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HomeMy WebLinkAboutFresno Madera Area Agency on Aging FY15Serving Fresno & Modero Connecting the Community November 19,2014 Bruce Rudd City Manager City of Fresno 2600 Fresno St Rm 2064 Fresno, CA 93721 Re: Contract No. 15-0310 Title lll C1 Congregate Dear Bruce: Nutrition Site Management Signed and fully executed copies of the fiscal year 2014-2015 contractual agreement between the Fresno-Madera Area Agency on Aging and the City of Fresno are enclosed. We look fonvard to working with you and your staff to provide services for older adults. Please contact us if you have any questions or need any additional information. Sincerely, Enclosure cc: Shaun Schaefer, Community Services Division Manager gnry on Senior lnformotion: Ph 559.ó00.4405 . Fox Administrotion/Finonce: Ph 559.ó00.4405 . 3837 N. ClorkSt. . Fresno, CA93726 559. 243.5ó51 . Emoil: services@fmooo.org Fox 559.243.5918 . Emoil: odmin@fmooo.org Website: www.fmooo.orgToll Free 800.51O.2O2O . A6ency on A6ing Serving Fresno & Modero Connecfing fhe Communíty Fiscal Year 2014-2015 Contr act between City of Fresno and the Fresno-Madera Area Agency on Aging Contract No. 15-03 10 Site Management Documents Required to Execute Gontract The followi nts require siqnatures and entries on both sets of Enter original signatures in ink on both sets of documents; make required entries on each form. I Page 2, Area Plan Grant Award Contract 2 Signatures needed: 1) lndividual named on Exhibit E, page 5, as having primary, hands-on involvement & oversight of day-to-day operations; & 2) individual authorized by governing board to execute the contracf (see Appendix A). tr Appendix A, Resolution of Authorization to Contract Must contain signature of chair of service provider's governing board.I Appendix B, Certification Must contain signature of individual authorized by governing board to execute the contract (see Appendix A). I Appendix C, Contractor/l/endor Confidentiality Statement Must contain signature of individual authorized by governing board to execute the contract (see Appendix A). tr Appendix K, Request for Taxpayer ldentification Number and Certification (W-g) Paft ll, Ceftification, must contain signature of individual authorized by governing board to execute the contracf (see Appendix A) I Appendix D, Method of Providing Audit Compliance f Exhibit B, Budget I Exhibit E, Program Narrative I Exhibit F, service Provider Emergency Resource rnformation Please attach two sets of the followinq to this page: f 1. CeÉificate(s) of lnsurance Please review Article XV of Aqreement prior to ananqinq for ceñificates to ensure all contractual requirements for insurance certificates are met. I 2. Gopy of IRS Determination Letter of Tax Exempt Status tr 3. Organizational chart, inctuding names and position tittes for contracted program tr 4. Job Description and Resu me of individual named on Exhibft E, page 5, who has primary, hands-on involvement and oversight of the day-to-day operations of the contracted program 5. List of Governing Board members 6. List of Advisory Council or Advisory Committee members (rf appticabte) 7 ' Current Program Newsletter and/or Flyer used úo promote the contracted program Documents Required to Execute Contract Area Plan Grant Award tr T tr FY 2014-2015 Area Plan Grant Award Table of Contents Documents Required to Execute Contract. CorurRRcr....... ........,.., 1 Anen Plnn GRerur AwRRo Tenrvrs nruo coruDlroNS DecunnnoN......... 3 Article l. Article ll. Article lll, Article lV. Article V. Article Vl. Article Vll. Article Vlll. Article lX. Article X. Article Xl. Article Xll. Article Xlll. Article XlV. Article XV. Article XVl. Article XVll. Article XVlll. Article XlX. Article XX. Area Plan Grant Award Table of Contents Definitions and Resolutions of Language Conflicts ..................... 3 Agreement .......... ............ 5 Term of Agreement... ....,....... s Reasonableness of Compensation ................... s Assurances......... ................6 Funds ...........21 Budget and Budget Revisions....... ........26 Payments ..........26 Subcontracts..... ..........27 Records and Reports ....... ..........2B Property ........31 Access ,.............33 Monitoring and Evaluation.. ......J4 Audits ...... 34 lnsurance .....38 Donations ........40 Termination....... ............4O Remedies and Appeal Process .........43 Revisions, Waivers, or Modifications . ........44 Noticing ..........45 FY 2014-2015 Area Plan Grant Award Table of Contents (Continued) Apperuo¡ces Resolution of Authorization to Contract Appendix A CeÍification....... Appendix B ContractorA/endor Confidentiality Statement. ....Appendix C Method of Providing Audit Compliance.......... Appendix D Required Reports and Due Dates Appendix E Sanction Policy Appendix F Appeal Procedure for Service Providers ........Appendix G Fresno-Madera Area Agency on Aging Contact List for Service Providers..... Appendix H Fresno-Madera Area Agency on Aging Emergency Contact lnformation..........Appendix I Community Focal Points List ... ........Appendix J Request for Taxpayer ldentification Number and certification......... . Appendix K ExHra¡rs Program Exhibit Exhibit A Budget ....... Exhibit B Annual Summary of Activities ........ ....... Exhibit C Program Cost Efficiency.. Exhibit D Program Narrative Exhibit E Service Provider Emergency Resource lnformation... ..... Exhibit F Area Plan Grant Award Table of Contents FY 2014-2015 CONTRACT BETWEEN CITY OF FRESNO AS SERVICE PROVIDER AND FRESNO.MADERA AREA AGENCY ON AGING (HEREINAFTER REFERRED TO AS AGENCY ON AGING) 3837 NORTH CLARK STREET FRESNO, CA 93726 A. Name and principal address of service contractor (hereinafter referred to as service provider). City of Fresno 2600 Fresno Street, Room 2064 Fresno, CA 93721 B. The starting date of this Agreement shall not precede the date the Agreement is signed by both parties hereto. The term of this Agreement is from July 1 ,2014 to June 30,2015, subject, however, to earliertermination as provided herein. C. No expenditure or obligation for the funding allocation for the July 1 ,2014 through September 30, 2014 period may be incurred after September 30, 20i4. Ño expenditure or obligation for the funding allocation for the October 1, 2014 through June 30, 2015 period may be incurred after June 30, 201S. D. Maximum funds available for the following programs. Approved by Fresno-Madera Area Agency on Aging Governing Board on June 19,2014 Federal Grantor:U.S. Department of Health and Human Services Pass Through Grantor:Fresno-Madera Area Agency on Aging Older Americans Act Title:Title lll C1 Congregate Nutrition, Federal CFDA No. 93.045 Service Agency on Aging Gontract No.Funding Period Grant Amount Site Management (6 Sites)15-0310 July 2014 - September 2014 $21,000 October 2014 - June 2015 $63,000 Total Fiscal Year 2014-2015 Grant Award:$84,000 This document together with any attached program exhibits, assurances, budgets, and narratives is a firm agreement to provide services for older Americans in Fresno and/or Madera counties (including cities contained therein) as specified in a manner consistent with the intent of, and regulations applicable to, service programs under Title lllA/ll of the older Americans Act as amended. The provisions of the Area Plan Grant Award Terms and Conditions Declaration (Afticles I through XX) attached thereto, plus all enclosures listed, herein, constitute a part of this contract. Area Plan Grant Award Contract E. F Page 1 FY 2014-2015 FOR SERVICE PROVIDER: the daylo-day operations of the contracted program. SHAUN SCHAEFER COI\4I\4UNITY RECREATION SUPERVISOR I I hibit E, page 5, as having pnmary, hands-on i,ment and oversight of Type Name Title --L:-r 1 -/ (/ Signature of Authori tracting (Refer to Appendix A) MANUEL A. MOLLINEDO Date PARCS DIRECTOR Type Name Title tr/zt'/r4 Date CITY CLERKATTEST: YVONNE SPENCE Type Name APPROVED AS TO FORM: Title DEPUTYBRANDON M. COLLET Type Name 94-600338 Contractor Federal Employer l.D. Number FOR FRESNO.MADERA AREA AGENCY ON AGING: Title , CITY ATTORNEY Jean Robinson Area Plan Grant Award Contract Executive Director Page 2 FY 2014-2015 DOUGLAS T. SLOAN c¡ly Attorney Assignment # Fund # Org # Project ID # Activity ID # Opened Date: Status Date: Assigned To: Ar4-0594.002 1 0101 170604 PP00004 GADM 1llr2l20t4 t1ll2l20l4 Brandon M. Collet c.o. # PC BU# Resource Type: Timekeeping: YA{ CIP: Y/lt{ Desired Completion Date: Hard Deadline Date: CALLED FORPI DATE:' ": \, . ITEM FOR APPROVAL CONFIDENTIAL . PROTECTED BY ATTORNEY.CLIENT PRIVILEGE AND ATTORNEY WORK PRODUCT DOCTRINE THIS IS NOT A PUBLIC RECORI) PRK NSS N N 1U1212014 tUt2l20t4 TO:Diane Printz-White Parks, Recreation & Community Services - Administration (ssg) 621-29ss Pick-up Contact (if different): * * *RF.TURNED FOR SIGNATUR F.{< * {'< Review Contract with Fresno-Madera Agency on Aging for the City of Fresno Senior Hot Meals Program at Six (6) Sites been: APPROVED NOT APPROVED (Return this sheet with revised document See Comments Below:Staff Report Reviewed:Yes No (RETURN THIS SHEET WITH REVISED DOCUMENT / RESUBMITTAL) Attached material has /_ DOCUMENT: DOUGLAS T. SLOAN, City Attorney FHAAA DIRTflT SERVITES ?tll' l{0y tq ÂH 0¡ 07 ADDENDUM TO GoNTRACT NO. 15-0310 BETWEEN CITY OF FRESNO AS SERVICE PROVIDER AND FRESNO-MADERA AREA AGENCY ON AGING (HEREINAFTER REFERRED TO AS AGENCY ON AGING) 3837 NORTH CLARK STREET FRESNO, CA 93726 The following provisions of the Area Plan Grant Terms and Conditions Declaration (Articles I through XX) attached thereto, are modified as follows: 1. Article V. Assurances. Section H, Paraqraph 11 (paqe 14): Provisions of lnformation lntegrity and Security The provisions contained in Article V, Section H, lnformation lntegrity and Security, shall be included in all contracts relating to the Agency on Aging Fiscal Year 2014-2015 Grant Award of both the Contractor and its subcontractors. 