HomeMy WebLinkAbout27-Parks & Recreation
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C'* OF SAN BERNARD.O - REQUAy FOR COUNCIL A~ON
From: ANNIE F. P.A~lOS. DIRECTOR REC'O. ~ l!Rimt: Oflf'SOLUTION TO ENTER INTO AGRW1ENT
WITH COUNTY C.S.D. FOR FOOD
Dept: PARKS, RECREATION & COMMUNITY SE~Y~flI$'R -3 r: ~ti;q-RIBUTION PROGRAf1 AT DEU1ANN
HEIGHTS CENTER
Date: APRIL 3. 1986
Synopsis of Previous Council action:
None
Recommended motion:
Adopt the Resolution
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Signature
Contact person: _}ohn ~'_E~mer ____
Phone:
5031
6
Supporting data attached:_____________
Ward:
FUNDING REQUIREMENTS:
Amount:
o
Source:
Finance:
Council Notes:
Agenda Item N~I--
75-0262
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CI~ OF SAN BERNARD.O - REQUAT FOR COUNCIL A~ON
STAFF REPORT
The attached agreement is for participation in the San Bernardino County Food
Distribution Program at Delmann Heights Community Center. This agreement is
identical to an existing agreement for food distribution at the Senior Citizen's
Center.
Delmann Heights is already a participant in the food commodities distribution
program. This program will provide similar types of food items to local seniors
on the alternate months that the commodities distribution is provided.
15-0264
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1
RESOLUTION NO.
2 RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
PREPARATION AND EXECUTION OF AN APPLICATION, AGREEMENT AND
3 LIABILITY RELEASE FOR SAN BERNARDINO COUNTY COMMUNITY SERVICES
FOOD DISTRIBUTION PROGRAM.
4
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF
5 SAN BERNARDINO AS FOLLOWS:
6 SECTION 1. The Directo~ of Parks, Recreation and Community
i Services is hereby authorized and directed to prepare, execute
8 and submit an application, agreement and liability release for San
9 Bernardino County Community Services Food Distribution Program, a
10 copy of which documents are attached hereto, marked Exhibit "A"
11 and incorporated herein by reference.
12 I HEREBY CERTIFY that the foregoing resolution was duly
13 adopted by the Mayor and Common Council of the City of San
14 Bernardino at a
meeting thereof, held on
15 the
day of
, 1986, by the following vote,
16 to wit:
17
18
AYES:
Council Members
19 NAYS:
20 ABSENT:
.
21
22
23
City Clerk
The foregoing resolution is hereby approved this
day
24 of
25
26 Approved as to form:
27 t[Z/"'.I-~)/~.bj;]~_2/
28 City A(torney
, 1986.
Mayor of the City of San Bernardino
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(71';\ 35)-2521 or 382-27905
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~:~LT~, CA 92376
(714) 829-7~75 or S29-7~76
AP?I.!CATIO!:
!'::::!".BER AG:::~:Y !~~FO?..!.:'~TIO!\ SH:::~T
\
_. Agency
Pho.-.'Z!
A1dress
Zip
., Director
4. Contact Person
_. NUI!\ber of Paid Sta==
6. Nu~~er of Volunteer Sta~f
7. Agency Status I~enti=ication:
A. Private Non-Profit
8. Public Non-Profit
C. Profit Inc.
Inc.
Inc.
D. Other
(Specify)
B. Tax Exempt '"
9. Liability Insurance (carrier)
10. Parent Organization
11. Days and Hours of Operation
Foe:> PROGRAM (S) SERVICES:
12. Does your organization provide meals on your premises? Yes No
If yes, how often? Daily Weekly Monthly Other
Number of people served? Breakfast ----- Lunc~ Dinner
13. Does your organization distribute emergency food boxes? Yes No
.
14. How many families do you distribute food to? weekly Monthly
15. Specific geographic area served:
16. Other services provided:
17. Who is eligible for your service?
.
'Direct food purchase~
-----'Retail Store Oona~ions
-----'Food Drive Don~tion~
-'USDA Commodities
-'Other (specify)
100 >TOTAL
18. Current sources of food obtained for your program(s).
(designate ')
STORAGE FACILI~IES,
19. Does your agency have storage facilities?
(Please give dimensions) Refrigerated
Frozen
Dry
FOOD PIC~ UP:
20. Do you have transporatation to the foodbank? (Describe)
::1. Ho\'! often co you prefer to pick up food? Daily_Weekly_Monthly_
22. Persons authorized to pick up food:
1)
2)
23. Where and to whom should CSD FDP reports and forms be sent. Name
Address: Zip
(Continue on page two)
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;..;~:-.c~'
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':'he C.~ove r.a~-=-::: A;Je:1c::' a;~ees to ap.d will comply .....ith the :o::'lO\dnS ::ri'::.!::::,ia c: a
~~~ber A~en:::' =or pd=~i::ipati~~ i~ Co~m~~i~v Services Cepartment Foo! Dis~=ib~~~~~
?!"o;1."ar:-..
