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· CI'O' OF SAN BERNARDOO - REQUOT FOR COUNCIt'iOoN
.
From: Anni e F. Ramos, Di rector
RBe'B ~~~~ RESOLUTION AUTHORIZING AN AGREEMENT
. . ... . ORII'}j THE EAST VALLEY REGIONAL COUNCIL
Parks, Recreation & Community Servl~JUN 29 'M ON AGING FOR PROVIDING COMPANIONSHIP
· iii, fLtI~PERSONAL SERVICES TO CLIENTS IN
June 28, 1989 THE EAST VALLEY BY THE CITY OF SAN
BERNARDINO SENIOR COMPANION PROGRAM.
Dept:
Date:
Synopsis of Previous Council action:
None.
Recommended motion:
Adopt Resolution.
a.:~ f '?
Signat e
Contact person: Tom Boggs Phone:
Supporting data attached: Staff Report, Resolution & Agreement Ward:
5032
N/A
FUNDING REQUIREMENTS:
Amount:
N/A
Source: (Acct. No.l
No cost to City - City will be reimbursed
Tor serVl ces.
(Acct. Description)
Finance:
Council Notes:
75.0262
Agenda Item No.
s-5
. CI'O OF SAN BERNARDI(:P - REQUE()r FOR COUNCIL AC'())N
RESOLUTION AUTHORIZING AN AGREEMENT STAFF REPORT
WITH THE EAST VALLEY REGIONAL COUNCIL
ON AGING FOR PROVIDING COMPANIONSHIP
AND PERSONAL SERVICES TO CLIENTS IN
THE EAST VALLEY BY THE CITY OF SAN
BERNARDINO SENIOR COMPANION PROGRAM.
The City of San Bernardino has the only SCP Program in this region; consequently,
other governmental agencies seek assistance through our program tg provide com-
panions for their areas. The East Valley Regional Council on Aging is one such
organization which has requested services of companions for which they totally
reimburse the City. There is no additional cost to the City for recruiting and
assigning the companion to serve the Senior Home and Health Care clients.
Recommend adoption of the Resolution.
JUSTIFICATION FOR PLACEMENT.ON THE SUPPLEMENTAL AGENDA
This document establishes an agreement for providing services which began on
July I, 1988. The documents required review by City Attorney, Council and Risk
Management Offices in both City and County. This processing has delayed completion
until now. Therefore, in order to have the document ready for the new fiscal year
it is requested that the Resolution and Agreement be placed on the Supplemental
Agenda for July 3, 1989.
June 28, 1989
75-0264
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RESOLUTION NO.
:WOLUTlOft.OF THE CITY OF SAN BERNARDINO AUTHORIZING THE DIRECTOR OF
PM"f.E' S.,', , ~. ".. AND COMMUNITY SERVICES DEPARmENT TO EXECUTE AN AGREmENT
.:BE' ....~r:f.!;:OF SAN BERNARDINO AND THE EAST VALLEY REGIONAL COUNCIL ON
AGI. '} '8OR'ARDINO COUNTY, FOR THE PURPOSE OF PROVIDING COMPANIONSHIP AND
PERSONAL SERVICES TO CLIENTS IN THE EAST VALLEY SERVICE AREA BY THE CITY OF
SAN BERNARDINO SENIOR COMPANION PROGRAM.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AS FOLLOWS:
SECTION 1. The Director of Parks, Recreation and Community Services
Department of the City of San Bernardino is hereby authorized and directed to
execute for and on beha 1f of said City an Agreement ~ti th the East Valley
Regional Council on Aging, San Bernardino County for the purp~~~,~~g
companionship and personal services to clients in the East vali~'i!~i~:Atea
by the City of San Bernardino Senior Companion Program; a Copyo'tsatfi.
''I'
Agreement is attached hereto as Exhibit "A" and incorporated herein b~;
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reference as though fully set forth at length.
1 HEREBY CERTIFY that the foregoing resolution was duly adopted by the
Mayor and Common Council of the City of San Bernardino at a
meeting thereof, held on the
by the following vote, to wit:
day of
, 1989,
AYES: Council Members
NAYS:
i~i:~-'''~;.