2. Article XV, lnsurance, Section J (paqes 3g-40): Contractor agrees to indemnify, defend, and save harmless the Fresno- Madera Area Agency on Aging, State of California, their officers, agents, and employees from any and all claims and losses occurring or resulting to any and all Contractors, subcontractors, material, laborers, and any other person, firm or corporation furnishing or supplying work, services, materials or supplies in connection with the performance of this Agreement, and also from any and all claims and losses occurring or resulting in any person, firm or corporation, who may be injured or damaged by Contractor's active negligence or willful misconduct in the performance of this Agreement. Addendum to Area Plan Grant Award Contract No. 15-0310 Addendum Page 1 FY 2014-2015 1 ADDENDUM TO CoNTRACT NO. 15-0310 BETWEEN CITY OF FRESNO AS SERVICE PROVIDER AND FRESNO.MADERA AREA AGENCY ON AGING (HEREINAFTER REFERRED TO AS AGENCY ON AGING) 3837 NORTH CLARK STREET FRESNO, CA 93726 The following provisions of the Area Plan Grant Terms and Conditions Declaration (Articles I through XX) attached thereto, are modified as follows: Article V, Assurances, Section H, Paraqraph 11 (paqe 14): Provisions of lnformation lntegrity and Security The provisions contained in Article V, Section H, lnformation Integrity and Security, shall be included in all contracts relating to the Agency on Aging Fiscal Year 2014-2015 Grant Award of both the Contractor and its subcontractors. Article XV, lnsurance, Section J (pages 39-40): Contractor agrees to indemnify, defend, and save harmless the Fresno- Madera Area Agency on Aging, State of California, their officers, agents, and employees from any and all claims and losses occurring or resulting to any and all Contractors, subcontractors, material, laborers, and any other person, firm or corporation furnishing or supplying work, services, materials or supplies in connection with the performance of this Agreement, and also from any and all claims and losses occurring or resulting in any person, firm or corporation, who may be injured or damaged by Contractor's active negligence or willful misconduct in the performance of this Agreement. 2. Addendum to Area Plan Grant Award Contract No. 15-0310 Addendum Page I FY 2014-2015 1. ADDENDUM TO GoNTRACT NO. 15-0310 BETWEEN CITY OF FRESNO AS SERVICE PROVIDER AND FRESNO.MADERA AREA AGENCY ON AGING (HEREINAFTER REFERRED TO AS AGENCY ON AGING) 3837 NORTH CLARK STREET FRESNO, CA 93726 The following provisions of the Area Plan Grant Terms and Conditions Declaration (Articles I through XX) attached thereto, are modified as follows: Article V. Assurances. Section H. Paraqraph 11 (paqe 14): Provisions of lnformation lntegrity and Security The provisions contained in Article V, Section H, Information lntegrity and Security, shall be included in all contracts relating to the Agency on Aging Fiscal Year 2014-2015 Grant Award of both the Contractor and its subcontractors. Article XV, lnsurance. Section J (paqes 39-40): Contractor agrees to indemnify, defend, and save harmless the Fresno- Madera Area Agency on Aging, State of California, their officers, agents, and employees from any and all claims and losses occurring or resulting to any and all Contractors, subcontractors, material, laborers, and any other person, firm or corporation furnishing or supplying work, seryices, materials or supplies in connection with the performance of this Agreement, and also from any and all claims and losses occurring or resulting in any person, firm or corporation, who may be injured or damaged by Contractor's active negligence or willful misconduct in the performance of this Agreement. 2. Addendum to Area Plan Grant Award Contract No. 15-0310 Addendum Page 1 FY 2014-2015 FRESNO.MADERA AREA AGENCY ON AGING AREA PLAN GRANT AWARD TERMS AND CONDITIONS DECLARATION Activities under this award shall be carried out in accordance with Title lll and Tifle Vll of the Older Americans Act of 1965, as amended (United States Code Tiïle 42, Section 3001); the program regulations and policy directives relating thereto; federal and state laws; and the California Welfare and lnstitutions Code, sections 9000-9023, all of which are, or may be, operative during the term of this sub-grant award. This Agreement incorporates the terms and conditions which support an award of Area Plan Funds. ARTICLE I. DEFINITIONS AND RESOLUTIONS OF LANGUAGE CONFLICTS A. The term "Agreement" or "contract" shall mean the Fresno-Madera Area Agency on Aging Area Plan Grant Award Terms and Conditions Declaration (Afticles I through XX), plus all enclosures listed herein, including the Budget Display; Program Exhibits; Appendices; Attachments; Amendments; and any other documents incorporated by reference, unless othenryise provided in this Article. B. "Agency on Aging" ¿¡f, "f[/ArM" means the Fresno-Madera Area Agency on Aging interchangeably. C. "OAA" means Older Americans Act. D. "PSA 14" means the Planning and service Area comprised of Fresno and Madera Counties. E. "State" and "Department" means the State of California and the California Department of Aging (CDA) interchangeably. F. "Seryice Provider" or "Contractor" means the legal entity awarded funds under this Agreement and which is accountable to the Agency on Aging, the State, and/or federal government for use of these funds and which is responsible for executing the provisions for services of this Agreement. G. "subcontractor" means a legal entity that receives funds from the Contractor to provide direct services identified in this Agreement. "Subcontract Agreement" means a subcontract agreement supporled by funds from this Agreement. H. As used throughout this Agreement, the term "shall" is mandatory; the term "may" is permissive. l. "cFR" means code of Federal Regulations, "ccR" means carifornia Code of Regulations, "GC" means Government Code, "W&l" means cafifornia welfare and lnstitutions code, "usc'means united states Code, and "PCC" means the Public Contract Code Area Plan Grant Award Terms and Conditions Declaration FY 2014-2015 J. "Program lncome" means revenue generated by an Area Agency on Aging or Contractor from contractsupported activities. Program lncome is: 1. Voluntary contributions (Donations) received from a parlicipant or responsible party for services received. 2. lncome from usage or rentalfees of rear or personal property acquired with grant funds or funds provided under this Agreement. 3. Royalties received on patents and copyrights from contract- suppoded activities. 4. Proceeds from the sale of items fabricated under a contract Agreement. K. The terms and conditions of this grant award and other requirements have the following order of precedence if there is any conflict in what they require: 1. The Older Americans Act Amendments of 2006. 2- other applicable Federal statutes and their implementing regulations. 3. Older Californians Act. 4. Title 22 CCR S 7000 et. seq. 5. Contract Agreement, including Area Plan Grant Award Terms and conditions Declaration, allAppendices, all Exhibits, and any amendments thereto. 6. Any other attachments incorporated herein by reference. 7. Program memos and other guidance issued by the California Department of Aging. L, "Reimbursable item" also means "allowable cost" and "compensable item." M. "Matching Contributions" means local cash and/or in-kind contributions by the Contractor, subcontractor, or other local resources that qualify as match for the contract funding. N. "ln-Kind Contributions" means the value of non-cash contributions donated to support the project or program (e.g. propefty, service, etc,). O. "Non-Matching Contributions" means localfunding that does not qualify as matching contributions and/or ís not being budgeted as matching contributions (e.9. federal funds, overmatch, etc.). Area Plan Grant Award Terms and Conditions Declaration FY 2014-2015 ARTICLE II, AGREEMENT A. All elements of this Agreement, as defined in Article l, Section A, and as approved by the Agency on Aging in making this award, are hereby incorporated by reference, as if fully set fofth herein. B. Time is of the essence in this Agreement. All contracts must be signed and returned to the Fresno-Madera Area Agency on Aging within forty- five (45) days of the date on the contract cover letter. lf the signed contract is not returned by the designated date and there has been no approval granted, then the funds may be reallocated by the Fresno- Madera Area Agency on Aging Governing Board. The Agency on Aging will send a Notice of Termination of Negotiations to the non-responsive Service Provider on the 46th day from the date of the contract cover letter by certified mail. A copy of the Fresno-Madera Area Agency on Aging Appeal Procedure will be sent with the letter. C. A copy of this Agreement is on file and available for inspection at the Fresno-Madera Agency on Aging, 3837 North Clark Street, Fresno, CA 93726. ARTICLE III. TERM OF AGREEMENT A. This Agreement is of no force or effect until signed by both parties hereto and approved by the Agency on Aging. The Contractor may not commence pedormance until such approval has been obtained, or until a signed Letter of Authority has been provided by the Agency on Aging. B. The term of this Agreement is from July 1 ,2014, through June 30, 2015, at which time the Agreement expires, subject however, to earlier termination or cancellation as herein provided. Contract awards are limited to a one-year period; however, at the discretion of the Agency on Aging, contracts may be renegotiated up to a maximum of three additional one-year periods subject to annual renegotiation and availability of federal, State, and local funding. C. Should the Contractor or subcontractor begin work in advance of receiving notice that the Agreement is approved, and before obtaining a signed Letter of Authority from the Agency on Aging, that work may be considered as having been performed at-risk as a mere volunteer and may not be reimbursed or compensated. ARTICLE IV. REASONABLENESS OF COMPENSATION Compensation for work or services peformed under this Agreement shall be reasonable and based on an analysis of job requirements and comparability with similar work or services in the local labor market. Area Plan Grant Award Terms and Conditions Declaration FY 2014-2015 ARTICLE V, ASSURANCES A. Aoreement Authorization lf a public entity, the Contractor shall submit to the Agency on Aging a copy of the resolution, order, or motion referencing this Agreement number authorizing execution of this Agreement. lf a private entity, the Contractor shall submit to the Agency on Aging an authorization by the Governing Board of the Contractor to execute this Agreement, referencing this Agreement number. These documents, including minute orders, must also identify the action taken. Documentation in the form of a resolution, order, or motion by the Governing Board of the contractor is required for the original and each subsequent amendment to this Agreement. This requirement may also be met by a single resolution from the Governing Board of the Contractor authorizing the designee to execute the original and all subsequent amendments to this Agreement. B Administration Area Plan Grant Award Terms and Conditions Declaration 1. 2. 1 2. 