1. ~ust ~e an established Agency anc ap~roved by the Co~~u~ity Services
Department Fooe ~istri=~tio~ P=ogram.
2. Hust be ar. Agency that serves low-i,.co:':",e, needy individua1s/:-.::l\.:.se:-.o:..::.;;;
residing within San Bernardino County {in accordance wi~h eligibility
guidelines provided}. (Exhibit E)
3. Must provide food to its clients consistent with funding source
guidelines.
4. !1ust. not offer for sale," charge for meals, transfer no!' barter or
hoard food s~~plied by Community Services Departme~t Food ~istribution
Program in exchange for money, other properties or services.
5. Must have adequate r~frigeration and storage space to insure the
wholesomeness of the food until used and/or distributed.
6. Must provide transportation to pick up food at Community Servies Depart-
ment Food Distribution Program Warehouse, except when delivery is provided.
7. Must be licensed by the State and/or City as a food service establishemot
according to the service it provides. (where applicable)
B. Must provide required reports. (Exhibits A , B)
9. Must secure and maintain complete eligibility records on clients served
for the purpose of documentation and recall. Information will be disclosed
to Community Services Department Food Distribution Program by the member
Agency. Confidentiality will be maintafhed by Community services Department
Food Distribution proqran. (Exhibit C)
10. Must provide names, addresses and telephone numbers of all volunteers
utilized with food programs within Aqency. (Exhibit D)
11. Must be agreeable to monitoring by the Community Services Department
Food Distribution Program personnel or a panel of the Advisory Committee.
12. Must be a non-profit organization. COPY OF 501 (C) (J) TAX EX~~T
STATUS WITH THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE nocUHEi-lT
MUST BE ATTACHED.
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WE, THE UNDERSIGNED REPRESENTATIVES OF THE APPLYING AGENCY, ACKNOWLEDGE THAT WE I VE ~
THE AFOREMENTIONED CONDITIONS AND UNDERSTAND THAT THEY HAVE BEEN INCOR#ORATED INTO
THIS APPLICATION. VIOLATION OF ANY OF THESE CONDITIONS HAY BE CAUSE FOR I'~DIATE
TERMINATION 9! SUSPENSION F~1 PARTICIPATION IN ,THE COMMUNITY SERVICES DEPAR~~T
FOOD DISTRIBUTION PROGRk~. SHOULD SUSPENSION OCCUR, PARTICIPATION WILL NO'!' RESU~E
UNTIL SUCH TIME AS VIOLATION(S) IS CORRECTED.
SIGNED: AUTHORIZED REPRESENTATIVE
CSD FOOD PROGRAM(S) MANAGER
Signature
Signature
Title
Date Approved
Date
RVH/fa
Revised 10/85
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?~;~ - ~~;:i:a:ic~
":::"::E.~. 1,~E~.C:Y !..:AE!I..ITY ELr:AS~
7:-:0=: u:-,r::.=~siS:-.== a....:t.~ori::ed ;"g~l'",~. ' _
(t~a!':le of Agency)
ne::o-eby ......a:-:::a:-,:.s tha":. during a=tive me:.-..be:-ship asso!'ted foods will te received
f=o~ the Co~~~~i":.y Services Departme~":. ?ood Distribu":.ion Prog:::am. Sa~d agen~
f;r":.~e:- ~arra~":.s that tne above describec :ood will be duly inspe:ted upon
de:!.ivery and fou:.::! fit for hur::an consuI:'lp':ion.
!t is :~rther agreed betwee~ t~e Co~~u~ity Services Depa:::ne~":. Feod Distrib~tio~
Program and .
That:
(~>lame 0 f Agency)
1. The Food is accepted "as is".
2. Community Services Department Food Distribution Program and the 0:-i9ioa1
donor expressly disclaim any implied warranties of merchantability or
fitness for a particular use.
3. There havE'! been ~lO express warranties in relation to this gift of
food.
4. Said Agency ~eleases both the original donor and Community services
Department Food Distribution Program from any liability resulting
from the condition of the donated food and further agrees to indemnify
and hold Community Services Department Food Distribution Program and
the original donor free and harmless against all and any liabilities,
damages, losses, claims, causes of action and suits or law or in
equity or any obligation whatsoever arising out of or attributed to
any action of said Agency or any personnel employed by said Agency
in connection with its storage and use of the donated food.
5. Must not offer for sale, charge for meals, transfer nor barter or hoard
the food supplied by Community Services Cepartment Food Distribution
Program in exchange for money, other properiea or services.
SIGNED, AUTHORIZED REPRESENTATIVE
eSD FOOD PROGRAM (S) MANAGER
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Signature
Signature
Title
Date
Date Approved
RVH/fa
Revised 10/85