~ervice' provider (Contractor).
,.., L. -Non-expendable Personal Property refers to tangible personal
property having a useful life of more than one year and an acquisition cost
Page 2 of 26
of $500
M.
eTICLE
or more per unit.
.Elderly. refers
to any individual who is 60 years of age or older.
II.
The
and terminate
TERM OF AGREEMENT
term of this agreement will begin on the 1st day of July, 1997
on the 30th day of June, 1998.
ARTICLE
A.
III. FISCAL AND PROGRAM PROVISIONS
COJIPENSATION
1. Maximum Funds Available
The maximum amount of funds available under this agreement
shall be $196,317, and shall be subject to availability of funds from CDA.
2. Schedule of Payments
Contractor may be provided a payment advance equal to 10\ of
the Title III funded portion of the total contract amount under this
agreement for start-up purposes. Contractor shall be compensated with the
remainder of the Title III funds monthly. The monthly disbursement is not to
exceed one-twelfth of the balance of the appropriated funds without written
justification for reimbursement to exceed one-twelfth. The calculation of the
monthly disbursement amount will be based on the previous month's
expenditures and the cash-on-hand identified in the Expenditure
.port/Request for Reimbursement. USDA funds will be paid at the prevailing
te for each reimbursable meal served, and reimbursed to contractor as funds
ecome available.
3. Expenditure of Funds
a. Contractor shall expend all funds received hereunder in
accordance with this Agreement.
b. DAAS reserves the right to refuse payment to the
Contractor or later disallow costs for any expenditure determined by DAAS
and/or State not to be in compliance with this Agreement, or inappropriate to
such activities, or, for which there is inadequate supporting documentation
presented or, for which prior approval is required but not granted.
4 . Unexpended Funds
a. Contractor will return to DAAS, immediately upon written
demand, any funds provided under this Agreement which are not payable for
goods or services deli'Vered prior to the termination, cancellation, or
expiration of this Agreement, or the dissolution of the entity.
b. Contractor must return any unspent funds with submittal
of revised year-end Financial Closeout Report, based on independent audit.
5. Accountability for Funds
Contractor shall maintain accounting records to account for
~he funds received under the terms and conditions of this Agreement separate
WJrom any other funds administered by the Contractor. Contractor shall
maintain records in accordance with generally accepted accounting principles.
page 3 of 26
B. GENERAL PROGRAM INCOME
1. Contractor is encouraged to seek contributions/donations from
~iors participating in the program. The program income goal for
.ntributions/donations should be 25% or more of the total expenditures
identified in the attached Budget Display.
2. General program income will be used to increase the number of
clients served by a project, to facilitate access to such meals, and to
provide supportive services directly related to nutrition as defined in the
Work Plan. General program income will be used within the program in which it
was earned.
3. Deferred Income
a. Meal income not needed for current year expenditures in
excess of the budgeted program income amount identified in Exhibit B-1 and B-
2 will be identified as "deferred income. II This income will be expended in
the first quarter of the next fiscal/contract year (July 1 through September
30). In addition, this income must be identified on page 6 of the year end
Financial Close-out Report and then carried forward as a budget item in the
new fiscal/contract year. Use of the deferred income must be reported in the
Expenditure Report/Request for Reimbursement expense reports as spent, within
the first quarter of the new fiscal/contract year.
b. When the amount of the deferred income is determined
through the audit, Contractor shall revise the deferred income figure,
~eviously reported, by adjusting the following month's expense report claim
~r reimbursement and shall submit a new budget reflecting the revision.
c. Deferred income will be used for general program
expenditures, to increase the number of seniors served by a project, and to
provide supportive services directly related to nutrition. Deferred income
will be used within the program in which it was earned.
4. Interest Barned
If, as a result of advanced funds, the project earns interest
on funds awarded by DAAS, that interest shall be identified as income to the
program and used for program expenditures, with full documentation on file.
C. MATCHING CONTRIBUTIONS
The Contractor will provide in-kind matching contributions of a
~n1mum of $16,556, which is the Title III portion of the contract multiplied
by 11.11%. Allowable m':).tch shall be in compliance with the following CDA
requirements:
1. Matching .in-kind contributions must be for allowable costs as
determined by CDA policy. Allowable costs include but are not limited to
rent, utilities, supplies, personnel (volunteers).
2. To qualify as a matching in-kind contribution, indirect or
Contractor allocated overhead expenses must be supported by a documented cost
~location plan.
. 3. Matching in-kind contributions in excess of the minimum
required in one service component may be used to match another service
Page 4 of 26
component within the Older Americans Act. As an example, match exceeding the
minimum requirement in a transportation program may be used to offset an
~er match in in-home support services.
~ 4. Contractor will provide a Budget In-Kind Narrative statement
to DAAS with the submittal of the initial budget identifying the type, rates
applied and, if applicable, source/location of in-kind to be used as match
for the period of the contract. The identified in-kind match will be reported
monthly on the monthly expense reports.
a. Services of volunteers shall be valued at rates
consistent with those ordinarily paid for similar work by the Contractor. If
the Contractor does not have similar work, the rate shall be consistent with
those in the labor market. In either case, a reasonable amount of employee
benefits may be included.
b. All other in-kind contributions shall be valued at
current market value.
D. AUDIT
1. Contractors who expend more than $300,000 of aggregated
Federal Awards will arrange for an audit to be performed as required by the
Single Audit Act Amendments of 1996, Public Law 98-502 and a copy submitted
to:
e
Department of Aging and Adult Services
686 East Mill Street
San Bernardino, California 92415-0640
2. If Contractor is a public or private entity:
a. Nonprofit institution expending more than $300,000 a year
in aggregated Federal Awards will have an audit made in accordance with the
provisions of Office Management and Budget (OMB) Circular A-133. Audits of
Institutions of Higher Education and other nonprofit institutions.
b. Nonprofit institutions that expend less than $300,000 a
year in aggregated Federal Awards are exempt from Federal audit requirements
for that year. However, an on-site monitoring visit will be performed to
ensure that Federal awards are used for authorized purposes under OMB
Circular A-110 or OMB Circular A-128.
c. Any nonprofit institutions who obtain audit reports and
are not required to, will not be reimbursed for audit report expenses.
3. Required audits tm.lst be performed in accordance with generally
accepted auditing standards (GAAS) and the Statements on Auditing Standards
(SASS) issued and interpreted by the American Institute of Certified Public
Accountants (AICPA) and the Government Auditing Standards (Yellow Book)
issued by the U.S. General Accounting Office.
Further, the audit tm.lst include a review of compliance to
_termip.e whether statistical data is recorded accurately and reported
operly, to determine whether the program is being administered by the
ontractor in compliance with the contract auditing listing of client case
files, and to determine that the program revenue and expenditures are
Page 5 of 26
properly segregated from other programs being administered by the Contractor.
4. To ensure that OMB Circular A-133 requirements are met, audit
~port shall consist of the following parts:
a. A report on the financial statements, a schedule of
federal awards, which must report in-kind match, along with the auditor's
opinion on the financial statements;
b. A report on the entity-wide internal control systems
based on the auditor's understanding of the internal control structure and
the assessment of control risk (made as part of a financial statement audit);
a report on internal controls (accounting and administrative) designed to
provide reasonable assurance of compliance with laws and regulations
applicable to federal assistance or federal awards, including tests of
transactions (including program income and expenditures);
c. A report on compliance with laws and regulations that
may be material to financial statements; an opinion on compliance with laws
and regulations applicable to each major federal program and a statement of
positive assurance of those items that were tested (including program income)
for compliance and negative assurance for those items not tested. These
requirements may be met by the following:
i. A report on compliance with general requirements
applicable to federal programs drawn from the relevant OMB Compliance
Supplement;
. ii. An opinion on compliance with specific requirements
plicable to each major program (major program refers to Congregate Meals,
C-l; Home Delivered Meals, C-2; and Supportive Services. B) [the opinion
should specify whether information contained in federal financial reports is
supported by books and records and amounts claimed and used for matching meet
applicable cost principle];
d. A report on fraud. abuse, illegal acts or indications of
such acts, if necessary;
e. A schedule of reportable conditions (including material
weaknesses) for internal control findings and a schedule of findings and
questioned costs for compliance findings (if not included in the internal
control or compliance reports; a management letter; separate communication of
nonmaterial findings relative to federal programs.
5. Audit must also include:
...
a. Schedule of Service Delivery. This schedule will give the
number of service units provided by the Contractor, by program and by month.
b. Schedule of Meals Served. This schedule will give the
total number of meals served by the contractor for the grant period. Meal
count shall be classified as Cl or C2.
6. Contractor will select a certified public accountant of
~proved auditors published by the County of San Bernardino. The Contractor
~st receive approval from OMS prior to hire of . the auditor from the
approved auditors published by the County of San Bernardino.
Page 6 of 26
7. Contractor will include in its contract with an independent
auditor a clause permitting access by the County and State to the work papers
~ the independent auditor.
., 8. Contractor will notify DAAS of the time and location of
scheduled entrance and exit conferences with independent auditors, ,so that
appropriate DAAS and other appropriate County staff may participate.
9. The cost of audits performed pursuant to Public Law 98502
shall be charged to the Contractor, in accordance with Public Law 98502 and
OMB Circular A-128 or A-133, as appropriate.