3 4 The Contractor shall be: a. A public or private nonprofit entity or Joint powers Agreement (JPA); or b. A private entity approved by the California Department of Aging prior to commencement of the contract period. lf a private nonprofit corporation, JPA, or private entity, the contractor shall be in good standing with the secretary of state of california and shall maintain that status throughout the term of the Agreement. The contractor shall ensure that any subcontractors providing services under this Agreement shall be of sound financial status. Any private, subcontracting corporation or JPA shall be in good standing with the Secretary of State of California and shall maintain that status throughout the term of the Agreement. Failure to maintain good standing by the contractor shall result in suspension or termination of this Agreement with the Agency on Aging until satisfactory status is restored. Failure to maintain good standing by a subcontractor or JPA shall result in suspension or termination of the subcontract by the contractor until satisfactory status is restored. 6 FY 2014-2015 5. This Agreement is not assignabre by the contractor, either in whole or in part, without the written consent of the Agency on Aging in the form of a formal written amendment. 6. The Contractor, and the agents and employees of the Contractor, in the performance of this Agreement, shall act in an independent capacity and not as officers or employees or agents of the State or the Agency on Aging. 7. ln the event that any provision of this Agreement is unenforceable or held to be unenforceable, then the parties agree that all other provisions of this Agreement have full force and effect and shall not be affected. c. Debarment. suspension, and other Responsibiritv Matters 1. The Contractor certifies to the best of its knowledge and belief, by signing this Agreement, that it and its subcontractors: a. Are not presently debarred or suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not, within a three-year period preceding this Agreement, been convicted of or had a civiljudgment rendered against the contractor for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, State, or local) transaction or contract under a public transaction; vioration of federal or State antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen properly; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, State, or local) with commission of any of the offenses enumerated in paragraph (1) (b); and d. Have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, State, or local) terminated for cause or default. 2. The contractor shall report immediatery to the Agency on Aging in writing any incidents of alleged fraud and/or abuse by either the Contractor or any subcontractors. The Contractor shall maintain any records, documents, or other evidence of fraud and abuse until othenruise notified by the Agency on Aging. Area Plan Grant Award Terms and Conditions Declaration FY 2014-2015 D. 3. The contractor shall notify the Agency on Aging immediatery of any intention to discontinue existence of the entity or to bring an action for dissolution. 4. The contractor agrees to timely execute any and ail amendments to this Agreement or certificates, other required documentation relating to their subcontractor's debarmenvsuspension status. Law, Policv and Procedure, Licenses, and Ceftificates 1. This Agreement is governed by and shall be interpreted in accordance with the laws of the State of California. 2. The contractor agrees to administer this Agreement and require any subcontractors to administer their subcontracts in accordance with this Agreement, and with all applicable local, State, and federal laws and regulations including, but not limited to, discrimination, 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 judgment. The contractor and its subcontractors shall keep in effect all licenses, permits, notices, and ceftificates that are required by law. Provision of Services. Staffinq, and Standards of Work 1. The contractor shall ensure the provision of services under this Agreement, as specified by the attached exhibits, which are hereby incorporated by reference, lnadequate performance or failure to make progress so as to endanger performance of this Agreement may result in imposition of sanctions as described in Appendix F, Sancfion Policy, or termination of the Agreement as described in Article XVll, Termination. 2. The contractor shall make every effort to meet the goars and objectives stipulated in this Agreement. performance shall not be unilaterally reduced or otherwise changed withoui prior consultation with, and written approval of, the Agency on Aging. A service unit reduction that impacts the Agency's ability to provide service levels defined in its Area plan or Area plan Update service unit objectives requrres : a. Written approval from the California Department of Aging to the Agency on Aging if such reduction is greater than 10 percent. b. An Amendment to the Agency on Aging's Area plan if such E. Area Plan Grant Award Terms and Conditions Declaration FY 2014-2015 F reduction is greater than 20 percent, including a public hearing; approval by the Agency's Governing Board and Advisory Council chairpersons and the Agency's Executive Director; and approval by the California Depadment of Asins. [22 CCR $7306(a)] 3. The Contractor agrees that the pedormance of work and services pursuant to the requirements of this Agreement shall conform to accepted professional standards. 4. The Contractor shall maintain adequate staff to meet the Contractor's obligations under this Agreement. 5. The Contractor shall make staff available to the Agency on Aging for training and meetings, which the Agency on Aging may find necessary from time to time. Pavroll Taxes and Deductions The Contractor shall promptly forward payroll taxes, insurances, and contributions, including State Disability lnsurance, Unemployment lnsurance, Old Age Survivors Disability lnsurance, and federal and State income taxes withheld to designated governmental agencies. Nondiscrimination The Contractor shall comply with all federal statutes relating to nondiscrimination. These include those statutes and laws contained in the Contractor Certification Clauses (CCC-307), which is hereby incorporated by reference. ln addition, Contractor shall comply with the following: 1. Equal Access to Federally-Funded Benefits, Programs, and Activities (Title Vl of the Civil Rights Act of 1964) Contractor shall ensure compliance with Title Vl of the Civil Rights Act of 1964 (42 USC Section 2000d; 45 CFR Part 80), which prohibits recipients of federal financial assistance from discriminating against persons based on race, color, religion, or national origin. 2. EqualAccess to State-Funded Benefits, Programs, and Activities Contractor shall, unless exempted, ensure compliance with the requirements of Government Code sections 11135-11139.5, and Section 98000 et seq. of Title 22 of the California Code of Regulations, which prohibit recipients of State financial assistance from discriminating against persons based on race, national origin, ethnic group identification, religion, age, sex, sexual orientation, color, or disability.e2 CCR 98323) G. Area Plan Grant Award Terms and Conditions Declaration FY 2014-2015 (Chapter 182, Stats. 2006) 3. Contractor assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. (42 USC Sections 12101 et seq.) 4. During the performance of this Agreement, the Contractor and its subcontractors shall not unlawfully discriminate, harass, or allow harassment against any employee or applicant for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability (including HIV and AIDS), mental disability, medical condition (cancer), age (over 40), marital status, and denial of family care leave. The Contractor and its subcontractors shall insure that the evaluation and treatment of their employees and applicants for employment are free from such discrimination and harassment. Contractor and subcontractors shall comply with the provisions of the Fair Employment and Housing Act (GC S12990 (a-f) et seq.) and the applicable regulations promulgated thereunder (CCR, Tifle 2, Section 7285 et seq.). The applicable regulations of the Fair Employment and Housing Commission implementing Government Code Section 12990 (a-f), set fofth in Chapter 5 of Division 4 of Title 2 of the California Code of Regulations, are incorporated into this Agreement by reference and made a part hereof as if set forth in full. Contractor and its subcontractors shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other Agreement. 5. The Contractor shall not require proof of age or citizenship as a condition of receiving services. 6. Contractor agrees to include these requirements in all contracts it enters into with subcontractors to provide services pursuant to this Agreement. 7. The Contractor shall require language in all subcontracts to require all subcontractors to comply with all applicable State and federal laws. H. 1. lnformation Assets The Contractor shall have in place operational policies, procedures, and practices to protect Agency on Aging information Area Plan Grant Award Terms and Conditions Declaration 10 FY 2014-2015 2 assets, i.e., public, confidential, sensitive and/or personal information as specified in the State Administrative Manual, Sections 5300-5365.3; GC Section 1 1 109; Department of General Services Management Memo 06-12, Department of Finance Budget Letter 06-34; and CDA Program Memorandum 07-18, Protection of lnformation Assets. lnformation assets include, but are not limited to: a. lnformation collected andior accessed in the administration of Agency on Aging programs and services. b. lnformation stored in any media form, paper or electronic. Encryption on Porlable Computing Devices The Contractor is required to encrypt (or use an equally effective measure) any data collected under this Agreement that is confidential, sensitive, and/or personal, including data stored on portable computing devices (including, but not limited to, laptops, personal digital assistants, notebook computers, and backup media) and/or poftable electronic storage media (including, but not limited to, discs, thumb/flash drives, portable hard drives, and backup media). Disclosure a. The Contractor shall ensure that personal, sensitive, and confidential information is protected from inappropriate or unauthorized access or disclosure in accordance with applicable laws, regulations, and State and Agency on Aging policies. The requirement to protect information shall remain in force until superseded by laws, regulations, and State and Agency on Aging policies. b. The Contractor shall protect from unauthorized disclosure names and other identifying information, concerning persons receiving services pursuant to this Agreement, except for statistical information not identifying any pafticipant. c. "ldentifying information" shall include, but not be limited to, name, identifying number, social security number, State driver's license or State identification number, financial account numbers, symbol or other identifying characteristic assigned to the individual, such as finger or voice print or a photograph. d. The Contractor shall not use such identifying information .1 Area Plan Grant Award Terms and Conditions Declaration 11 FY 2014-2015 for any purpose other than carrying out the contractor's obligations under this Agreement. The contractor is authorized to disclose and access identifying information for this purpose as required by the older Americans Act. e. The contractor shall not, except as othenvise specifically authorized by law or required by this Agreement or court order, disclose any identifying information obtained under the terms of this Agreement to anyone other than the Agency on Aging without prior written authorization from the Agency on Aging. The contractor may be authorized, in writing, by a participant to disclose identifying information specific to the authorizing participañt. f . The contractor may allow a participant to authorize the release of information to specific entities, but shall not request or encourage any participant to give a blanket authorization or sign a blank release, nor shall the contractor accept such branket authorization from any pafticipant. 