A!SEHfr
City Clerk
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'IRESOLUTIOn OF THE CITY OF SAN BERNARDINO A~HORIZING THE DIRECTOR OF PARKS,
RECREATION AND COMMUNIT~ERVICES DEPARTM TO EXECUTE AN AGREEMENT BETWEf~
THE CITY OF SAN BERNARD~ AND THE EAST VA EY REGIONAL COUNCIL ON AGING, S/I:If
BERNARDINO COUNTY, FOR THE PURPOSE OF PROVIDING COMPANIONSHIP AND PERSONAL
SERVICES TO CLIENTS IN THE EAST VALLEY SERVICE AREA BY THE CITY OF SAN
BERNARDINO SENIOR COMPANION PROGRAM.
"the~'~regoing resolution is hereby approved this
.' ~.
day of
, 1989.
W.R. HOLCOMB; Mayor
City of San Bernardlno
Approved as to form and legal content:
~M'~/~ J
eit Attorney
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JAN 0 5 J9q
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NOTIFICATION OF CONTRACT AWARD
CONTRACT NUMBER
TO:
CITY OF SAN BERNARDINO
SENIOR COMPANION PROGRAM
BY:
EAST VALLEY
REGIONAL COUNCIL ON AGING
THIS
AGREEMENT,
is
made
the
day of
Regional
RCA and
on
1ST
JULY , 19~, by and between the
Coun~l on Aqinq~ hereinafter called the
CI~Y OF SAN BERNARDINO
SENIOR COMPANION PROGRAM , direct
hereinafter called "Contractor."
The Older Americans Act of 1965, as Amended, provides
for assistance to state and local agencies to develop social
supportive services to meet the needs of older persons.
The California Department of Aging has allotted funds
to the Office on Aging for the purpose of administering
a certain portion of said funds pursuant to said act 1 and
for the purpose of planning service programs and activities
for older persons.
WHEREAS, the RCA desires to use Office on Aging monies
to fund, and the Contractor desires to operate and execute
a Regional Program, this contract is executed to reduce
to writing, the specific terms and conditions covering the
funding, execution and operation of the program provided
by this contract.
THEREFORE, in consideration of the
covenants contained herein, the RCA and
service
provider,
mutual promises and
the Contractor agree
as follows:
1. DEFINITIONS: CDA PM means "Title III Program Manual
for Area Agencies on Aging." This manual is based on
Federal regulations for Title III published March 31,
1980 (CFR, Chapter 8, Subchapter C, Par. 1321).
Pertinent parts of 45 CFR, Sub-title A, Part 74, published
June 3, 1980, have also been used.
2. WORK TO BE PERFORMED: The Contractor shall, in a
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satisfactory manner as determined by the OoA, conduc:t,
administer and provide Regional services for the elderly
as defined in the attached WORK PROGRAM (Exhibit A)
and PROGRAM BUDGET (Exhibit B). The aforementioned
and all other exhibits are, by this reference, made
a part of this contract as if fully set forth herein.
3. PERFORMANCE STANDARDS AND REMEDIES:. If for any reason
the Contractor's service falls below 5% or exceeds 25%
of the contracted level during any calendar quarter,
the Contractor will submit to the RCA within 30 calendar
days an analysis of the problem and the actions being
taken to correct the problem. If the problem persists,
the RCA, and the Contractor will jointly prepare a written
corrective plan with time lines for completion. If
the Contractor fails to carry out the corrective action
in the required time frame, sanctions will be invoked
as descr~bed in the OoA Sanction Policy. Continued
lack of corrective action will be cause for termination
of contract. If, after all appropriate actions have
been taken, the service level still falls below 5% or
exceeds 25% of the contracted level, the RCA may
renegotiate the contracted level of service and the
budget, as appropriate.
4. TERM: The term of this agreement will begin on 1ST
day of JULY ,19~, and terminate on the
30TH day of JUNE ,19~, subject,
however, to early termination as herein provided.
5. COMPENSATION/SCHEDULE OF PAYMENTS: The maximum amount
of funds awarded under this contract shall be
$ 3,000.00 ,and shall be subject to receipt
of funds from the California Department of Aging.