10. All audits shall be performed in accordance with and address
all issues contained in any OMB Compliance Supplement that applies to this
program.
11. Audits to be performed shall be financial and program
compliance audits.
12. The auditor of record, hired by the Contractor, shall prepare
and file with the County, a draft copy of the independent audit within 90
days after termination of this Agreement and prior to the exit conference.
Within 120 days after the termination or expiration of this Agreement, the
final independent audit report of related expenditures during the term of
this Agreement, shall also be filed with the County.
13. Contractor will assist and comply with audit resolution
~quirements as required by DAAS, including submitting to DAAS at the exit
nference, a corrective action plan for any findings or recommendations,
tlentified in the draft audit.
14. Contractor must take appropriate action to correct instances
of noncompliance with federal laws and regulation within six months after
DAAS has received audit report.
15. The Contractor agrees to be subject to the examination and
audit of the County for a period of three (3) years after final payment under
this grant.
E. BUDGET AND BUDGET REVISIONS
1. The Contractor will be reimbursed for expenses only as
itemized in the budget approved by DAAS which is attached and hereby
incorporated by reference.
2. The Budget must set forth in detail the reimbursable items,
unit rates, and extended~otal amounts for each line item. The Contractor's
budget shall include, at a minimum, the following items when reimbursable
under this Agreement:
a. Direct and overhead costs.
b. Rental reimbursement items should specify the unit rate,
such as the rate per square foot.
. c. If purchase of equipment is a reimbursable item, the
ipment to be purchased should be specified.
d. Any travel outside the State of California.e
Page 7 of 2 6
3. Budget and budget rev~s~ons shall adhere to any other
provisions contained in the CDA Program Manual(s).
.. 4. The Board of Supervisors delegates the authority to the
W-ector of DAAS to make budget revisions provided the revisions do not
result in the amount of the contract exceeding the previously Board-qpproved
amount.
F. SUBCONTRACTING
The Director of DAAS is designated the authority to approve one or more
subcontracts provided the contract meets the following terms and conditions:
1. The policies and procedures used in processing and awarding
the subcontracts were (a) organized and structured; (b) reasonable and
equitable; (c) documented and approved by appropriate authorities; (d)
consistent with federal, state, and local law applicable procurement
requirements; (e) uniformly applied; and (f) open for public review and
scrutiny.
2. All subcontracts require the advance written approval of the
DAAS Director or designee.
3. The contractor shall be responsible for the performance of any
subcontractors and shall retain the prime responsibility for all terms and
conditions set forth in this agreement, including but not limited to, the
responsibility for handling property in accordance with Article X and
ensuring the accessibility, availability and retention of records of
~contractors in accordance with Article X.
~ 4. Funds for this agreement shall not be obligated in
subcontracts for services beyond the ending date of this agreement.
5. The contractor shall have no authority to contract for, or on
behalf of, or incur obligations on behalf of the County.
6. Copies of subcontracts, memoranda and/or letters of
understanding shall be on file with the contractor and shall be made
available for review at the request of the County.
7. The contractor shall be responsible to ensure all
subcontractors meet the insurance requirements and for monitoring the
insurance requirements in accordance with Article V, Section C.
8. The contractor shall require all subcontractors to indemnify,
defend and save harmless the Contractor and the county, its officers, agents,
and employees from any .nd all claims and losses accruing to or resulting
from any contractors, subcontractors, materialmen, laborers, and any other
person, firm, or corporation furnishing or supplying work services,
materials, or supplies in connection with any activities performed for which
funds from this Agreement were used and from any and all claims and losses
accruing or resulting to any person, firm, or corporation who may be injured
or damaged by the subcontractor in the performance of this Agreement.
L '9. The contractor shall ensure that the subcontractor will
lete all reporting and expenditure documents requested by the Department.
These reporting and expenditure documents shall be sent to the contractor in
Page 8 of 26
a timely manner and at intervals as determined by the Department.
10. A copy of the executed subcontract shall be submitted to the
~S Director.
ARTICLE IV. MONITORING, ASSESSMENT AND EVALUATION
A. The County or any subdivision or appointee thereof and the State of
California or any subdivision or appointee thereof shall have absolute right
to review and audit all records, papers, documents, client files, corporate
minutes and other performed items as reported, and shall have absolute right
to monitor the performance of Contractor and subcontractors in the delivery
of services provided under this Agreement.
B. Contractor shall permit DAAS to perform periodic program and fiscal
monitoring visits. Authorized DMS, State and/or Federal representatives
shall also be permitted to monitor, assess and evaluate the Contractor's
performance as needed, pursuant to this Agreement. Said monitoring,
assessment and evaluation may include, but is not limited to, fiscal records,
audits, inspections of project premises, inspection of food preparation
sites, as appropriate, and interviews with Contractor's employees and agents
providing the service under this Agreement and recipients thereof. Contractor
will ensure cooperation and shall attend all meetings mandated by DAAS.
C. Contractor will cooperate fully in conducting any auditing,
monitoring, assessment and evaluation process. This includes making any
tlogram and/or administrative staff (fiscal, etc.) available as a part of the
ocess and filing a corrective action plan within 30 days of notification of
he exception.
D. INSPECTIONS
1. Contractor shall make available to DMS, State or Federal
officials, its records and data with respect to all matters covered by this
Agreement for inspection and audit. Said inspection and audit may be made at
any time, during normal business hours (CDA PM, Part G, Section 93.21 N 8).
ARTICLE V. INDEMNIPlCATION AND INStJ'RANCE
A. Contractor agrees to indemnify, defend and hold harmless the County
and its authorized officers, employees, agents, and volunteers from any and
all claims, actions, losses, damages, and/or liability arising Contractor's
acts, errors, or omissions, and for any costs or expenses incurred by the
County on account of any.~claim therefore, except where such indemnification
is prohibited by law.
B. without in any way affecting the indemnity herein provided, and in
addition thereto, the Contractor shall secure and maintain throughout the
contract the following types of insurance with limits as shown:
1. Workers' Compensation - A program of Workers' Compensation
insurance or a state-approved Self-Insurance program in an amount and form to
~eet all applicable requirements of the Labor Code of the State of
~alifornia, including Employer's Liability with $250,000 limits, covering all
persons providing services on behalf of the Contractor and all risks to such
Page 9 of 26
persons under this Agreement.
2. COIIIprehensive General and Automo1:lile Liatlility Insurance -
.s coverage to include contractual coverage and automobile liability
erage for owned, hired and non-owned vehicles. The policy shall have
combined single limits for bodily injury and property damage of not less than
one-million dollars ($l,OOO,OOO).
If applicable, contractors and subcontractors shall comply with the
Public Utilities Commission (PUC) General Order No. 115-E which requires
higher levels of insurance for charter-party carri.ers of passengers and is
based on seating capacity as follows: $1,500,000 if seating capacity is 8 -
15; $5,000,000 if seating capacity is over 15; unless otherwise amended by
future regulation.
3. Brrors and OIIlissions Liatlility Insurance - Combined single
limits of $1,000,000 for bodily injury and property damage, and $3,000,000 in
the aggregate, gx
4. Professional Liatlility - Professional Liability Insurance with
limits of at least $1,000,000 per claim or occurrence.
C. ADDITIONAL RADD IRstJ'Rlm
All policies, except for the Workers I Compensation, Errors and
Omissions, and Professional Liability policies, shall contain additional
endorsements naming the County and its officers, employees, agents, and
~unteers as additional named insureds with respect to liabilities arising
~ of the performance of services hereunder.
D . WAIVER 01' StJBROGATIOR RIGBTS
Except for Errors and Omissions and Professional Liability,
Contractor shall require the carriers of the above required coverage to waive
all rights of subrogation against the County, its officers, employees,
agents, volunteers, contractors and subcontractors.
E.
POLICIBS PRIJIAllY AND ROR-CORTltIBtITOltY
All policies required above are to be primary and non-contributory
insurance or self-insurance programs carried or administered by the
with any
County.
P.
PROOF 011' COV1i:ltAGB
Contractor shall immediately furnish certificates of insurance to
DAAS, evidencing the ':lnsurance coverage above required prior to the
commencement of performance of services hereunder, which certificates shall
provide that such insurance shall not be terminated or expire without thirty
(30) days written notice to the department, and Contractor shall maintain
such insurance from the time Contractor commences performance of services
hereunder until the completion of such services. Within sixty (60) days of
the commencement of this Agreement, the Contractor shall furnish certified
~pies of the policies and endorsements.
_ G. IRSlJRARCB UVIn
1 . The above insurance requirements are subj ect to periodic
page 10 of 26
review by the County. The County's Risk Manager is authorized, but not
required, to reduce or waive any of the above insurance requirements whenever
~ Risk Manager determines that any of the above insurance is not available,
~unreasonably priced, or is not needed to protect the interests of the
County. In addition, if the Risk Manager determines that heretofore
unreasonably priced or unavailable types of insurance coverage or coverage
limits become reasonably priced or available, the Risk Manager is authorized,
but not required, to change the above insurance requirements to require
additional types of insurance coverage or higher coverage limits, provided
that any such change is reasonable in light of past claims against the
County, inflation, or any other item reasonably related to the County's risk.