4. Training/Education a. The contractor must provide ongoing education and training, at least annually, to all employees and subcontractors who handle personal, sensitive, or confidential information. Contractor employees, subcontractors, and volunteers must complete the required lnformation security Awareness Training module avaiiable on the CDA Web site under providers and partners, lnformation security Awareness Training, at the following URL: http ://www. ag i n g. ca. g ov/p rog ra ms p rovid ers/#Reso u rces Training must be completed within thirty (30) days of the start date of any new employee, subcontractor, or volunteer. lf lnternet access is not available, a hard copy of the training modure is avairabre from the Agency on Agiñg and may be provided to emproyees, subcontractors, anoø, volunteers for their completion. The contractor must maintain certificates of completion on file and provide them to the Agency on Aging upon request. Training may be provided on an individual basis or in groups. A sign_in sheet is acceptable documentation for group traiñing in lieu of individual certificates. Area Plan Grant Award ïerms and Conditions Declaration 12 FY 2014-2015 b. The Contractor may substitute CDA's lnformation Security Awareness Training program with its own information security training provided such training meets or exceeds C DA's tra i n ing req ui rement. Contractors/vend ors s hall maintain documentation of training and education provided to their staff, volunteers, and/or subcontractors. c. All employees and volunteers who handle personal, sensitive, or confidential information relating to the CDA's and the Agency on Aging's programs must parlicipate in I nformation Security Awareness Training. 5. Health lnsurance Portability and Accountability Act (HlpM) The Contractor agrees to comply with the privacy and security requirements of Health lnsurance Portability and Accountability Act (HIPAA) to the extent applicable and to take all reasonable efforts to implement HIPAA requirements. The contractor wiil make reasonable effofts to ensure that subcontractors comply with the privacy and security requirements of HIPAA. 6. ContractorA/endor Confidentiality Statement The Contractor shall sign and return to the Agency on Aging the ContractorNendor Confidentiality Statement, Appendix C, included with this agreement, which is hereby incorporated by reference, and shall comply with all statutes and laws contained in the statement. This is to ensure that contractorsA/endors are aware of, and agree to comply with, their obligations to protect cDA and Agency on Aging information assets from unauthorized access and disclosure. 7. Security lncident Reporting A security incident occurs when CDA and/or Agency on Aging information assets are accessed, modified, destroyed, or disclosed without proper authorization, or are lost or stolen. The Contractor must report all security incidents to the Agency on Aging immediately upon detection. A Security lncident Report form (CDA 1025) must be submitted to the CDA lnformation Security Officer, via the Agency on Aging, within five (S) business days of the date the incident was detected. L Notification of Security Breach to Data Subjects a. Notice must be given by the contractor or subcontractor to any data subject whose personal information could have been breached. Area Plan Grant Award Terms and Conditions Declaration 13 FY 2014-2015 b. Notice must be given in the most expedient time possible and without unreasonable delay except when notification would impede a criminal investigation, or when necessary measures to restore system integrity are required. c. Notice may be provided in writing, electronically, or by substitute notice in accordance with State law, regulation, or policy. L Software Maintenance The Contractor shall apply security patches and upgrades and keep anti-virus software up{o-date on all systems on which state and/or Agency on Aging data may be used. 10. Electronic Backups The contractor shall ensure that all electronic information is protected by performing regular backup of automated files and databases, and ensure the availability of information assets for continued business. The Contractor shall ensure that any portable electronic media used for backups is encrypted. 11. Provisions of lnformation lntegrity and Security The provisions contained in Article V, Section H, lnformation lntegrity and Securify, shall be included in all contracts of both the contractor and its subcontractors that relate to this Agreement. Copvriqhts 1. lf any material funded by this Agreement is subject to copyright, the State reserves the right to copyright such material and the Contractor agrees not to copyright such material, except as set forth in subdivisions (2) and (3) of this section. 2. The contractor may request permission to copyright materiar by writing to the Executive Director of the Agency on Aging. The Executive Director shall forward such request to the State and shall relay the state's response to the contractor within sixty (60) days from the date of receipt of the State's decision. 3. lf the material is copyrighted with the consent of the State, the State reserves a royalty-free, non-exclusive, and irrevocable license to reproduce, prepare derivative works, publish, distribute and use such materials, in whole or in part, and to authorize others to do so, provided written credit is given the author. Area Plan Grant Award Terms and Conditions Declaration 14 FY 2014-2015 4. The Contractor cerlifies that it has appropriate systems and controls in place to ensure that funds provided under this Agreement will not be used in the performance of this Agreement for the acquisition, operation, or maintenance of computer software in violation of copyright laws. J. Riqhts in Data 1. The Contractor shall not publish or transfer any materials, as defined in item 2 below, produced or resulting from activities supported by this Agreement without the express written consent of the Executive Director of the Agency on Aging. That consent shall be given or the reasons for denial shall be given and any conditions under which it is given or denied within thirty (30) days after the written request is received by the Agency on Aging. The Agency on Aging may request a copy of the material for review prior to approval of the request. This subsection is not intended to prohibit Contractors from sharing identifying client information authorized by the participant or summary program information that is not client-specific. 2. As used in this Agreement, the term "subject data" means writings, sound recordings, pictorial reproductions, drawings, designs or graphic representations, procedural manuals, forms, diagrams, workflow charts, equipment descriptions, data files and data processing or computer programs, and works of any similar nature (whether or not copyrighted or copyrightable) which are first produced or developed under this Agreement. The term does not include financial reports, cost analyses, and similar information incidental to contract administration. 3. Subject only to the provisions of Article V, paragraph H, lnformation lntegrity and Security, and Arlicle V, paragraph l, Copyrights, of this Agreement, the State and the Agency on Aging may use, duplicate, or disclose in any manner, and have or permit others to do so subject to State and federal law all subject data delivered under this Agreement. 4. Materials published or transferred shall: (a) state "The materials or product were a result of a project funded by an Agreement with the Fresno-Madera Area Agency on Aging and the California Department of Aging;" (b) give the name of the entity, the address, and telephone number at which the supporting data is available; and (c) include a statement that "The conclusions and opinions expressed may not be those of the Agency on Aging and/or the California Department of Aging and that the publication may not be based upon or inclusive of all raw data." Area Plan Grant Award Terms and Conditions Declaration 15 FY 2014-2015 K.Certifications ïhe contractor shall comply with all statutes and laws contained in the contractor certification clauses (ccc-100s) of Appendix B, cerfification, which is hereby incorporated by reference. ln addition, Contractor shall comply with the following: 1. Contracts in Excess of $100,000 lf funding provided herein exceeds 9100,000, the contractor shall comply with all applicable orders or requirements issued under the following laws: a. Clean Air Act, as amend ed (42 USC 1gS7). b. Clean WaterAct, as amended (33 USC 136g). c. FederalWater pollution ControlAct, as amended (33 USC 1251, et seq.). d. Environmentar protection Agency Regurations [40 cFR, Part 151 and [Executive Order 117391. e. child support compriance Act (pubric contract code 7110): The contractor acknowledges in accordance with the Child Support Compliance Act that: i) The contractor recognizes the importance of chird and family support obligations and shall fully comply with all applicable State and federal laws reiating to child and family support enforcement, including, but not limited to, disclosure of information and compliance with earnings assignment orders, as provided in Chapter I (commencing with Section 5200) of Part of Division 9 of the Family Code; and i¡) The Contractor, to the best of its knowledge, is in full compliance with the earnings assignmênt orders of all employees and is providing the names of all new employees to the New Hire Registry maintained by the California Employment Development Deparlment. f. Public Contract Code Section 10295.3. Lobbvinq Certification The contractor, by signing this Agreement, hereby certifies to the best of his or her knowledge and belief, that: L. Area Plan Grant Award Terms and Conditions Declaration 16 FY 2014-2015 1. No federal appropriated funds have been paid or will be paid, by or on behalf of the Contractor, to any person for influencing or attempting to influence an 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 the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. 