Contractor shall provide assurance that all funds received
by the Contractor from the OoA shall be accounted for
separately in the Contractor's accounting system and
segregated from all other funds under the Contractor I s
control. Any funds received by the Contractor from
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1 DoA which have not been obligated prior to the termination
2 of this agreement shall be returned to DoA immediately
3 thereafter.
4 The initial advance payment to the Contractor shall
5 be $ 750.00 after which payments shall be ba'sed upon
6 the units of service delivered during the previous quarter
7 and cash balance on hand and shall not exceed
8 $ 750.00 per quarter unless approved in writing
9 by the RCA and the OoA Director. Contractor must be
10 bonded in order to receive an advance.
11 The initial payment to the Contractor shall be made
12 within one quarter of the commencement of service and
13 thereafter payment for each quarter's services will
14 be made no later than the 30th day of the following
15 month subject to the availability of funds at the OoA.
16 6. MATCHING SHARE: The Contractor wi 11 contribute a cash
17 match of $ ~ and/or an inkind match of
18 $ 333.00 for a total match of ten (10) percent
19 of all expended DoA and matching funds. Allowable match
20 shall be in accordance with CDA Program Manual, Part
21 I, Section 200, Non-Federal resources.
22 7. FISCAL RESPONSIBILITY: The Contractor agrees to strictly
23 adhere to the approved budget, listed in Exhibit B.
24 Contractor will ensure that all expenditures are supported
25 by properly executed payroll, time records, invoices,
26 contracts, vouchers, orders, and any other accounting
27 documents pertaining in whole or in part to this contract.
28 Such documents shall be clearly identified and readily
29 accessible to OoA staff, as may be required.
30 8. AUDIT: Within 90 days after the termination of this
31 contract, Contractor shall perform an audit and submit
32 information as required in the OoA Final Program Report.
33 Requirements of the Final Program Report will be in
34 accordance with instructions found in the OoA Contractor's
3S Manual. In the event of an audit exception, all documents
36 referred to in Paragraph 7, FISCAL RESPONSIBILITY, shall
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be maintained and kept available until every exception
has been cleared to the satisfaction of RCA and OoA.
INSURANCE: The Contractor agrees to indemnify, defend
and hold harmless the Department, the County and their
authorized agents, officers, volunteers and employees
against any and all claims arising from Contractor's
negligent acts or omissions and for any costs or expenses
incurred by the Department, County or Contractor on
account of any claim therefore. In order to accomplish
the indemnification herein provided for, the Contractor
shall secure and maintain throughout the term of the
contract the following types of insurance with limits
as shown:
a) Workers' Compensation A program of workers'
compensation Insurance or a State-approved Self
Insurance Program in an amount and form to meet
all 4pp1icab1e requirements of the Labor Code of
the .State of California, including Employer's
Liability with $250,000 limits, covering all persons
providing services on behalf of the Contractor and
all risks to such persons under this Agreement.
The Contractor shall require the carriers of this
coverage to waive all rights of subrogation against
the RCA, the Department and the County, their
officers, volunteers, employees, contractors and
subcontractors.
b) Comprehensive General and Automobile Liability
Insurance This coverage to include contractual
coverage and automobile liability coverage 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
($1,000.000).
c) Contractor shall furnish certificates of insurance
certified copies of all policies and endorsements
to the Department evidencing the insurance coverage
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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 shall maintain such
insurance from the time Contractor commences
performance of services hereunder until the completion
of such services.
d) All policies, with respect to the insurance coverage
above required, except for the Workers I Compensation
insurance coverage and professional liability
coverage, if applicable, shall obtain additional
endorsements naming the Department and the County,
their employees, agents, volunteers and officers
as additional named insured with respect to'
liabilities arising out of the performance of services
hereunder.