2. Any such reduction or waiver for the entire term of the
Agreement and any change requiring additional types of insurance coverage or
higher coverage limits must be made by amendment to this Agreement.
Contractor agrees to execute any such amendment within thirty (30) days of
receipt.
ARTICLB VI.
LAWS.UITS
Contractor understands and agrees that any/all legal fees associated
with lawsuits against the Contractor, the County or State of California
cannot be budgeted as a Contractor expense and shall be paid by the
Contractor.
A'rICLB VII. CONFIDENTIALITY
~ A. Contractor agrees to comply and require its officers, agents,
employees, volunteers to comply with the provisions of Sections 15633.5, and
10850 of the Welfare and Institutions Code. Any violation of the
confidentiality required by this Chapter is a misdemeanor punishable by not
more than 6 months in County jail, by a fine of $500, or by both fine and
punishment.
Respect for a client's right to privacy is of the utmost
importance. Written consent from the client is desirable before releasing any
information about the client to other agencies.
B. Contractor will take steps to ensure that no information about, or
obtained from an individual, and in the possession of the Contractor, will be
discussed in a form identifiable with the individual, without the
individual's informed consent.
....
C. All client records are to be maintained in a locked file so as to
safeguard information against theft, loss, destruction, or unauthorized use.
ARTICLE VIII. CORRECTION OP DBPICIENCIBS OR NON-PERFORMANCB
A. PERPORMANCE STANDARDS AND 11rII1mIBS
1. If for any reason the Contractor's service, including service
_ targeted populations, falls 5\ under or increases to 25\ over the
~ntracted level during any calendar quarter, the Contractor will submit to
DAAS, within 30 calendar days, an analysis of the situation and if a problem
exists the actions being taken to correct the problem. If the problem
page 11 of 26
persists and at the sole discretion of DAAS, DAAS and the Contractor may
" intly prepare a written corrective plan with the time lines for completion.
the Contractor fails to carry out the corrective action and does not meet
100% contract level within the required time frame, sanctions will be
invoked. If, after all appropriate actions have been taken, the service level
still falls to 5% under or increases to 25% over the contracted lev~l, DAAS
may in its sole discretion adjust the contracted level of service and the
budget, thereby the funding, as appropriate.
2. The Contractor agrees that any remedy provided in this
Agreement is in addition to and not in derogation of any other legal or
equitable remedy available to DAAS as a result of breach of this Agreement by
the Contractor, whether such breach occurs before or after completion of the
project.
B. APPEAL PROCEDURES
The provider shall file a formal written grievance with the DAAS
Supervisor of Administrative Services within ten (10) county business days
after the provider is aware of the factors or conditions precipitating the
contract dispute. The written grievance shall set forth the subject of the
grievance, identify the contract clause in dispute and shall provide a
detailed statement of the grievance, including dates, names, places, and the
specific remedy or action requested. The filing address is 686 E. Mill
Street, San Bernardino, California, 92415-0640. The Supervisor of
aministrative Services shall provide a written response to the provider
~thin 10 county business days of receipt of the grievance.
If the provider is not satisfied with the DAAS Supervisor of
Administrative Services' response, the provider may file a written grievance
appeal, which shall include a statement by the provider as to why
Supervisor's response is not satisfactory, to the DAAS Director within 10
county business days of receipt of the Supervisor of Administrative Services'
response. The filing address is 686 E. Mill Street, San Bernardino,
California, 92415-0640. The Director will provide a written response to the
provider within 10 county business days.
If the provider is not satisfied with the DAAS Director's decision,
the written grievance may be registered in writing with the California
Department of Aging, Case Management Branch, 1600 "KH Street, Sacramento,
California, 95814, within 10 state business days following receipt of DAAS
Director's decision. ThE~provider shall submit to the California Department
of Aging the original written grievance along with a copy of Supervisor of
Administrative Services' written response, the provider's appeal to 'the
Director, and the Director's decision. The California Department of Aging
will have final authority for the decision of grievance claims.
C. EARLY TElUlINATION
. DAAS may suspend or terminate this contract without cause upon
irty '(30) days written notice to the other party, except that such
uspension or termination shall be effective immediately in the case of
threat to health or safety of the public.
Page 12 of 26
e
ARTICLE IX. COUNTY RESPONSIBILITIES
The County agrees to:
A. Monitor and evaluate the performance of the Contractor in meeting
the terms of the Agreement and the quality and effectiveness of ~ervices
provided based on the criteria as determined by the County.
B. Provide consultation and technical assistance in monitoring the
terms of this Agreement.
C. Approve an audit firm, selected by the Contractor, to conduct a
fiscal and program audit as specified in Article III.
D. Compensate Contractor for approved expenses in accordance with
Article III of this Contract.
ARTICLE X. CONTRACTOR RESPONSIBILITIES
A. GENERAL RESPONSIBILITIES
1. Contractor must be incorporated and is responsible for
advising the County of any actual or impending change in incorporation
status.
2. Contractor is to promote coordination with other supportive
services. Contractor agrees to cooperate with DAAS in its efforts toward
developing a comprehensive and coordinated system of services for the elderly
by participating in joint planning efforts and other activities mutually
~reed upon to meet this goal.
~ 3. If the Contractor is a non-profit, private corporation, the
following requirements shall be met:
a. Training in program requirements, agreements with DAAS
and non-profit board responsibilities shall be provided to all Board members.
The training shall include but not be limited to:
(1) Corporate officers and board member's
responsibilities as defined by State law and this
contract.
(2)
Contractor's
placement of
participants.
responsibility for training and
assigned Senior Employment program
b. The Board shall be representative of the client
population and geographical regions served by the Contractor.
c. Minutes of Board meetings shall be accurately maintained
and reflect adherence to by-laws.
4. Contractor shall maintain and comply with written personnel
policies and procedures consistent with the California Fair Employment and
Housing Act.
~ ' Contractor shall recruit for vacant positions in an open and
~mpetitive application process free of discriminatory questions. Written
job descriptions for all paid and volunteer personnel shall be maintained.
page 13 of 26
5. Contractor is responsible for providing orientation and
training for all paid and volunteer staff. Contractor shall insure training
~provided at least quarterly for all personnel. The training shall include
~ not be limited to:
a. Material from CDA Policy Memo 95-03 (P) Section, H, and
the Hazard Analysis and Critical Control Point Program
appropriate to each employee or volunteer.
b. The administrators of a volunteer program.
c. The OAAS Management Information System (MIS).
d. The preparation and submi.ssion of reports mandated by law
and this contract.
e. Appropriate referrals to OAAS Senior Information and
Assistance Program.
f. Employee training and placement responsibilities for
assigned Senior Employment Program participants.
6. Contractor shall complete a written work performance
evaluation annually on all paid and volunteer staff.
7. Contractor shall insure all paid and volunteer staff read and
sign a certification of understanding of the Adult Abuse Reporting Act.
8. Contractor shall provide the County with photocopies of all
inspection reports or certificates immediately.
~ 9. Contractor shall conduct activities to target seniors and
~ority individuals for service. Activities shall include, but not be
limited to, outreach and a written analysis of the Contractor's success in
targeting services to minority individuals within their service area.
B. SERVICES TO BB PROVIDED
Contractor shall provide all program services and perform all
activities identified in Attachment A to this Agreement for Fiscal Year July
1, 1997, through June 30, 1998.
Contractor shall, in a satisfactory manner, as determined by OAAS,
conduct, administer and provide nutrition services for the elderly as defined
in the PROGRAM WORK PLAN, Exhibit A-1, and PROGRAM BUDGET, Exhibit B, B-1 and
B- 2, and CERTIFICATION REGARDING LOBBYING, Exhibit C, which are attached
hereto and incorporated therein by reference. The aforementioned and all other
exhibits are, by this reference, made a part of this contract as those fully
...
set forth here.
1. Contractor is to serve meals that are nutritious, safe, and of
good quality.
2. Contractor is to promote and maintain high food safety and
sanitation standards.
3. Contractor is to serve hot or other appropriate meals at least
~ce daily, five or more days per week.
~ 4. Food shall be prepared in sufficient quantities to serve all
participants. Careful planning shall minimize leftover food and prevent
Page 14 of 26
waste.
5. Correct and consistent portions shall be served to all
eticiPants.
6. Appropriate food containers and utensils for blind and
handicapped participants shall be available on request.
7. All participants are to be permitted to eat a leisurely meal.
8. Meals are to be served in a courteous and friendly manner.
9. Contractor shall consider the cultural, religious preferences
and special dietary needs of elderly persons.
10. Contractor is to serve meals in an approved site. The meals
are to be served in a facility where elderly persons will be welcomed and
comfortable.
11. The facility is to maintain adequate lighting and ventilation.
The facility is to meet all applicable health, fire, safety, and sanitation
regulations.
12. Contractor is to provide restrooms that are clean, adequate,
and well-equipped.
13. Contractor is to provide tables and chairs that are sturdy and
appropriate for elderly persons. Tables are to be arranged to assure a
pleasant atmosphere and to encourage socialization.
14. Contractor shall provide a sufficient number of tables
~rrounded by adequate aisle space (3 feet, 8 inches) to allow for persons
~th canes, walkers, crutches, or wheelchairs to move with ease.
15. Contractor shall provide appropriate table settings.
Disposable dinnerware shall be resistant to buckling, spillage, nonporous,
sanitary, attractive, shall not melt, shall not bend, and shall not splinter
during normal use.