2. lf any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress in connection with this federal Agreement, 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 Contractor shall require that the language of this certification be included in the award documents for all subcontracts at all tiers (including subgrants, and contracts under grants, loans, and cooperative agreements which exceed $100,000) and that all subcontractors shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. This certification is a prerequisite for making or entering into this transaction imposed by 31 usc 13s2. Any person who fairs to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. M. Conflict of lnterest 1. The Contractor shall prevent employees, consultants, or members of governing bodies from using their positions for purposes including, but not limited to, the selection of subcontractors, that are, or give the appearance of being, motivated by a desire for private gain for themselves or others, such as family, business, or other ties. ln the event that the Agency on Aging determines that a conflict of interest exists, funds may be disallowed by the Agency on Aging, and such conflict may constitute grounds for termination of the Agreement. Area Plan Grant Award Terms and Conditions Declaration 17 FY 2014-2015 N 2. This provision shall not be construed to prohibit emproyment of persons with whom the Contractor's officers, agents, or employees have family, business, or other ties, so long as the employment of such persons does not result in a conflict of interest (real or apparent) or increased costs over those associated with the employment of any other equally qualified applicant, and such persons have successfully competed for employment with the other applicants on a merit basis. Covenant Aqainst Contingent Fees 1. The Contractor warrants that no person or selling agency has been employed or retained to solicit this Agreement. There has been no agreement to make commission payments in order to obtain this Agreement. 2. For breach or violation of this warranty, the Agency on Aging shall have the right to terminate this Agreement without liability or at its discretion to deduct from the Agreement price or consideration, or otherwise recover, the full amount of such commission, percentage, brokerage, or contingency fee. Facilitv Construction or Repair 1. Title lll: a. When applicable for purposes of construction or repair of facilities, the Contractor shall comply with the provisions contained in the following and shall include such provisions in any applicable agreements with subcontractors: i) Copeland "Anti-Kickback" Act (18 USC 974, 40 USC 276c) (29 CFR, Part 3); ii) Davis-Bacon Act (40 USC 276a to 276a-7) (29 CFR, Part 5); iii) Contract Work Hours and Safety Standards Act (40 USC 327-333) (29 CFR, Part 5, 6, 7, 8); and iv) 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). b. The Contractor shall not use payments for construction, renovation, alteration, improvement, or repair of privately owned property which would enhance the owner,s value of o. Area Plan Grant Award Terms and Conditions Declaration 18 FY 2014-2015 P such propefty to the benefit of the owner except where permitted by law and by the Agency on Aging. c. When funding is provided for construction and non- construction activities, the Contractor or subcontractor must obtain prior written approval from the Agency on Aging before making any fund or budget transfers between construction and non-construction. lf this Agreement includes services in excess of $200,000, the Contractor shall give priority consideration in filling vacancies in positions funded by the contract to qualified recipients of aid under welfare and lnstitutions Code Section 11200 in accordance with public Contract Code 10353. Grievance Process 1. The Contractor must establish a written grievance process for reviewing and attempting to resolve complaints of older individuals receiving services funded by this Agreement. At a minimum, the process shall include all of the following: a. Time frames within which a complaint will be acted upon. b. Written notification to the complainant of the results of the review, including a statement that the complainant may appeal to the Fresno-Madera Area Agency on Aging if dissatisfied with the results of the Contractor's review. c. Confidentiality provisions to protect the complainant's rights to privacy. Only information relevant to the complaint may be released to the responding party without the older individual's consent. 2. The Contractor shall notify older individuals of the grievance process available to them by: a. Posting notification of the process in visible and accessible areas, such as the bulletin boards in multipurpose senior centers. For areas in which a substantial number of older individuals are non-English speaking, the notification shail also be posted in the prímary language of a significant number of older individuals. b. Advising homebound older individuals of the process either orally or in writing upon the Contractor's contact with the índividuals. O Area Plan Grant Award Terms and Conditions Declaration 19 FY 2014-2015 R 3. Complaints may involve, but not be limited to, any or all of the following. a. Amount or duration of a service. b. Denial or discontinuance of a service. c. Dissatisfaction with the service being provided or with the service provider. lf the complaint involves an issue of professional conduct that is under the jurisdiction of another entity, such as the California Medical Board or the State Bar Association, the complainant shall be referred to the proper entity. d. Failure of the service provider to comply with any of the requirements set forth in CDA regulations or in this Agreement. 4. Nothing in this Article shall be construed as prohibiting older individuals from seeking other available remedies, such as presenting their complaints at an open meeting of the Contractor's governing board. Disaster Plan 1. The Contractor shall prepare and maintain a disaster plan that ensures provision of critical services to meet the emergency needs of consumers they are charged to serve during medical or natural disasters, such as earthquakes or floods, and make such plan available to the Agency on Aging upon request. 2. The Contractor shall provide annual disaster response training and a current list of community resources for all employees and volunteers, and maintain documentation of such training. 3. The Contractor shall designate a primary and a secondary emergency contact. Following an emergency or disaster, the Contractor's designated contact shall update the Agency on Aging with the Contractor's operational status. 4. The Contractor shall complete Exhibit F, Seryice Provider Emergency Resource lnformation, included with this agreement, and advise the Agency on Aging whenever a change to this information occurs. Communitv Focal Points The Vendor acknowledges that the Agency on Aging has designated locations as Community Focal Points, as required by CCR Title 22, S. Area Plan Grant Award Terms and Conditions Declaration 20 FY 2014-2015 Adicle 3, Section 7302(a)(14), 45 CFR Section 1321.53(c), and OAA 2006 306(a), which are attached as Appendix J, Community Focal Points List. ARTICLE VI, FUNDS A. Expenditure of Funds 1. The Contractor shall expend allfunds received hereunder in accordance with this Agreement. 2. The Contractor shall comply with the standards and guidelines for procurement of supplies, equipment, and services as set forth in this Agreement. 3. The Contractor agrees not to use Agreement funds to pay the salary or expenses of any individual who is engaging in activities designed to influence legislation or appropriations pending before the Congress. 4. Travel Reimbursement a. Any reimbursement by Contractor from funds provided under this Agreement for authorized travel and per diem shall be at rates not to exceed those paid by the State in accordance with the California Deparlment of Human Resources (CalHR) rules and regulations. ln State: . Mileage: http : //www. ca I h r. ca. g ov/e m p I oyees/P a g es/trave l- personal-veh icle. aspx . Per Diem (meals and incidentals): http : /iwww. ca I h r. ca. g ov/e m p I oyees/P a g es/trave l- meals.aspx o Lodging: http : //www. ca I h r. ca. g ov/e m p I oyees/P a g es/trave l- lodg ing-reim bursement. aspx Out of State: o http://www.calhr.ca.gov/employees/Pages/travel- out-of-state,aspx b, This is not to be construed as limiting the Contractor from paying any differences in costs, from funds other than those provided by this Agreement, between the CaIHR Area Plan Grant Award Terms and Conditions Declaration 21 FY 2014-2015 rates and any rates the Contractor is obligated to pay under other contractual agreements. No travel outside the State of California shall be reimbursed unless prior written authorization is obtained from the Agency on Aging and the State. (CCR, Title 2, Section 599.615 et seq.) 5. Funds made available for Ombudsman volunteer recruitment activities in the Budget Act shall be used by the Contractor to maintain or expand the activities of the Long-Term Care Ombudsman Program. 6. The Agency on Aging reserves the right to refuse payment to the Contractor or later disallow costs for any expenditure, as determined by the Agency on Aging not to be in compliance with this Agreement, unrelated or inappropriate to Agreement activities, or when inadequate supporling documentation is presented, or where prior approval was required but was not requested or not granted. 7. The Contractor agrees to acknowledge the receipt of all funding support from the Agency on Aging in news releases (radio, television, and newspaper); printed materials such as brochures, pamphlets, newsletters; the Contractor's Web site; and any other printed documents. Such acknowledgement shall make accurate reference to the service for which funding is provided, in whole or in part, by the Agency on Aging. B. A copy of all published documents indicated in paragraph seven (7) above, will be fonruarded to the Agency on Aging for file. B. Accountabilitv for Funds 1. The Contractor shall maintain accounting records for funds received under the terms and conditions of this Agreement. These records shall be separate from those for any other funds administered by the Contractor, and shall be maintained in accordance with Generally Accepted Accounting Principles and Procedures and the Office of Management and Budget's Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. [2 CFR, Part 200] 2. The Contractor shall ensure that funding for services as outlined herein are managed and prorated monthly to ensure that adequate Older Americans Act funding is available to provide services through the ending date of this Agreement. 