All policies required above are to be primary and
non-contributing with any insurance or self-insurance
programs carried or administered by the County.
e) Blanket Fidelity Bond Prior to entering upon
performance of this contract, the Contractor may
submi t to the County proof of a blanket fidelity
bond in an amount equal to one month of the contract
payroll of the contract period, covering all
officials, employees an agents handling or having
access to funds recei ved or disbursed by the
Contractor under this contract, or who are authorized
to sign, or countersign checks. Said bond shall
constitute primary protection for the RCA, the County,
and the Office on Aging, and their officers, agents,
and employees. The bond policy shall provide at
least thirty (30) days prior written notice to the
County of cancellation or material change. Said
bond is required in order to receive an advance.
LICENSURE: Where the State or local public jurisdiction
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within the State requires licensure for the prov1s1on
of services, the Contractor will, in performing the
services stipulated in this contract, obtain all necessary
licenses.
11. REPORTS: Contractor, at such times and in su'ch forms
as the RCA and OoA may require, shall furnish RCA and
OoA statements, records, reports, data and information
as RCA and OoA may request pertaining to Contractor
performance of services hereunder and other matters
covered by this agreement.
12. INSPECTIONS: Contractor shall make available to RCA,
OoA, 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
after reasonable notice (CDA PM, Part G, Section 93.21
N 8).
13. MONITORING AND ASSESSMENT: Contractor shall permit
RCA, OoA, State or Federal officials to monitor, assess
or evaluate Contractor's performance under this agreement.
Said monitoring, assessment or evaluation shall include,
but not be limited to, project site visits 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 the RCA and OoA.
14. PROPERTY MANAGEMENT SYSTEM: All equipment, materials,
supplies or property of any kind purchased with OoA
funds provided herein shall be in accordance with CDA
PM, Part G, Section 93.19, and if no fully expended
or consumed prior to termination of this contract shall
be the property of the RCA, unless otherwise directed
by the OoA Director. The Contractor shall be held liable
for all losses of or damage to non-expendable equipment
or material resulting from negligence or improper
implementation of safeguards. The disposal, loss and/or
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destruction of property or equipment shall be fully
documented by the Contractor with copies thereof provided
to the 0011 wi th the monthly report for the month in
which occurred. Loss by vandalism or theft must be
immediately reported to the police. The OoA. Director
shall be notified of the loss wi thin seventy-two (72)
hours of discovery of the loss. Equipment that is worn
beyond economical repair may be turned in to the OoA
for accountability purposes. Replacement of the item
shall require OoA authorization. Any equipment purchased
will be subject to review over the life of the equipment,
and if not used, under-used or misused, may be claimed
by the OoA for redistribution to other OoA projects.
15. AMENDMENTS TO THE CONTRACT: This Agreement constitutes
the entire agreement between the Contractor and the
OoA with respect to the subject matter of this agreement.
There are no other or further written or oral
understandings or agreements wi th 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 the parties.
16. CONDITIONS FOR TERMINATION:
a) The RCA and the County may terminate this agreement
and be relieved of the payment of any consideration
to Contractor should Contractor fail to perform
the covenants herein contained at the time and in
the manner herein provided. In the event of such
termination, the RCA and the County may proceed
with the work in any manner deemed proper by the
County. The cost to the RCA and the County shall
be deducted from any sum due the Contractor under
this agreement, and the balance, if any, shall be
paid the Contractor upon demand.
b) Without the prior written consent of the County,
this agreement is not assignable by Contractor either
in whole or in part.
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c)
The consideration to be paid to Contractor, as provided
herein, shall be in full payment for all Contractor's
services and expenses incurred in the performance
hereof.
d) If the grant or other funding under which this
contract is made is terminated, the RCA and the
OoA shall have cause to immediately terminate this
contract. Notice of the termination shall be in
writing to the Contractor.
e) Reclamation and Closure: In the event of termination,
all funds, property, finished or unfinished documents,
data, supplies, and reports obtained or prepared
by the Contractor under this contract shall, at
the option of the OoA become OoA property.
f) The Contractor shall be entitled compensation for
satisfactory performance or allowable expenses
neces.arily incurred under this contract.
g) RCA,OoA and County may terminate this contract
upon sixty (60) days written notice to the other
party.
TRAINING AND MANPOWER DEVELOPMENT: The Contractor agrees
to participate in appropriate staff training and
development provided by the RCA, OoA, the California
Department of Aging and the Administration on Aging.
CONFIDENTIALITY: The 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.