16. Contractor is to provide for celebration of special occasions
by participants.
17. Menus shall be approved by the DMS nutritionist and shall
comply with the following requirements:
a. Menus shall be planned for a minimum of four weeks.
b. Menus shall be posted weekly in a spot conspicuous to
participants at each site, as well as in the preparation area.
c. Menu3 shall be easy to read and in language of the
participant group.
d. Food items shall be varied within the week and menu cycle.
Food items shall not be repeated two days in a row or on the same days of
consecutive weeks except on documented preference of the participants
receiving the meals. Variety of food and preparation methods, including
color, combinations. texture, size, shape, taste, and appearance shall be
eOVided.
e. Menus shall reflect seasonable availability of food.
f. The restricted use of carbohydrate foods, salt, and
page 15 of 26
saturated fats shall be considered.
~ 18. Contractor shall ensure the program director has completed a
~imum of 15 semester units of instruction in food service sanitation.
19. Whenever two or more persons manifest the symptoms of food
borne illnesses within a similar time frame after consuming nutrition' service
food, Contractor shall notify the local health authorities to initiate an
investigation. Contractor shall immediately notify DAAS within twenty-four
(24) hours of such an occurrence.
20. Contractor shall provide semi-annual training or more
frequently, depending on staff/volunteer/participant turnover, regarding the
sources and prevention of food borne illnesses.
21. Contractor must provide each elderly person with a free and
voluntary opportunity to contribute to the cost of the service. Contractor
must protect the privacy of each person with respect to his/her contribution
and establish appropriate procedures to safeguard and account for all
contributions.
22. Contractor must develop a suggested contribution schedule for
services which considers the income ranges of elderly persons in the
community. Suggested contribution schedule is to be approved by DAAS.
23. Participants are to be screened to determine if a need exists
for other services and referred to Senior Information and Assistance Services
4r follOw-up.
24. Fire and health inspections are to be secured prior to
eginning service provision and annually thereafter.
25. Contractor shall maintain a designated project Council composed
of nutrition site participants.
26. Contractor shall provide a system through which seniors will
have the opportunity to express and have considered their views, grievances,
and complaints regarding the delivery of services. The procedure must be in
writing and made available to all recipients of services.
27. Contractor shall employ bilingual staff and/or volunteers
within service areas where a language other than English is commonly spoken.
C. LAWS, LICENSBS, r. STANDARDS
1. The Contractor agrees to administer this Agreement and require
any subcontractors to administer their subcontracts in accordance with this
Agreement, and with all ;pplicable local, State, and federal laws including,
but not limited to, wages and hours of employment, occupational safety, and to
fire, safety, health, and sanitation regulations, directives, guidelines,
and/or manuals related to this Agreement and resolve all issues using good
administrative practices and sound judgement.
2. Where the State or local public jurisdiction within the State
~quire~ license and/or standards to be met, for the provision of services,
~e Contractor and its subcontractors will, in performing the services
required under this contract, obtain all necessary licenses and/or permits and
maintain such licenses and permits for the full term of the contract. If
Page 16 of 26
license and/or standards are required, verification of license and/or
standards will also be required' and will occur in conjunction with monitoring
_its.
~ 3. The Contractor agrees that the performance of work and services
pursuant to the requirements of this Agreement shall conform to ,accepted
professional standards.
D. FISCAL RESPONSIBILITY
Contractor will ensure that all expenditures are supported by
properly executed payroll, time records, invoices, contracts, vouchers, orders
and any other accounting documents pertaining in whole or in part to this
contract. Such documents will be clearly identified and readily accessible to
DAAS staff, as may be required.
E. CONFLICT OF XNTBREST
Contractor shall make all reasonable efforts to ensure no conflict
of interest exists between its officers, agents or employees. Contractor shall
make all reasonable efforts to prevent employees, consultants or members of
governing bodies from using their position for purposes that are, or give the
appearance of, being motivated by a desire for private gain for themselves or
others, such as those with whom they have family, business or other ties. In
the event the County determines a conflict of interest situation exists, any
increase in costs associated with the conflict of interest may be disallowed
by DAAS and such conflict may be grounds for termination of the agreement.
~ F. PROHIBITION AGArNST NEPOTISM
W~bster's Ninth New Collegiate Dictiona~ defines nepotism as
follows: "Favoritism shown to a relative (as by giving an appointive job) on
a basis of relationship.n
Persons selected for project staff positions, after the effective
date of this contract, may not be within the immediate family of other
contractor staff in positions of authority, members of the contractor's
governing board, or DAAS staff. Individuals within the immediate family of
project staff may not serve on the contractor's governing board.
An individual may have been selected or elected to the governing
board before the effective date of this contract, who has immediate family
employed by the project. Either the Board member or the employed member(s) of
the board member's imnediate family must resign from their position(s) within
thirty (30) days of the.~ffective date of this contract.
Immediate family is spouse, child, grandchild, mother, father,
grandparents, brother, sister, mother-in-law, father-in-law, daughter-in-law,
son-in-law, aunt, uncle, niece, nephew, and members of the same household.
G. AMENDMENTS TO CONTRACT
Any contract change requires initiation of a change to the contract
writing. Modification or amendment, as determined by DAAS, shall be signed
both 'parties.
H. GREATEST ECONOMIC OR SOCIAL NEED
~
The Contractor understands that one of its responsibilities under
page 17 of 26
this contract is to ensure that "preference will be given to providing
services to older individuals with the greatest economic or social needs
~der Americans Act of 1965 as Amended, Amendments of 1991, Public Law 98-
~, 306 (a) (5) (A) (u) (I) (II)." "The term 'greatest economic need' means
the need resulting from an income level at or below the poverty threshold
.
established by the Bureau of the Census, and the term 'greatest social need'
means the need caused by non-economic factors which include physical or
mental disabilities, language barriers, and cultural or social isolation
including that caused by racial or ethnic status which restricts an
individual's ability to perform normal daily tasks or which threatens his or
her capacity to live independently. (Older Americans Act of 1965 as Amended,
Amendments of 1991, Public Law 98-459, 306 (a) (5) (B)). Minimum program goals
relating to minorities within this contract have been established by computing
the percentage of minority elderly over 60 within the geographic area served
by the Contractor.
ed
CONTRACTOR INDEPENDENCE
The Contractor and the agents and employees of the Contractor
performance of this Agreement shall act in an independent capacity and
officers, or employees or agents of DAAS, the County of San Bernardino
State of California.
J. TRAINING AND MANPOWER DEVELOPMENT
The Contractor agrees to participate in appropriate staff training
development provided by DAAS, the CDA and the Administration on Aging.
K. RECORDS
1. The Contractor shall, at all times during the term of this
Agreement, maintain complete fiscal, program and management records (which
shall include, but not be limited to, accounting records, grants, agreements,
letters of agreement, insurance documentation in accordance with Article V,
Memoranda and/or Letters of Understanding and client records) of its
activities and expenditures hereunder in a form satisfactory to the County
and/or State and in accordance with generally accepted accounting procedures.
All records pertaining to the project shall be available for review and audit
by the County, State or Federal government or their duly authorized agents, at
any time during normal business hours. All such records must be maintained and
kept available by the Contractor, (a) until an audit has occurred and an audit
resolution has been issued or unless otherwise authorized in writing by DAAS,
(b) for such longer peri~, if any, as is required by applicable statute, by
any other clause of this Agreement, or by Sections B or C, or (c) for such
longer period as DAAS deems necessary, which will be a minimum of three (3)
years after final payment under this Agreement.
2. If this Agreement is completely or partially terminated, the
records relating to the work terminated shall be preserved and made available
for the same periods as specified in Section 1.
. . 3. In the event of any litigation, claim, negotiation, audit
xception, or other action involving the records, all records relative to such
action shall be maintained and kept available until every action has been
in the
not as
or the
I .
Page 18 of 26
cleared to the satisfaction of the County and/or State and the Contractor is
advised in writing of the resolution.
_ 4. Adequate source documentation of each transaction shall be
"ntained relative to the allocability of expenditures reimbursed by the
County under this Agreement. If the allocability of expenditures c~nnot be
determined because records or documentation of the Contractor are nonexistent
or inadequate according to generally accepted accounting principles, the
expenditures will be questioned in the audit and may be disallowed by the
County and/or State during the audit resolution process.
a. Accounting Records (CDA PM, Section G, Paragraph 93. 7a)
The Contractor shall provide for adequate accounting
systems and procedures to control and support all fiscal activities in
accordance with policies issued by the Administration on Aging and the
California Department on Aging. The Contractor shall provide for those
designated in the Chart of Accounts as identified by the categories in the
budget display.