3. Funds made available under this Agreement shall supplement, and not supplant, any federal, State, or local funds expended by a Area Plan Grant Award Terms and Conditions Declaration 22 FY 2014-2015 C state or unit of general purpose local government to provide Title lll (excluding Title lll E) or Tifle Vll services. 4. Financial Manaqement Svstems The Contractor shall meet the following standards for its financial management systems, as stipulated in 45 CFR, Section 92.20 (governmental) or 45 CFR, Section 74.21(non-profits): a. Financial Reporting; b. Accounting Records; c. lnternal Control; d. Budgetary Control; e. Allowable Costs; f. Source Documentation; and g. Cash Management. Unexpended Funds 1. No later than March 31 of the Agreement year, the contractor shall repoft to the Agency on Aging if any older Americans Act funds will remain unexpended at the ending date of this Agreement. 2. The Agency on Aging shall request and receive from the contractor release of older Americans Act funds for an amount mutually agreed upon by both parlies, not to exceed the estimated amount of unexpended funds. The Agency on Aging shall be reasonable in its request for funds and the contractoi shall not unreasonably withhold permission for release of funds. 3. The Agency on Aging retains all rights to reallocate released funds into other programs, projects, or activities. 4. upon termination, cancellation, or expiration of this Agreement, or dissolution of the entity, the contractor sharr return to the Agency on Aging immediately upon written demand, any funds provided under this Agreement, which are not payable for goods or services delivered prior to the termination, cancellation, or expiration of this Agreement, or the dissolution of the entity. Prooram lncome 1. All Program lncome received by the contractor shall be included on the quarterly report, and expenditures supported by program D Area Plan Grant Award Terms and Conditions Declaration 23 FY 2014-2015 E. lncome shall be stated in the appropriate column. program lncome shall be tracked on a "first in-first out" method. unspent Program lncome shall not exceed the equivalent of ninety (g0) days average Program lncome. 2. Program lncome must be reported and expended under the same terms and conditions as the program funds from which it is generated. 3. Program lncome must be used to pay for current allowable costs of the program in the same fiscal year that the income was earned (except as noted in D.5 below). 4. For Title lll B, lll c, lll D, lll E, vll ombudsman, and vll Elder Abuse Prevention programs, Program lncome must be spent before contract funds (except as noted in D.5 below.) and may reduce the total amount of contract funds payable to the Contractor. 5. For Title lll B, lll C, lll D, lll E, Vll Ombudsman, and Vll Elder Abuse Prevention programs, if program lncome is earned in excess of the amount reported in the Area plan Budget (cDA 122), the excess amount may be deferred for use in the first quarter of the following contract period, which is the last quarter of the federal fiscal year. 6. lf Program lncome is deferred for use, it must be used by the last day of the federal fiscal year and reported when used. 7. Program lncome may not be used to meet the matching requirements of this Agreement. 8. Program lncome must be used to expand services. Matchinq Contributions 1. Minimum matching contributions for older Americans Act funded grants awarded by the Fresno-Madera Area Agency on Aging are determined as follows: a. Title lll B Supportive Services, Tifle lll B (Ombudsman), Title lll C1 Congregate Nutrition, Tifle lll C2 Home_ Delivered Nutrition, and Tiile lll D Health promotion: Ten (10) percent of the sum of the grant award, plus the minimum matching contributions. This is computed by dividing the grant amount by nine (9). b. Title lll E Family Caregiver Support program: Approximately ninety (90) percent of the sum of the grant award. Area Plan Grant Award Terms and Conditions Declaration 24 FY 2014-2015 2. Minimum matching requirements are calculated on net costs which are total costs less program income, non-matching contributions, and State funds. 3. cash and/or in-kind contributions may count as match, if such contributions are used to meet program requirements. 4. Any matching contributions (cash or in-kind) must be verifiable from the records of the Contractor or subcontractor. 5. Matching contributions must be used for allowable costs in accordance with the Office of Management and Budget circulars. F. Availabilitv of Funds 1. lt is mutually understood between the parties that this Agreement may have been written before ascertaining the availability or appropriation of funds, for the mutual benefit of both parties in order to avoid program and fiscal delays which would occur if this Agreement were executed after that determination was made. 2. This Agreement is valid and enforceable only if sufficient funds are made available from the state to the Agency on Aging and/or by the united states Government or the Budget Acts of the appropriate fiscal years for the purpose of this program. ln addition, this Agreement is subject to any additional restrictions, limitations, or conditions enacted by the Congress or any statutes enacted by the congress that may affect the provisions, terms, or funding of this award in any manner. 3. lt is mutually agreed that íf funding for any Agency on Aging fiscal year is reduced or deleted by the state, Legislature, or congress for the purposes of this program, the Agency on Aging shall have the option to either: a. Terminate the Contract; or b. Offer a contract amendment to the Contractor to reflect the reduced funding for this contract. 4. The Agency on Aging has the option to void the Agreement under the thirty (30) day cancellation clause or to amend the Agreement to reflect any reduction in funds. 5. The Agency on Aging reserves the right to increase and/or decrease funds available under this Agreement to reflect any restrictions, limitations, or conditions as directed by the Director. Area Plan Grant Award Terms and Conditions Declaration 25 FY 2014-2015 6. lf as a result of advanced funds, the project earns interest on funds awarded by the Agency on Aging, that interest shall be identified as income to the program and used for program expenditures, with full documentation on file for all programs. ARTICLE VII. BUDGET AND BUDGET REVISIONS C. The approved budget for the term of this Agreement is a part hereof. The Contractor shall be reimbursed for expenses only as itemized in the approved budget. 1- The maximum reimbursement amount allowable for indirect costs is 8% of contractor's direct costs, excluding in-kind contributions and nonexpendable equipment. Contractors requesting reimbursement for indirect costs shall obtain and retain on file an approved indirect cost rate from the state of california or an allocation plan documenting the methodology used to determine the indirect costs. The contractor shall comply with those provisions and restrictions regarding revisions to the approved budget. The contractor may make changes in budget allocations, subject to the following conditions: 1. The contractor may transfer Agreement funds within programs from each line item without prior approval of the Agency ón Aging providing the change is less than 10% of that line item. 2. The contractor shall request prior approvalfrom the Agency on Aging for any line item transfer of funds that is 1oo/o or more. 3. The contractor shall maintain a written record of all budget changes clearly documenting rine item changes. The reðord shall include the date of the transfer, the amount, and the purpose. This record shall be available to the Agency on Aging upon request and shall be maintained in the same manner as all other financial records. The final date to submit a budget revision for the october 2014 - June 2015 funding period is March 15,2015. ARTICLE VIII. PAYMENTS A. The consideration to be paid Contractor, as provided herein, shall be in compensation for all of contractor's expenses incurred in the performance hereof, including mileage, per diem, and taxes, unless othenvise expressly so provided. Area Plan Grant Award Terms and Conditions Declaration A. B. D E 26 FY 2014-2015 B. Unless othenruise specified by the Agency on Aging, the Contractor shall submit accurate and timely reports as specified-in Ãppendix E, Required Reporfs and Due Dates. C. The Agency on Aging shall review the Contractor's report to ensure compliance with the approved Agreement budget. D. Depending upon funding availability, the Agency on Aging shall make monthly reimbursement payments to the Contract as speóified in Appendix E, Required Reports and Due Dafes, of the Agreement. The Agency on Aging shall pay the Contractor a total not to exceed the amount shown on page one (1) of this Agreement. E. The Agency on Aging may require financial reports more frequenily than indicated above or more detail (or both), upon written notice to the Contractor, until such time as the Agency on Aging determines that the financial management standards are met. F. The Agency on Aging may withhold payment if the Agency on Aging determines that the Agreement with the Contractor iJat-riik, as - - described in Appendix F, Sanction policy. G' The Agency on Aging shall be relieved of any payments should the Contractor fail to perform the requirements of this Agreement at the time and in the manner herein provided. Payments made after a decision to withhold funds or terminate the Agreement will be governed by Article XVll, Termin ation. H' Federal funds will be reduced proportionately to maintain the required matching ratios if a Contractor fails to report sufficient match. ARTICLE IX. SUBCONTRACTS A. The contractor must obtain approval from the Agency on Aging prior to awarding any subcontracts for services contracted in this Agreément. B' The Contractor shalf ensure that funds provided under this Agreement are administered in conformance with the acts, federal regulalions, andpolicies and procedures of the Administration on Aging, cãlifornia Department of Aging, and the Agency on Aging. C. The Contractor shall not enter into contracts with other agencies that are to be paid with funds provided under this Agreement thaiextend beyond the ending date of this award. D. The contractor does not possess authority to contract for, or incur obligations on behalf of, the state of california