PUBLICATIONS: Any books, reports, pamphlets, papers,
or articles based on acti vi ties funded by this contract
must be approved by OoA prior to publication and must
contain an acknowledgment of funding by the San Bernardino
County Office on Aging, and the Regional Council on
Aging.
COPYRIGHTS: If the contract results in a book or other
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1 copyrightable materials, the author is free to copyright
2 the work, but the RCA and the OoA reserve a royalty-free,
) non-exclusi ve and irrevocable license to reproduce,
4 publish, or otherwise use, and to authorize others to
5 use, all copyrighted material and all material which
6 can be copyrighted resulting from the contract (CDA
7 PM, Part G, Section 93.19).
8 21. CONTRACTOR INDEPENDENCE: The Contractor and the agents
9 and employees of the Contractor in the performance of
10 this agreement shall act in an independent capacity
11 and not as officers, or employees or agents of the State
12 of California, County of San Bernardino, the OoA or
13 the RCA.
14 22. UNAUTHORIZED ACTIVITIES: All activities not expressly
15 authorized by this agreement in Exhibit A shall be
16 prohibited without the express written permission of
17 the RCA a~d the OoA Director or his authorized agent.
18 23. BINDING CONTRACT: In the event any portion of the
19 contract is found to be invalid, the remaining portions
20 shall continue to constitute a valid and binding contract.
21 24. PLANNING EFFORT: The Contractor agrees to cooperate
22 with the RCA and the OoA in their efforts toward
23 developing a comprehensive and coordinated system of
24 services for the elderly by participating in joint
25 planning efforts and other activities mutually agreed
26 upon to meet this goal (CDA PM, Part H, Section 107.5).
27 25. CONTRIBUTION FOR SOCIAL SERVICES: The Contractor will
28 provide older persons rece1 v1ng such services the
29 opportunity to contribute to all or part of the social
30 services provided. Each indi vidual recipient will
31 determine what he is able to contribute toward the cost
32 of the social service. No older person will be denied
33 a social service because of his failure to contribute.
34 No fee shall be required of the recipient. Methods
35 of receiving contributions from recipients shall be
36 handled in such a manner so as not to differentiate
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among the individuals contributions publicly. (California
Department of Aging, Program Manual, Part H., Section
III.l) .
26. GREATEST ECONOMIC OR SOCIAL NEED: The Contractor
understands that one of its responsibilities under this
contract is to insure that "preference will be given
to providing services to older individuals with the
greatest economic or social needs (Older Americans Act
of 1965 as Amended, Amendments of 1984, Public Law 98-459,
306 (5) (a) ).n "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 and mental disabilities, language barriers,
and cultural or social isolation including that caused
by racia~ 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 AJIlended, Amendments of 1984,
Public Law 98-459, 306 (6). Minimum program goals
relating to minorities is determined for the census
tracts served by this contract by computing the percentage
of minority individuals sixty years of age and older
within the total population sixty years of aqe and older.
27. RELIGIOUS ACTIVITY PROHIBITED: There shall be no
religious worship, instruction, or proselytization as
part of, or in connection with, the performance of this
contract.
Contractor agrees to fully comply with the laws and programs
(including regulations issued pursuant thereto) which are
listed following this paragraph. Such compliance is required
to the extent that such laws, programs and their regulation
are, by their own terms, applicable to this contract.
Contractor warrants that he will make himself thoroughly
familiar with the applicable provisions of said laws, programs
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1 and regulations prior to commencing performance of the
2 contract. Copies of said laws, programs, and regulations
3 are available upon request from the San Bernardino County
4 Contract Compliance Officer, 686 East Mill Street, San
5 Bernardino, California 92415-0640. To the extent applicable
6 the provisions of said laws, programs and regulations are
7 deemed to be a part of this contract as if fully set forth
8 herein.