It is mandatory that the Contractor report fiscal
operations to DAAS using the categories of transactions detailed in the Chart
of Accounts.
b. Internal Control (CDA PM, Section G, Paragraph 93.1.1
through 93.21)
Effective control and accountability shall be maintained
~r all grant cash, real and personal property and other assets. Contractor
~all adequately safeguard all assets and shall assure that they are used
solely for authorized purposes.
c. Budgetary Control
(CDA
PM,
Section
G, paragraph
93.23)
All budget changes within major categories, such as
Salaries and Benefits, Equipment or Other Costs exceeding 10\ of the approved
budget, for that major category, represents a departure from the approved
project plans and require DAAS' approval. Budget modification requests will be
made to DAAS in the form of a written justification outlining specific shifts
of funds that will be made. Note: The total amount of the change must not
result in the Title III funds exceeding the contracted amount for all Title
III funds.
d. Allowable Costs (CDA PM, Section G, Paragraph 93.31)
OMB .Circular A-122, .cost Principles for Non-Profit
Organizations" shall be used as a guide for determining allowable costs.
e. Source D~cumeDtation (CDA PM, Section G, Paragraph
93.39)
Accounting records shall be supported by source
documentation such as canceled checks, original invoices, time sheets and
payroll records, grant and contract award documents, in-kind documentation,
.tc., w~ich are maintained to comply with record retention requirements.
L. REPORTS
1. Contractor, at such times and in such forms as DAAS may
require, shall furnish statements, records, reports data and information
Page 19 of 26
requested by DAAS pertaining to Contractor performance of services hereunder
.other matters covered by this Agreement. The forms shall be reviewed for
liness, completeness, and correctness of the information submitted, by the
ram Director or his/her designee, prior to submission to DAAS. Incomplete
forms shall be returned to the Contractor for completion. (In the event of
changes in these forms, DAAS shall advise the Contractor via written notice) .
The Contractor shall develop and implement a process for ensuring quality
control.
2. Contractor shall meet the following standards for its financial
management systems, as provided in the Title III Program Manual:
a. Financial Reporting (CDA PM, Section G, Paragraph
93.5a)
Accurate, current and complete disclosure of the financial
results of each program shall be made in accordance with the financial
reporting requirements of the grant. The following reports are to be submitted
to DAAS when indicated:
b.
1) Monthly (Due by 5th working day of the month.)
Monthly Nutrition program Expenditure
Report/Request for Reimbursement
2) Semi-annually
Budget Revision #1 (Due November 1)
Budget Revision #2 (Due March 31)
3) Annually
Financial Close-out Report (Due August 1)
Periodic Inventory (Due August 1 with Closeout)
Audit Report (Due October 31)
Revised Financial Close-out Report (Due October
31 with Audit Report)
Program Reporting
The following reports are to be submitted to DAAS when
e
Monthly (Due by the 5th working day of each month)
III B Monthly Supportive Services Report
III C1, C2 Monthly Nutrition Report
Quarterly
Program modification request in writing to
DAAS. Contractor will describe, in detail,
necessary program change(s) and the reason(s)
for the requested modification.
3. DAAS may require financial reports more frequently than
indicated above or with more detail (or both), upon written notice to the
Contractor, until such time as DAAS determines that the financial management
4andar~s are met.
4. Contractor is required to work in conjunction with the
partment of Aging and Adult Services in developing and maintaining a Client
Data Base. Unless otherwise specified, the National Aging Program Information
indicated:
1)
2)
....
Page 20 of 26
System (NAPIS) Ontrack client tracking system will be used to collect data.
The Contractor is responsible for filling out the Client Intake Form, and
~nsmitting the client information to DAAS on an ongoing basis. The
~tractor is also responsible for all equipment installed at their site(s)
which will be used to automate client units of service. Said Contractor is
responsible for maintaining the equipment in good working order and replacing
the equipment should it be damaged and/or stolen. Unless otherwise specified,
equipment installed at each individual site includes one (1) DuraWand, one (1)
Fax Modem, and one (1) Wall Timer.
M. PROPERTY KANAGBKENT
1. All equipment purchases over $500.00 require the written
approval of the Director of the Department of Aging and Adult Services or his
designee prior to purchase.
2. All equipment, materials, supplies or personal property of any
kind purchased with contract funds provided herein shall be in accordance with
CDA PM, Part G, Section 93.19, and if not fully expended or consumed prior to
the termination of this contract shall be the property of the CDA, unless
otherwise directed by the CDA. All equipment must be used to conduct business
under this Agreement.
3. The Contractor shall exercise due care in the use, maintenance,
protection, and preservation of personal property during the period of the
project. The Contractor shall be held liable for all losses of or damage to
~n-expendable equipment or material resulting from negligence or improper
~plementation of safeguards.
4. The Contractor shall record the following information when
property is acquired:
a. Date acquired;
b. Property description (include model number);
c. property identification number (serial number);
d. Cost or other basis of valuation;
e. Fund source; and
The Contractor shall keep track of property purchased wi th
funds under this Agreement. The Contractor shall submit to DAAS, annually
with the Closeout, a current inventory of property furnished or purchased with
funds awarded under the terms of this Agreement or any predecessor agreement
for the same purpose. ...
5. a. The disposal, loss and/or destruction of property or
equipment shall be fully documented by the Contractor with copies thereof
provided to DAAS along with the monthly expense report for the month in which
the loss occurred.
b. The Contractor shall immediately investigate and within
~ive (5), days fully document the loss, destruction, or theft of such property.
. c. Loss by fire, vandalism, or theft must be immediately
reported to the fire department or law enforcement agency, as applicable. A
copy of the fire department or law enforcement agency report of the incident
page 21 of 26
ers
shall also be forwarded to DAAS.
d. DAAS shall be notified of the loss within seventy two (72)
of the discovery of the loss.
6. The Contractor shall exercise due care in the use, maintenance,
protection, and preservation of such property during the period of the
project, and shall assume responsibility for replacement or repair of such
property during the period of the project and until the Contractor has
complied with all written instructions from the State via DAAS regarding the
final disposition of the property.
7. In the event of the Contractor's dissolution or upon
termination of this Agreement, the Contractor shall provide a final property
inventory to DAAS.
8. The Contractor shall use the property for the purpose for which
it was intended under the Agreement. In no instance shall equipment be loaned
to other programs or organizations without the written approval of the
Director of the Department of Aging and Adult Services or his designee.
9. The Contractor or subcontractor shall not use equipment or
acquired under this Agreement with federal and/or State monies for
gain or to usurp the competitive advantage of a privately-owned
entity.
10. If purchase of equipment is a reimbursable item, the equipment
to be purchased will be specified in the budget.
. 11. The Contractor shall include the provisions contained in
ticle III, Section E in all its subcontracts awarded under this Agreement.
12. Equipment that is worn beyond economical repair must be
reported to DAAS on the monthly expense report. It shall be the responsibility
of DAAS after receiving this report to instruct the Contractor as to the
proper method of disposal.
13. Once Contractor has received disposal authorization for a
vehicle to be salvaged, Contractor shall ensure that all identifying
lettering, signs, etc., are removed.
14. Prior to replacement of any property, Contractor must obtain
written authorization from DAAS.
15. Any equipment purchased with contract funds will be subject to
inspection, over the life of the equipment, and if not used, under-used or
misused, may be claimed ~y DAAS for redistribution to other DAAS projects.
16. Vehicles purchased with contract funds shall also have the
following language painted or affixed by other means on the vehicle:
"Vehicle purchased with Older Americans Act Funds."
17. Any equipment purchased shall be reported on the Expenditure
and Claim for Reimbursement Report for the month in which the equipment was
.rchas~d. DAAS will verify approval for purchase was given prior to the
rchase of the equipment.
18. Equipment will be periodically inventoried by DAAS to insure
all equipment purchases are properly approved, documented, and recorded on the
supplies
personal
business
Page 22 of 26
inventory. Significant violations may result in the imposition of sanctions.
N. 'Contractor shall notify the County, in writing, of any change in
_ling address and/or physical location within (10) days of the address
ange.
O. Contractor shall comply with all applicable local health and safety
codes, including fire clearances, for each site where program services are
provided under the terms of this contract.
ARTICLE XI. GBNBRAL PROVISIONS
A. This Agreement has no force or effect until signed by both parties.
B. County shall have Power of Attorney to pay delinquent debts and
unpaid wages incurred by Contractor, from appropriated funds under this
contract, in the event debts and wages have not been paid or are not current.
C. Contractor understands and agrees that the contract shall be
governed and construed in accordance with the Older Americans Act of 1965 as
amended and with California State and Federal laws.
D. The Contractor and its subcontractors shall not lawfully
discriminate, harass, or allow harassment against any employee or applicant
for employment because of sex, race, color, ancestry, religious creed,
national origin, disability (including HIV and AIDS), medical condition
(cancer), age or marital status, denial of family and medical care leave and
denial of pregnancy disability leave. The Contractor and its subcontractors
.all insure that the evaluation and treatment of their employees and
plicants for employment are free from such discrimination and harassment.
The Contractor and its subcontractors agree to fully comply with the laws and
programs (including regulations issued pursuant thereto) which are listed
following this paragraph and/or referenced in other sections of this contract.
Such compliance is required to the extent that such laws, programs and their
regulations are by their own terms, applicable to this contract. Contractor
warrants that he/she will make himself/herself thoroughly familiar with the
applicable provisions of said laws, programs and regulations prior to
conunencing performance of the contract. DAAS will provide assistance to
Contractor in obtaining copies of said laws, programs and regulations upon
request. To the extent applicable the provisions of said laws, programs and
regulations are deemed to be a part of this contract as if fully set forth
herein.
1. The San ~Bernardino County Affirmative Action Compliance
Program, Policy 11-15, Minority Business Enterprise (MBE) 15\ and Women
Business Enterprise (WEE) 5\.