or the Agency on Aging. Area Plan Grant Award Terms and Conditions Declaration 27 FY 2014-2015 Appendix B, Exhibit B-5 Page 4 of 30 Citv of Fresno Appendix B, Exhibit B-5 Page 5 ol 30 CiV ofFresno Appendix B, Exhibit B-5 Page 6 of30 civ of Fresno Appendix B, Exhibit B-5 Page 7 of 30 Citu of Fresno Appendix B, Exhibit B-5 Page I ol 30 Citv of Fresno Appendix B, Exhibit B-5 Page I of 30 CiV ol Fresno Appendix B, Exhibit B-5 Page 10 of30 Citv of Fresno Appendix B, Exhibit B-5 Page '1 1 of 30 CiV ol Fresno Appendix B, Exhibit B-5 Page 12 ol30 Citv of Frèsno Appendix B, Exhibit B-5 Page 13 of 30 Citv of Fresno Appendix B, Exhibit B-5 Page 14 of 30 C¡V of Fresno Appendix B, Exhibit B-5 Page '15 of 30 Citv of Fresno Appendix B, Exhibit B-5 Page 16 ol 30 Citv of Fresno Appendix B, Exhibit B-5 Page '17 of 30 C¡V of Fresno Appendix B, Exhibit B-5 Pege 18 of 30 C¡tv of Fresno Appendix B, Exhibit B-5 Page 19 oi 30 CiV of Fresno Appendix B, Exhibit B-5 Page 20 of30 Citv of Fresno Appendix B, Exhibit B-5 Page 21 of30 Citv of Fresno Appendix B, Exhibit B-5 Page 22 of30 C¡tv of Fresno Appendix I Fresno-Madera Area Agency on Aging Emergency Co ntact I nformation lnformation and Assistance:(559) 600-4405 (800) 510-2020 Fresno-Madera Area Agency on Aging Appendix I FY 2014-2015 Emergency Contact lnformation Director, Emergency Coordinator, and Public Relations Officer Business Address: Office Phone: Residence Address: After Hours Phone: Jean Robinson 3837 N. Clark St. Fresno, CA 93726 (559) 600-4405 PO Box 28093 Fresno, CA 93729 (559) 930-5847 Alternate Emergency Coordinator Business Address: Office Phone: Residence Address: After Hours Phone: Linda L. Descoteaux 3837 N. Clark St. Fresno, CA 93726 (559) 600-4405 2942 E. Swift Ave. Fresno, CA 93726 (55e) 222-1468 APPENDIX J COMMUNITY FOCAL POINTS LIST CCR Title 22, Article 3, Section 7302(a)($, 45 CFR Section 1321.53(c), OAA 2006 306(a) Definition of Focal Point: A facility established to encourage the maximum collocation and coordination of services for older individuals. (42 USC Section 3002 (21)) State Planning and Service Area (PSA) 14 Fresno-Madera Area Aqencv on Aqinq 3837 N. Clark St.Fresno, CA 93726 Senior Resource Center 2025 E. Dakota Ave.Fresno, CA 93726 Fresno County Caruthers Senior Center 13441 S. Quince Ave.Saruthers, CA 93609 Clovis Senior Center 850 4th st.Slovis, CA 93612 Coalinga Senior Center 220 E. Forest Ave.Soalinga, CA 93210 Del Rey Senior Center 10649 E. Morro Ave.Del Rey, CA 93616 Edwin Blaynev Senior Center 109 N. 3'd St.Fowler, CA 93625 Firebauqh Senior Center 1601 Thomas Conbov Ave.Firebauqh, CA 93622 Huron Senior Center 16900 sth st.Huron, CA 93234 Kerman Senior Center 720 S. gth St.Kerman, CA 93630 Kingsburq Senior Center 1450 Ellis St.(ingsburg, CA 93631 Mendota Senior Center 415 Sorenson Ave.\4endota, CA 93640 Nick Medina Senior Center 2301 Selma St.Selma, CA 93662 Oranqe Cove Senior Center ôgg 6th st.Cranqe Cove, CA 93646 Reedley Senior Center 100 N. EastAve.Reedley, CA 93654 Sanger Senior Center 730 Recreation Ave.Sanger, CA 93657 Sierra Oaks Senior and Communitv Center 33276 Lodge Rd.ïollhouse, CA 93667 Madera Gounty Chowchilla Senior Center 320 Robertson Blvd.Chowchilla, CA 93610 Frank A. Bergon Senior Center 238 S. D St.Madera, CA 93637 Pan-American Community Center 203 E. Shenruood Way Madera, CA 93638 Ranchos/Hills Senior Center 37330 Berkshire Dr.Madera Ranchos, CA 93636 Sierra Senior Center 49111 Cinder Ln.Oakhurst, CA 93644 Fresno Gity Cecil C. Hinton Community Center 2385 S. Fairview Ave.Fresno, CA 93706 Mary Ella Brown Community Center 1350 E. Annadale Ave.Fresno, CA 93706 Mosqueda Community Center 3670 E. Butler Ave.Fresno, CA 93702 Pinedale Communitv Center 7170 N. San Pablo Ave.Pinedale, CA 93650 Ied C. Wills Center 270 N. San Pablo Ave.Fresno, CA 93728 Community Focal Points Appendix J FY 2014-2015 ,",, lllf-g (Rev AugusÌ2013) Department of the Treasury lnternal Rov€nus S6rvice Request for Taxpayer ldentification Number and Gertification Give Form to the requester. Do not send to the lRS. ñ OJo)(d o- o o2.go 9E lt,'i!Èo ã ó,clQool U) on your income tax Íeturn) CITY OF FRESNO Bus¡noss nâme/disreoarded entity name, Check appropriate box for federal tax classification: ! lndividual/sole propr¡etor ! C Corporation frorÌ above !sOorporation I Pwtnership I Trust/ostate ! t-imitert liab¡lity company. Enter lh€ tax classification (C-C corporat¡on, S=S corporation, P=partnershiD) >Exenrption from FATCA reporting code (¡f any) Ø Othor (see ¡nslructions) >MUNICIPALITY l-lequestef's name address (optional) account hsre (optional) Enter your TIN in the appropriate box. The TIN provided must match the namo g¡von on the "Name" line to avoid backup withholding. For individuals, this is your social security number (SSN) However, for a resident alien, sole proprietor, ordisregarded entity, see the Part I instructions on page 3. For other entities, ¡t is your employer identification number (ElN). lf you do not have a number, see How to get a I/N on page 3. Note. lf the account is in more than one name, see the chart on page 4 for guidelines on whose numbêr to enter. Under penalties of periury, I certify that: 1 . The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issuecl to me), ancl 2. I am not subiect to backup withholding because: (a) I am exernpt from backup withholding, or (b) I have not been notified by the lrrternal Revenue Service (lRS) that I am subiect to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notlfied me that I am no longer subject to backup withholding, and 3. I am a U.S. cltizen or other U.S. person (defined below), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from I-ATCA reporting is conect. Cerlification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subloct to backup withholding because you have failed to report all interest and dividends on your tax return. FoÍ real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of dobt, contributions to an individual r€lirement arrangement (lRA), and generally, paymênts other than interest and dividends, you are not required to sign the certification, but you must provide your correct TlN. See the instructions on page 3. Here i'.3:",:','ff'' /4**1'l, n r'*,'¿Date Þ 7 Exemptions (see instructions): Exempl payee culo (if any) '3t General Instructions Sectlon referônces are to th6 lnternal Rsvenue Code unless othsm¡se noted Future dovelopmenls. The IRS has creatod a page on lBS.gov for information âbout Form W-9, al www.¡ts.govlwg. lnlormation about any luture developments âffect¡ng Form W-9 (such as logislatlon enacted after we release ¡t) w¡ll be posted on that page Purpose of Form A pêrson who is required to flle an inlormation return with the IHS must obta¡n your correct taxpayer identificat¡on number [IlN) to teport, for examplê, income pa¡d to you, paymonts nìade to you in setllement of payment card and third party network tÌansactlons, real estalo transactlons, mortgage interest you pa¡d, acqulsit¡on or abandonment of secured property, cancellatlon of debt, or contr¡butlons you made to an lRA. Uso Form W-0 only if you aro a U.S. person (includlng a resident alien), to provide your correct TIN to the person requesting it (the roquester) and, when âppllcabl€, to: 1. Certify that the TIN you aro g¡ving ls coÌrect (or you are waiting for â number to bo lssued), 2. Cert¡ly that you are not subject to backup w¡thholding, or 3. Claim exemption from backup withholding if you aro a lJ.S. exempt payee. lf applicable, you are also certifying that as a U.S. person, your allocable share of any parlnership income from a U.S. tradô or business ¡s not subject to the withholding tax on foreign partners' share of otfectively connected income, and 4 Cert¡fythatFATCAcode(s) enteredonth¡sform(¡f any) indicalingthatyouâre exempt ÍÍom the FATCA reporting, is correct. Note. lf you are a U.S. person and a requester gives you a lorm other than FoÍrn W-9 lo request your TlN, you must use the tequoster's form ¡f it is substantially similar to this Forn'ì W-9 Dellnltlon of a U,S. parson. Fof fedefal tax purposos, you arc considerod a U.S. person if you are: . An individual who is a U.S. citizen or U,S. resident alien, . A parlnership, corporatlon, conlpany, or associatlon croatod or organized in tlìe United States or under the laws ol th€ United States, . An estate (other than a foreign ostate), or . A domestic lrust (as defined in Regulations sect¡on 301.7701-7). Special rules for parlnershlps. Partnerships lhat conduct a trade or busitìess ìn the Un¡ted Stales are generally requ¡r€d to pay â withholding tax under section 1 446 on any lorgign partners' share of eflectively connected taxâbl€ income from such business. Furthet, in certaln cases whêrê a Form W-9 has not been recoivecl, the rulos únder section 1446 requìre a pertnershlp to presume that a partnef ¡s a loreign person, and pay the sectlon 1 446 w¡thholding tax. Therefore, if you aro a U.S. person that is a partner in a partnership conducting a trade or business ¡n the Unitsd States, provide Form W-9 to the partnersh¡p to establish your U.S. status and avoid sêctlon 1446 withholdlng on your share ol partnership incoms. Address (number, street, and apt, or suite no.) Cat. No.10231X rorm W-9 (Rev 8-2013) Exhibit A TITLE III PROGRAM EXHIBIT Title lll C1 - Elderly Nutrition Program Site Management Definitions Specific to Title lll Programs: A. Prosram Requirements is defined as Title lll program requirements found in the Older Americans Act (OAA 42 USC Section 3001-3058); Code of Federal Regulations (45 CFR Xlll, 1321);Title 22, California Code of Regulations (CCR), Section 7000 et seq.; California Department of Aging Program Memoranda; and state and federal laws. B Title lll C1 Gonqreqate Nutrition Services is defined as nutrition services for older individuals in a congregate setting. Services include meals, nutrition and health promotion education, health promotion programs, nutrition risk screening, and opportunities for socialization. Each meal shall provide one-third (1/3) of the Dietary Reference lntakes (DRl), and comply with the Dietary Guidelines for Americans ,2010. To be an eligible Title lll C1 congregate nutrition site, the site must meet all of the following criteria: a. Be open to the public [45 CFR 1321.S3(bX3)]. b. Not means test [OAA 315(bX3)]. c. Provide participants the opportunity to make voluntary contributions and not deny service for not contributing to the cost of the service loAA 315(bXa); 22 CCR 57638 el d. Not receive funds from another source for the cost of the same meal, equipment, or seryices [7 CFR 4jg2ï]. Title lll C2 Home-Delivered Nutrition Services is defined as nutrition services provided to homebound older individuals including meals, nutrition and health promotion education, and nutrition risk screening. Each meal shall provide one-third (1/3) of