9 1. The San Bernardino County Affirmative Action Compliance
10 Program (See Exhibit C).
11 2. Vietnam Era Veterans' Read justment Assistance Acts of
12 1972 and 1974, as amended. Pub. L. 92-540, Title V
13 Section 503 (a), Pub. L-93-508, Title IV, as amended,
14 Section 402. (38 USCA 2011-2013).
15 3. Rehabilitation Act of 1973, as amended (handicapped)
16 Pub. L. 93-112, amended.
17 4. Californra Fair Employment Practice Act, Labor Code
18 Section 1.410 et. seq.
19 5. Civil Rights Act of 1964, as amended (42 USCA 2000a
20 to 2000h-6) and Executive Order No. 11246, September
21 24, 1965, as amended by Executive Order 11375 and as
22 supplemented in Department of Labor regulations (41
23 CFR, Part 60).
24 6. provisions against lobbying are as follows: The following
25 statutory provision (part of Sec. 407 of Pub. L. 95-480,
26 92 Stat. 1589) has applied to all Health and Human
27 Services (HHS) appropriations beginning with those for
28 Fiscal Year 1979 and is likely to continue to apply
29 to any future appropriations.
30 "No part of any appropriation contained in this Act
31 shall be used to pay the salary or expenses of any grant
32 or contract or contract recipient or agent acting for
33 such recipient to engage in any activity designed to
34 influence legislation or appropriation pending before
35 the Congress."
36 This means that the costs of attempting to influence
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1 legislation pending before Congress may not be charged
2 either as direct or indirect costs to any HHS grant
3 awarded from funds subject to the provision. Attempting
4 to influence legislation is commonly called lobbying.
5 This notice concerns only the charging of certain costs
6 to Older Americans Act grants including the matching
7 share. Nothing in this notice is intended in any way
8 to inhibitor discourage any party from exercising its
9 lawful rights to attempt to influence legislation pending
10 before Congress as long as the costs are not charged
11 to the grant.
12 This agreement constitutes the entire agreement between
13 I the Contractor and the OoA with respect to the subject
HI! matter of this agreement. There are no other or further
15 i! written or oral understandings or agreements with respect
16 Ii to this agreement. No variation or modification of
I
17 ! this agreement and no waivers of its provisions shall
18 be valid unless in writing and signed by the parties.
19
FOR THE REGIONAL COUNCIL ON AGING
~ :I.. 'U-. ,o~~M.Qj
I-.'i-li.,
DATE
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FOR THE CONTRACTOR
DATE
APPROVED AS TO FORM
AND LEGAL CONTENT.
James F. Penman,
City Attorney
By: 1)e"..~~lA.)
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CITY OF SAN BERNARDINO SENIOR COMPANION PROGRAM
EXHIBIT A
WORK PROGRAM
TITLE III-D ALLOCATION
IN-HOME SERVICES FOR FRAIL OLDER INDIVIDUALS
FY 1988-89
I. Program Description:
A. In order to assist frail older individuals who have
physical or mental disabilities to perform normal daily
tasks and live independently, the City of San Bernardino
Senior Companion Program will expend funds to provide
In-Home services, and service coordination with other
community agencies to provide counseling training for
caregivers and support services in care management.
B. Special attention will be given to provision of services
which will prevent premature institutionalization.
II. Program Objectives:
A. Program: In-Home Services for Frail Older Individuals
(19 )
1. A total of 4 individuals are to be served, of which
at least one (7%)* shall be a minority.
2. Service: Visiting (31)
a. Units of service required: 120 hours
III. Definitions:
A. In-Home Services for Frail Older Individuals
1. In accordance with established eligibility criteria,
and Section 74709 and 74745, California Administrative
Code Article 5, to assist frail older individuals
who have physical or mental disabilities that restrict
the ability of an individual to perform normal daily
tasks or which threatens the capacity of an individual
to live independently, including those with
Alzheimer's Disease or a related disorder wi th
neurological or organic brain dysfunctions.
B. Visiting
1. To visit a client to provide reassurance and comfort.
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C. Hour
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1.
There are three
in the reporting
are:
units of time that are included
of an hour units of service. These
a. Preparation Time: The time necessary to prepare
for the delivery of a service. Examples include
time spent developing materials for a nutrition
education class, time spent researching a leqal
case to advocate for a senior and time spent
setting up for a health screening service.
b. Service Time: The time expended on the actual
provision of a service.
c. Travel Time: The Time spent traveling to the
location where a service is delivered.