2. Vietnam Era Veterans' Readjustment Assistance Acts of 1972 and
1974, as amended. Pub. L. 92-540, Title V, Section 503 (a), Pub. L-93-508,
Title IV, as amended, Section 402. (38 USCA 2021-2027).
a. . ' 3. Cal ifornia Fair Employment and Housing Act, Government Code
~ct1on 12900 et. seq.
This Contractor shall include the nondiscrimination and
compliance provisions of this clause in all subcontracts to perform work under
Page 23 of 26
this Agreement.
4. Civil Rights Act of 1964, as amended in 1991 (42 USCA 2000a to
~Oh6) and Executive Order 11375 and as supplemented in Department of Labor
~lations (41 CFR, Part 60).
5. Drug-Free Workplace Act of 1990.
6. Title III Program Manual for Area Agencies On Aging
7. GraDts in Excess of $100,000.
Clean Air Act as amended (42 USCA 7401); Clean Water Act a~
amended (33 1368); Federal Water Pollution Control Act as amended (33 USCA
1251, et. seq.); and Environmental Protection Agency Regulations (40 CFR Part
15 and Executive Order 11738) .
8. Contractors Participating in Facility Construction or Repair
Davis-Bacon Act (40 USCA 276a-7) (29 CPR, Part 5); Copeland
"Anti-Kickback" Act (18 USCA 874, 40 USCA 276a) (29 CPR, Part 3); Grant Work
Hours and Safety Standards Act (40 USCA 327-330) (29 CPR, Part 5); and
Executive Order 11246 of September 14, 1965, entitled "Equal Employment
Opportunity" as amended by Executive Order 11375 of October 13, 1967, as
supplemented in Department of Labor Regulations (41, CFR Part 60).
9. Provisions Against Lobbying
Exhibit C to this contract entitled "Certification Regarding
Lobbying".
e 10.
The AmericaDs With Disabilities Act of 1990 (42 USC 12101.)
The purpose of the Act is to support individuals with
disabilities to access employment and various services in both the public and
private sectors. The Act establishes civil rights for individuals with
disabilities.
11. B1der aDd Dependent Adult Abuse Reporting Requirement
Contractor will ensure that all known or suspected instances of
elder or dependent adult abuse are reported to DAAS Adult Protection Services
Staff.
In accordance with Welfare and Institutions Code 15630 (a) all
employees of the contractor and its subcontractors are mandated reporters of
elder and dependent adult abuse. Mandated reporters are required to report
all instances of physical abuse of elderly and dependent adults and may report
other types of abuse. Physical abuse must be reported under the following
circumstances: 1) When ~he reporter has observed an incident that reasonably
appears to be physical abuse; 2) When the reporter has observed a physical
injury where the nature of the injury, its location on the body, or the
repetition of the injury clearly indicates that physical abuse has occurred;
3) When the reporter is told by an elder or dependent adult that he or she has
experienced behavior constituting physical abuse. A telephone report of
physical abuse must be made immediately or as soon as possible. A written
~eport .of Dependent Adult/Elder Abuse (SOC 341) must follow within two (2)
~rking days. Incidents of elder and dependent adult abuse must be reported
to the correct agency as follows: 1) If the abuse has occurred in a long term
Page 24 of 26
care facility, except a State mental hospital or State developmental center,
the report shall be made to the local Long Term Care Ombudsman or local law
~orcement; 2) If the abuse has occurred in a State mental hospital or State
~elopmental center, the report shall be made to the designated investigators
of the State Department of Mental Health or the State Department of
Developmental Services or to the local law enforcement; 3) If the abuse
occurred anywhere other than a long term care facility or state mental
hospital or state developmental center, the report shall be made to Adult
Protective Services or local law enforcement. Under the terms of this
contract as changes in the Elder and Dependent Adult Reporting Law are enacted
the contractor is bound to comply with the most current regulations.
E. Disaster Preparedness
In order to provide emergency assistance or continue services to at-
risk elderly or dependent adults in the event of disaster, Contractor will
maintain accurate lists of all clients who are receiving home-delivered meals
and/or other services due to impairments which render them at risk of serious
injury or death. Contractor will coordinate and report disaster services and
issues with DAAS.
P. Publications
Any books, reports, pamphlets, papers, articles, or other materials
published or transferred, including newspaper reports, based on activities
funded by this contract, must (a) carry an acknowledgment of funding by the
an Bernardino County DAAS. The following language should be used: "These
~terials or products are the result of a project funded in part or in whole
by the County of San Bernardino Department of Aging and Adult Services through
the Older Americans Act, as amended;" (b) give the name of the entity, the
address, and telephone number at which the supporting data is available; (c)
include a statement that the conclusions and opinions expressed may not be
those of the State and/or DAAS and that the publication may not be based upon
or inclusive of all raw data.
G. Copyrights
If the contract results in a book or other copyrightable
material(s), the author is free to copyright the work, but DAAS reserves a
royalty-free, non-exclusive and irrevocable license to reproduce, publish or
otherwise use, and to authorize others to use, all copyrighted material which
can be copyrighted resulting from the contract.
H. Unauthorized Activities
All activities not expressly authorized by this agreement shall be
prohibited without the express written permission of the DAAS Director or his
authorized agent.
I. Binding Contract
In the event any portion of this contract is found to be invalid,
ae remaining portions shall continue to constitute a valid and binding
.ntract.
J. Religious Activity Prohil)ited
Contractor agrees it will not perform or permit any religious
proselytizing activities in connection with the performance of this Agreement.
Page 25 of 26
K. Entire Agreement
~ This Agreement consisting of 26 pages, Attachments consisting of a
~5 page Work Plan and Exhibits A-ls, B through B-2s, and C inclusive, is the
full and complete document describing services to be provided by the
Contractor to the County. There are no other or further written or oral
understandings or agreements with respect to this Agreement. No variation or
modification of this Agreement and no waivers of its provisions shall be valid
unless in writing and signed by all parties.
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COUNTY OF SAN BERNARDINO
~
Chairman, Board of Supervisors
CITY OF SAN BERNARDINO
IState if corporation, company, etc.)
Dated
...
By ~
(Authorized SIgnatureJ
SIGNED AND CERTIFIED THAT A COpy OF THIS
DOCUMENT HAS BEEN DELIVERED TO THE CHAIRMAN
OF THE BOARD.
Clerk of the Board of Supervisors of the County of San
Bernardino.
Dated
Title
Address 547 N. SIERRA WAY
Depury
SAN BERNARDINO. CA 92401-1211
By
Reviewed for Processing
Approved as to Legal Form
~
County Counsel
Oat.
O.t.
~
Agency Administrator/CAO
Oat.
02.123".000...... 11110
Pogo 26 01 26
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Attachment A page 1 of 5
Work Plan
City of San Bernardino
FY 97-98
This wotk plan contains 1he ~le objectives mmvlAlP.d by DAAS of the Nutrition provider. The workplan specifies
and establishes time frames either on an annual basis or where required by stale regulations on a quarterly basis. The
work plan constitutes 1he primary document for on-going monitoring, Annual Program Performance ReviewlFiscal Audit
and will be used to measure the providers efforts towards providing quality Nutrition Services.
L Program Description
A. Geographic AreaIClien/ele & Eligibility Criteria
I. The geographic area served by this contractor covers the communities of San Bernardino and HIghland.
2. The clientele for congregate nutrition consists of:
a.
e b.
c.
d.
e.
Seniors 60 and over;
The spouse of any person 60 and over;
Handicapped or dissb1ed individua1s who reside in a housing facility occupied primarily by the elderly
at which congregate nutrition services are provided,
A handicapped or disabled child who lives with an elderly individual and;
Any volunteer regardless of age who volunteers hislher time at a meal preparation site at least eight
hours per month.
3. The clientele for Home-Delivered Meals consists of:
a. Seniors 60 and over;
b. The spouse of any person 60 and over;
c. A non-elderly person who lives with an individual receiving Home-delivered Meals;
d. Handicapped or disabled individuals who live with the elderly client, and;
e. Any volunteer regardless of age who volunteers his/her time at a meal preparation site at least eight
hours per month.
B. Program Descriplion
I. Purpose: Nunition ~ are provided to assist older individuals to live independently by promoting better
health through improved nutrition and reduced isolation through a program coordinated with other
supportive services.
2. Defmition: Nutrition services include the procurement. preparation. transport, and service of meals to older
persons at congregate siles or in their homes.
C. Intended Outcomes
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I. Serve 339 Congregate meals per day that are nutritious, providing at least 1/3 of the minimum daily
requirements, served in an environment that is pleasant, safe and free from coercion at least 254 days per
year for a total of 86,106 meals per year at the sites listed in Exhibit A- \.
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Attachment A page 2 of 5
2. Provide Congregate meals to at least 1,000 unduplicated seniors of which 110 are minority low-income
seniors.
3. A Program Dietitian, meeting the requirements set forth within PM 95 03 (P), 145.3b, will provide a
minimum of 20 hours of activity to provide functions mandated by the State of California. Those functions
include approval of the contractors menus, staff training, nutrition education activities, and monitoring.