2. When reporting a unit of service measured in hours
do not multiply the hours of direct service by the
number of employees/volunteers. The counting of
hours to be reported for a given activity should
be for the time involved in the specific preparation
of a structured, organized, scheduled activity and"
the number of hours that the activity took place.
*The Minority requirement is determined for the census tracts
served by this Contract by computing the percentage of minority
individuals sixty (60) years of age and older within the total
population sixty (60) years of age and older.
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CITY OF SAN BERNARDINO SENIOR COMPANION PROGRAM
EXHIBIT B
IN-HOME SERVICES FOR FRAIL OLDER INDIVIDUALS
BUDGET
FY 1988-89
ORGANIZATION
ITEMS
PROGRAM
INCOME
TITLE
III
FUNDS
LOCAL MATCH
CASH INKIND
TOTAL
City of San
Bernardino Senior
Companion proqram
proqram:
In-Home
Services (19)
Service:
Visitinq (31) $ 50 $3,000 $ 333 $3,383
TOTAL $ 50 $3,000 $ 333 $3,383
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BXBIBIT C 0
ASStJRAHCE OP COMPLIANCE WITH THE DEPAR'1'IIEIIT OP
IlBALTH AND II1JMA1iI SERVICES REGUlATIONS 1JlIDER
TITLE VI OP 'fIlE CIVIL RIG8'l'S AC'l' OP 1964
CITY OF SAN BERNARDINO SENIOR COMPANION PROGRA11
(Name of Grantee or Contractor)
(herein after called the -Recipient of Award-), IlERBBY AGREES that
it will comply with Title VI of the Civil Rights Act of 1964 (P.L.
33-352) and all requirements imposed by or pursuant to the Regulations
of the Department of Health and Human Services (45CPR, Part 80) issued
pursuant to that title, to the end that, in accordance with Title
VI of that Act and the regulation, no person in the United states
shall, on the ground of race, color, sex, age, or national origin,
be excluded from participation in, be denied the benefits of or be
otherwise subjected to discrimination under any program or activity
for which the Recipient of Award received federal financial assistance
from the San Bernardino COunty Office on Aging: a recipient of federal
financial assistance from the Department, and IlERBBY GIVES ASSURANCE
that it will immediately take any measures necessary to effectuate
this agreement.
If any real property or structure thereon is provided or improved
with the aid of federal financial assistance extended to the Recipient
of Award by the Area Agency on Aging, this assurance shall obligate
the Recipient of Awara or in the case of any transfer of such property,
any transferree, for the period during which the real property or
structure is used for a purpose for which the federal financial
assistance is extended or for another purpose involved in the provision
of similar services or benefits. If any personal property is so
provided, this assurance shall obligate the Recipient of Award for
the period during which the federal financial assistance is extended
to it by the Area Agency on Aging.
'l'BIS ASSURANCE is given in consideration of and for the purpose of
obtaining all federal grants, loans, contracts, property, discounts
or other federal financial assistance extended after the date hereof
to the Recipient of Award by the Area Agency on Aging, including
installment payments after such data on account of applications for
federal financial assistance which were approved before such date.
The Recipient of Award recognizes and agrees that such federal financial
assistance will be extended in reliance on the representations and
agreements made in this assurance. This assurance is binding on the
Recipient of Award, its successors, transferrees and assignees, and
the person or persons whose signature appear below are authorized
to sign this assurance on behalf of the Recipient of Award.
BY:
(Recipient of Award)
'l'ITLE:
Address
DATED :
San Bernardino County
OoA - Porm 09
6/88
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CERTIFICATION SHEET
I,
certify that
I am
(Print of type name)
of the Corporation named
as
(Print or type position held)
Contractor in the
foregoing
Contract:
that
who signed said Contract
on
(Print or type name)
behalf of the
Contractor
was/were
then
of
said
Corporation:
(Print or type position)
said Contract was signed for and in behalf of said Corporation
by authority of i-ts governing body and is wi thin the scope of
its corporate powers.
Approval of this Contract is contained
in
the
minutes
of
the
Board
meeting
held
on
(Date)
Signature
Date