Contractor's menus will be approved by the dietitian llmlm submission to the AAA Dietitian for fmal
approval and certification prior to use as specified within PM 95 03 (P), 143.3 a, 6. Staff training will be
provided as specified within PM 95 03 (P), 147.5. Nutrition education services sbalI be provided to
homebolllld and congregate sites as specified within PM 95 03 (P), 145.1 \. Nutrition counseling sbalI be
provided to homebollDd and congregate participants as specified within PM 95 03 (P), 145.13.
4. Provide outreach in the community through a minimum of 12 presentations to community groups,
organizations, etc. and through door-to-door contact to new seniors of at least 254 presentations which
."1'........... at 1east 254 hours of outreach activity, and is exclusive of the periodic home visits conducted by
the provider to their current participants homes. All outreach will be documented and kept on fde for the
Annual Program Performance Review.
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5. Conduct a client satisfaction survey at least once a year if not more often. The survey instrument must be
approved by a designated DAAS staff prior to its use, and all fmdings from the surveys must be used to
improve services. The retmned surveys and the tabulated results must be kept on me for review by DAAS.
A copy of the tabulated results must be sent to DAAS.
6. Prepare posters and signs in languages other than Engliab, and post the signs in such locations as churches,
community service locations and small stores serving the minority communities.
0. Service Delivery Activities
A. Staffing and Volunteers
Sufficient personnel shall be available to carry out the needs of the program. This includes a Project Director
and additional personnel as determined by the size of the service area and the method and level of service
provision needed to fully comply with the terms of this workplan and contract.
I. Paid Staff FTE %CI %C2
a. Food Supervisor n 1.00 100 0
b. Food Supervisor I 1.00 100 0
c. Food Worker II.... 1.00 100 0
d. 2 Food Worker I's 1.00 100 0
e. 3 Site Coordinators!
Recreation Leaders 1.13 100 0
f. Senior Recreation Leader!
Accountant! Accountant T ecbl
Kitchen Helper 1.00 100 0
g. 2 Food ServicelDelivery
Persons 1.00 100 0
e h. Administrative Assistant!
Recreation Specialist .60 100 0
i. Senior Recreation Supervisor .25 100 0
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Attachment A page 3 of 5
j. 4 Kitchen Helpers
2.00
100
o
2. Volunteer Staff
a. Volunteers constitute individuals who work at least eight hours per-month without pay in the
performance of essential duties at a Congregate or Home-delivered kitchen.
b. Volunteers shall be recruited and used in all phases of services operations. Volunteers shall:
i. Be screened and selected through a formal process that assesses their capabilities, and;
ii. Not replace paid personnel.
c. Individuals who work at a meal preparation site for either Congregate or Homc-delivered Meals and
IR paid lbrough Job Training and Partnenhip Act, Senior Employment, Work Study, or any other job
training progr1llD IR not considered volunteers and must pay the agreed upon rate charged for regular
paid staff.
B. Staffmg Defmitions-Nutrition Services Project Director: The minimum qualiflC8tions for a Nutrition Project
Director include individuals with an associate degree with emphasis in:
I. Food services management; or
2. Business administration; or
3. Personnel and/or Human Resources Management, or Gerontology; and
4. Two years of experience with increasing responsibility.
C. Training Activities
I. Provide training quarterly. at a minimum, to improve the ability, knowledge. and skills of paid and volunteer
slaff of the nutrition program. A written training plan shall be prepared as specified within PM 9503 (p).
J.l7.5, in order to comply with this requirement. The written staffrraining plan is to be implemented and
placed on file by September 30, 1997, and be available for review by DAAS staff.
In addition, annually evaluate the paid staff and volunteer's performance to determine hisIher effectiveness,
skill development and understanding of the tasks they are assigned. Documentation of the annual
evaluations will be kepI on me at the provider's main office for review by DAAS during the Annual
Program Performance Review.
2. All Project Directors and food service managers shall complete a minimum of 15 clock hours specif1C8l1y
related to food service management, business administration, personne~ or personnel management. Proof
of completion will ~ted and kept on file for review by the Department during the Annual Program
Performance Review.
3. All Project Directors and food service managers shall complete a minimum of 15 clock hours specifICally
related to food sanitation and health. Proof of completion will be documented and kept on me for review
by the Department during the Annual Program Performance Review.
D. Service Locations
Central Kitchens
1. 5th Street Senior Center Site
2. Hernandez Site
3. Lytle Creek Site
I. 5th Street Senior Center Site
2. Perris Hill Senior Center Site
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Attachment A page 4 of 5
4. Highland Site
S. Nicholson Site
6. Penis Hill Senior Center Site
7. EnteIprise Center Site
8. Adult Day CarelHighland Site
E. Menu Planning
I. Coordinate with 1he Department's Nutritionist by providing monthly menus. No change to the menus will
occur without a two day prior ootioe to DAAS and proper documentation kept on me at the provider's maio
office.
2. Develop menus that are reflective of the participants food eating habits. Particular attention shall be paid
to ethnic and regional foods which should be served at least once a week if not more often.
m. Otber Service Requirement.
A. Meal Site Physical Set-up
I. Provide an atlractive eoviroomeot ioe1udiog but oot limited to table cloths, table decorations, bulletio boards,
wall decorations, matching dishes and utensils. Further, the provider will encourage creative, appealing,
and innovative activities aimed at encouraging greater participation by the seniors.
2. Post floor plans identifYing emergency exits, assembly _ etc. and conduct evacuation dri1\s at least twice
a year. Proof of evacuation drills will be kept on me duly signed by Ibe Fire Marshall, or olber aulborized
agency within Ibe community where Ibe site or sites are located.
3. Post "NO SOLICITING" signs on Ibe door leading into each Congregate site. No solicitiog of any kind is
permitted on Ibe premises during Ibe lunch hours for services or goods promoted by businesses.
B. Donations and Confidentiality
I. Maintain a written donation policy and appropriate procedures to safeguard and account for all
contributions.
2. Encourage seniors to donate by postiog motivational signs, and by verbally reminding participants about
Ibe importance of Ibeir contributions. The Contractor will not in any way employ tactics which could be
viewed as coercion, embarrassing aodIor obligatory to Ibe meal being provided to the senior participants.
Tactics such as placing vohmteers to guard Ibe collection boxes, hIVing participants sign-in and pay before
a meal ticket is giv.,...etc.. are strictly prohibited by Ibis work plan and contract. Further. no exchange of
money fot the purpose of making chaoge will be allowed at Ibe coUection box.
3. AU contributions, including those for guest and staff meals. shall be used to increase the number of meals,
to facilitate access to nutrition selVices, and to provide other supportive services directly related to nutrition.
c. C oordinarion Activities
I. If applicable. develop a fair and equitable policy and procedure for referring elderly participants to Ibe
appropriate transportation provider for securing public transportation to and from nutrition sites and hIVe
the policy fuUy in place by September 30.
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Attachment A page 5 of 5
2. Include the following ","""""'Ion all advertising, brochures, posters, etc. "Fundingfor this service has been
provided by the San Bernardino County Department of Aging and Adult Services through a grant award
from the California Department of Aging".
3. Coordinale service with other county departments and local agencies by providing time for presentations
or speciallI:livities thai promote a Community BISGli System of Care for the elderly participants attending
their sites. All such activities must be documented and kept on me for review by DAAS.
D. Reporting Requiremen/J
1. Report all known or suspected cases of elderly abuse to DAAS Adult Protective Services or law
enforcement immediately or as soon as possible by telephone, and send a written report within two (2)
working days. Abuse of an elder or dependent adult means physical abuse, neglect, intimidation, cruel
p.mMlnnent, fiduciary abuse, abml..........l. isolllion or other treatment with n:sulting physical harm or pain
or menta1 suffering or the deprivation by a can: custodian of goods or services which are necessary to avoid
physical harm or mental suffering.
2. Report accurate meal counts on CDA 187 & 188 forms which will be verified by DAAS during the Annual
Audit. Additionally, establish audit files which include but are not be limited to a copy of the 187 report
attached to the meal sign-in sheets supporting meals reported on the CDA 187 form, and a copy of the 188
report alIached to source documents, i.e. route sheets supporting meals reported on the CDA 188 form all
of which will be kept on me by month for annual review.
3. Report monthly expenditures to DAAS by the 5th working day of the monlh. Maintain support files
including but not limited to invoices, payroll, and other supporting documents, all of which will be alIached
to a copy of Ihe expenditures report and kept on me by monlh for review during the Annual Audit.
4. Maintain records, by monlh, Ihat support clainted in-kind expenditures.
5. By September 30, report expenditures funded wilh Deferred Income.
6. Develop and have on hand, for review by DAAS, a cost allocation plan which explains the methods used
to aI10cate costs between Congregate and Home-Delivered Meals or any olher program funded by DAAS,
such as Home Repair, etc.
In the event additional funds become available, Ihe provider will use Ihe funds to increase Ihe number of
meals being provided to elderly participants by either increasing the number of individuals attending its
pn:sent sites. or by opening new sites in communities not already served by Ihe provider. Exceptions to Ihis
requirement, for instance the use of additional funds 10 purchase equipment, must be fully documented in
writing and submit\~ to Ihe department for prior approval. Failure 10 abide by Ihis work plan will
constitute just cause for sanctions being imposed.
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CITY OF SAN BERNARDINO
EXHIBIT "B"
BUDGET SUMMARY
FY 1997-98
FY 1997-98
FUNDING
EXPENDITURES:
S196.317
REVENUES:
Title III, Older Americans Act
C-1
C-2
$149,017
o
$149,017
u.S. Department of Agriculture
C-1
C-2
$ 47,300
o
$ 47,300
TOTAL REVENUES:
S196.317
...
C20 m aO m D 0 m yD vn OMBD VII ELD ABUSE 0 Other
Funding Match To' tal
EXPENDITURE CATEGORY Less Match CaT> h-Krd
1. PERSONNEL
2. STAFF TRAVEL
3. ST:\FF TRAINING
4. EQUIPMENT
5. CONSULTANTS
6. FOOD cosr *
7. OTIIER cosr
137,597
20,000
157,597
800
1,400
1,400
5 000
126,000
TL 31,300
1,000
127,000
114,200
TL
82,900
/'
.
Total Expenditure
Le:c~ Match
Ma tch Cash
Match In-kind
302,097
103,900
405,997
.
..
LESS FUNDING:
x :55 Non Match USDA
Non Match Cash
Non Match In-Kind
86,000 Program Income ..
-LL.
Deferred Income
47,300
47,300
103,900
103,900
105,780
105,780
FEDERAL SHARE
149,017
149,017
DATE OF SUBMISSION 5-12-97
City of San Bernardino Parks,
. PROVIDER NAME Rec... Community Svcs. Dept.
8E~NAIlOINO COUNTY.DAAS Form 312.llevis~ 07/21/95
INITIAL BUDGET lxx I
REVISED BUDGET 0
'r:JLiUblt B '~.-'. rn,tID[ID@~1r: ~::'tS\]]~~W::.,~./ ~:'..:.: ..
~ C., 0 ....., . . ... .. '. ... .- .. ~,.. .' lur~AL a
.. ......... .. -: - '. '. ..... ........ .,' -... ..-..... .-..... ......." ..Urv-.E
..0: ,.,.:.....:.:~::.~....:...I7@m-.:.'-~.:-....-:.............,..~.:~.;..::... ~ l&
. . ". . ".' --...-.." ... ......""": .... ...... ,-..-....- .......-.~ ...,. .
.. ".- ............... .:--<_. ",' ..."lo!..':\I:'4:..........:~ :-.-"." ..,:..... .......-0.. .
. . 0 m ,0 g:: :'-', ~@~;;jf>-:'~~- ':~~~~~~~.;~~;~:. :: . ~_5~~~~' a~ D~~E~ [
r--l ." .,.......J_J.~ ...............__...\:,~...,.. .... .00' . "r .. ....
rOther~ .. .-.- .....c--,.....*J,__'r:'.~.:s... -..-.......,.-....1:'-....:, 0'-". ........~ ........ ....'. ... '.
. . ". ... . .. . .. .- . ..
Expenditure C'=~ ..~ory Fundi~ ..
less Mo ch C.osh In-Kind Totct
1. S ,......=:ES AND .......::;es . 117 597 20 000 '17 597
2 PAY1'\::>U. TAXES 20 000 20,000
3. F1'\:N:'E BE...EFriS 0 U
4. CO"F E"E,,::e."7;>J.ININO 1 400 1,4uu
~ ~oc...~ s-r AFF nuYn. Rnn 8UU
1 E :::iJ:? ve,,'T . EXPEN:l"'9~E n 0
7 EOu'P.....E>IT . NO~ [XPENOAlll~ n 0
8 !'lAW 10000 * 126 000 1,000 127,uuu
e. CA~REO FooO * 0 0
'0 ACCOUN'TINGlAUOITS 0 2,OOU L,QU\J
" ADVERTlSINQ 1,000 2,000 2 , aoo-
12 COU"lSUL T AN'T$lOVT'SIOE SERVICES 5,000 ),UUU
13 CONS:JMA9~E SUPPL.IES * 11,500 11,500-
14 EO;";;;>ME"'T RE>lTAL. " 0
15 INSURANCE n , nnn 1,000
,. I 10(';...' "'Fl'lIlICES n l:ilnn 1,00U
.NS. 0 U
"'SE!'ISHII>& suSSCRIPTIONS 0 0 U
"OT'><EI:! SUPP~IES 800 200 1,000
70 PR'>lTI",n 2,000 500 2, ,ucr
" Fli.:l'lCHASI"'O . 1,300 1,300
22 REPAIRS I .....A'>lTENANCE SPACE 5,000 2,000 7 ;omr
23 REPAI!'IS I MA'''''T'E'iANCE OTHER 1,000 1,00U L,UUU
2. RE>IT/BUI~OINO SPACE 0 49,000 49 ;omr
2S TAXES I ~ICENSES , /,"" 1,400
21 THEPMONE " , . ?nn 1,200
:i7 llTlllTlF S " 22 000 22,000
'8 VF"'ICl~ OI>ERATlOJoJS 7 ,,,,, 7,300
n VO~U"''TEER EXPENSE 1,000 1, 000
)C
TOT Al EXPENDITURE 302,097 103,900 405,997
"
F;.:....:,..,:] S:l..-"l:ES .
~ESS PA::>JECT INCO"'ERh."""~' ?~ 105 780 105,780
L F 55. N~"',""'",'1'C" U5'lARh.OOOX. <;5 /,7 1n" 47,300
LE S5 "'~.... "'ATe'" ~R 103,900 103,900
=EDERAl SHARE 149,017 149,017
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City of San Bernardino Parks,
ProvIder NlmeRec. & Community Svcs. Dept.
Contract ,97-819
5-12-97
Oate 01 SubmIssIon
....... BE"l'-"1'\::'1:l COU"TI
"""'F-oo"'3'2
fr-I-< ::,,~ &"Wj
Budget In-Kind Narrative
Provide Information regarding specific in-kind that will be used as match. Include site location, if
A:>Plicable, descriptions. rates and other relevant information. The total should eQJaI the amoU1t of
_-kind reported as match on your budget dsplay.
Desai tlon.
SitelLocation
Personnel-ell Senior Recreation Program Wide
Supervisor - Program Management
Raw Food Program Wide
Accounting/Audits Program Wide
Advertising Program Wide
Insurance Program Wide
Legal Services Program Wide
Other Supplies Program Wide
Printing Program Wide
Repair & Maintenance, Space
Repair & Maintenance Other
Rent/Building Space
Telephone
Utilities
.
Volunteer
.(14..ilJ '7"P.t oIi.- '.4: "11. ..,I.. .-.. flC.)
/.
.~.
I ..."".. eon"
DMS P... - 332
f19m/J,
~. . .
~:. ~~ ;
~.~ ":./
". ~...'
Program Wide
Program Wide
Program Wide
Program Wide
Program Wide
Program Wide
,'Name of Provider
~bate Submitted
..:.
Rate
24.17 (827 hrs
(1,667.00)
(1) 83.37
(11) 83.33
(1) 166.63
(11) 166.67
(1) 166.74
(11) 166.66
(1) 83.37
(11) 83.33
(1) 83.37
(11) 83.33
(1) 16.66
(11) 16.62
(1) 41. 66
(11) 41. 62
(1) 166.63
(11) 166.67
(1) 83.37
(11) 83.33
(1) 4.083.33
(11) 4,083.37
(1) 100.00
(11) 100.04
(1) 1,833.33
(11) 1.833.37
(1) 83.37
(11) 83.33
. Total In-Kind Match
20.000
1.000
2.000
2.000
1,000
1, 000
200
500
.
..
2.000
1.000
49.000
1,200
22.000
1.000
5-12-97
ATTACHMENT C
Department of Aging and Adult Services
'n Bernardino County
A 217 (6/96)
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS. GRANTS. LOANS. AND COOPERATIVE AGREEMENTS
The undersigned certifies. to the best of his or her knowledge and belief. that:
(1)
(2)
e
No federal appropriated funds hove been paid or will be paid. by or on behalf of the
undersigned. to any person for influencing or attempting to influence on officer or
employee of any agency. 0 Member of Congress. on officer or employee of Congress.
or on employee of 0 Member of Congress in connection with the awarding of any federal
contract. the breaking of any federal grant. the making of any federal loon. the entering
into of any cooperative agreement. and the extension. continuation. renewal.
amendment. or modification of any federal contract. grant. loan. or cooperative
agreement.
If any funds other than federal appropriated funds hove been paid or will be paid to any
person for influencing or attempting to influence on officer or employee of any agency.
a Member of Congress. an officer or employee of Congress. or an employee of a
Member of Congress in connection with this federal contract. grant. loan. or cooperative
agreement. the undersigned shall complete and submit Standard Form-LLL. "Disclosure
Form to Report Lobbying:' in accordance with its instructions.
(3)
The undersigned shall require that the language of this certification be included in the
award documents for all subawards at 011 tiers (including subcontracts. subgrants. and
contracts under grants. loons. and cooperative agreements) and that 011 subrecipients
sholl certify and disclosure accordingly.
This certification is 0 material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by Section 1352. Title 31. U.S. Code. Any person who
foils to file the required certification sholl be subject to 0 civil penalty of not less than .$10.000 and
not more than .$100.000 for each such failure.
.-
e
CONTRACTOR
STATE
DATE
AUTHORIZED SIGNATURE
TITLE