the Dietary Reference lntakes (DRl), and comply with the Dietary Guidelines for Americans, 2010, C. Elderly Nutrition Program Site Management ExhibitA-Pagel FY 2014-2015 D E.liqible.9ervice Population is defined as individuals 60 years of age or older, with emphasis on those in economic and social need with parlicular attention to low income minority individuals, individuals with limited English proficiency, and older individuals residing in rural areas. [oAA, seðtion 305(a)(2)(E)l [Title 22, CCR, Sections 7125, 7127, l1gO, 7135 and 7638.71. Sitg Manasement is defined as 1) oversight and responsibility for the day- to-day operations of an Elderly Nutrition Program nutrition site with respect to meals; 2) oversight of and responsibility for Elderly Nutrition program staff and volunteers, including provision of required program training; 3)collection of required Elderly Nutrition program datã from program participants; 4) keeping records and preparing repofts concerning meals ordered and served, nutrition volunteer hours, and donations; and 5) ensuring the Elderly Nutrition Program nutrition site meets all federal, state, and local regulations, including applicable licensing laws and ordinances related to food service operations and sanitation. cRFc means the california Retail Food code, which is a uniform statewide health and sanitation standard for food facilities, found in Section 113700 et seq., California Health and Safety Code. urban, for purposes of this Agreement, is defined as: 1) urbanized areas(a central place and its adjacent densely settled ierritories with a combined minimum population of 50,000; and 2) and incorporated place or a census designated place with 20,000 or more inhabitants. A rural area is any area that is not defined as urban. Eliqible Participant is defined as: 1. congregate Meals: lndividuars erigibre to receive a meal at a congregate nutrition site are: a. Any older individual (sixty (60) years of age or older). b. The spouse of any older individual. c. A person with a disability, under age sixty (60) who resides in housing facilities occupied primarily by older individuals at which congregate nutrition services are provided. d. A disabled individual who resides at home with and accompanies an older individual who participates in the program. E. G. Elderly Nutrition Program Site Management F H ExhibitA-Page2 FY 2014-2015 2. Home-Delivered Meals: lndividuals eligible to receive a home- delivered meal are: a. Any older individual who is frail and homebound by reason of illness, disability, or isolation. b. A spouse of a person in item H.1.a. above, regardless of age or condition, if an assessment concludes that it is in the best interest of the homebound older individual. c. An individual with a disability who resides at home with older individuals if an assessment concludes that it is in the best interest of the homebound older individual who participates in the program. d. Priority shall be given to older individuals in item H.1.a. above. 3. Volunteer Meals a. A volunteer under age sixty (60) may be offered a meal if doing so will not deprive an older individual of a meal. b. A written policy for providing and accounting for volunteer meals shall be developed and implemented. current Meal Rate is defined as the current vendor meal rate plus an additional amount established by the Fresno-Madera Area Agency on Aging (Agency on Aging) to recover costs associated with this process. Eliqible Meal is defined as meals served to an eligible parlicipant which provide one-third (1/3) of the Dietary Reference lntakes (DRl), and complies with the Dietary Guidelines for Americans, 2010. Volunteer means an individual who provides services without pay, but may receive reimbursement for expenses, and who has been provided with orientation and training in compliance with Title 22, CCR, Section 7635.5. Scope of Work The service provider is charged with providing site management services to the "eligible service population" within the service provider's area of influence as specified in Exhibit E, ltem 2 of this Agreement. A. Assurances 1. The service provider will comply with all the Program Requirements and those required under the California Retail Food Code (CRFC). 2. Meal Count Allocation J K. il. Elderly Nutrition Program Site Management ExhibitA-Page3 FY 2014-2015 c a b b. c The service provider will be charged at the current established meal rate for all meals ordered in excess of the number of eligible meals served to the Eligible participants within the Title lll c program. pañicipant erigibility is as defined in Title 22, CCR, Article 5, Section 7639.7. The service provider may, at the option of the Agency on Aging, be held financially responsible (at the current meal rate) for all meals ordered which exceed the annual only those meals that are served to an eligible participant which provide one-third (1/3) of the Dietary Reference lntakes (DRl), and comply with the Dietary Guidelines for Americans, 2010, are allowable and counted as meals served, Site Manaqement Responsibilities ln compliance with rille 22, ccR, Article 5, and the Agency on Aging Nutrition Policies and Procedure Manual, the service provider will: Assure accurate and timely completion of crient rntake forms, client rosters, daily meal sign-in sheets, crient Deactivation requests, and Nutrition Volunteer Summary reports for the Congregate and Home-Delivered Meals programs; Verify and order meal counts for Congregate (C1) and Home-Delivered (C2) meals no later than 12:00 noon the previous service day; Monitor daily meal service numbers to maintain total monthly meals ordered near or at allocation revel stated in thið Agreement (however, this is not to be construed that theservice provider is precluded from serving above the allocation level by using donations or other sources of revenue to supplement the number of meals supported by this Agreement); comply with all ritle lll c Program and CRFC requirements for client eligibility, and meal service safety and sanitation practices; 3 d Elderly Nutrition Program Site Management ExhibitA-Page4 FY 2014-2015 e.Maintain separate and verifiable records of all program income and expenses for Congregate (C1) and Home- Delivered (C2) meals (all donations received from C1 clients must be expended on C1 costs, and all donations received from C2 clients must be expended on C2 costs); Assess new and continuing home-delivered meal clients for program eligibility. Reassessments of home-delivered meal clients are to be completed quafterly, alternating two in- home visits per year with two telephone reassessments; Assess new and continuing Congregate Meals clients for program eligibility, Congregate Meals client reassessments are to be conducted at least once during each fiscal year. Maintain client records in a safe and confidential manner; Recruit volunteers as needed to provide in-center services for the Congregate (C1) and Home-Delivered (C2) Meals programs, and provide orientation, training, and supervision.A minimum of four hours of training shall be provided annually for all volunteer food service staff, to include, at a minimum: i) Food safety, prevention of foodborne illness, and Hazard Analysis and Critical Control Points (HACCP) principles. ii) Accident prevention, instruction on fire safety, first aid, choking, earthquake preparedness, and other emergency procedures. ldentify and make known available services to eligible individuals through outreach efforts in their community; Attend Agency on Aging Site Management in-service training meetings as required; Comply with all Agency on Aging monthly memos and other Agency on Aging correspondence; Procure and maintain food service and cleaning supplies inventories: g h. I Elderly Nutrition Program Site Management k. m. ExhibitA-Page5 FY 2014-2015 n, Post menus in a location easily seen by participants at each congregate meal site, and be legible and easy to read in the language of the majority of the parlicipants; o. Not preclude the service of a congregate meal to aparticipant who has failed to make a reservation, when food is available; p. Have a paid staff member, or volunteer, designated to be responsible for the day-to-day activities at each congregate meal site, and physically be on-site during the time that Elderly Nutrition Program-activities are takingiplace; q. Have restrooms, lighting, and ventilation which meet the requirements of the CRFC; r. lnclude procedures for obtaining the views of congregate Meals Program participants about the services receivıd;- s. Have equipment at congregate meal sites, including tablesand chairs, that are sturdy and appropriate for older individuals. Tables shall be arranged to assure ease of access and encourage socialization; t. Provide a welcoming, pleasant dining environment for congregate meals that affords older adults an opportunity for socializatign wilh their peers and enhancement of a neátny and enriching lifestyle; and u. observe any physical or emotional changes in parlicipants' conditions and report any cases of known or suspected elder abuse to Adult protective Services. lll. Additional Assurances A. Facilities shall be properly majntained by the service provider with regards to repairs and maintenance, cleanliness, accessibility, etc. B. The service provider must submit the reports specific to this program aslisted in Appendix E of this Agreement. C. All reports required by th9 Agency on Aging must be submitted by the duedates listed in Appendix E of this Agreement. D' The service provider shall have a plan to ensure accuracy of data from alllevels. This plan shall include a method for the service provider to verifythe accuracy of their data prior to submission to the Fresno-Madera AreåAgency on Aging. Elderly Nutrition Program Site Management ExhibitA-Page6 FY 2014-2015 lV. Approved Holidays for Nutrition Sites There are a total of nine recognized holidays (10 days) in which food service will not be provided by central kitchens to congregate meal sites and sites are assumed to be closed: lndependence Day Labor Day Veterans Day Thanksgiving Holiday Christmas Day (observed) New Years Day (observed) Martin Luther King Jr. Day Presidents Day Memorial Day Elderly Nutrition Program Site Management Friday, July 4,2014 Monday, September 1, 2014 Tuesday, November 11, 2014 Thursday, November 27,2014 and Friday, November 28, 2014 Thursday, December 25, 2014 Thursday, January 1, 2015 Monday, January 19, 2015 Monday, February 16, 2015 Monday, lt[ay 25,2015 ExhibitA-Page7 FY 2014-2015 (Revised June 2014) CONTRACTING AGENCY: PROGRAM: FRESNO - MADERA AGENCY ON AGING PERSONNEL BUDGET DETAIL: FY 2014-15 CITY OF FRESNO CONTRACTNO: 15-0310 REVISION NO:TITLE III C1 - SITE MANAGEMENT A. POSITION TITLE B. FTE OA ( 40 Hrs: 100%) c. FULL ANNUAL s^r Ápv D. 'v" oF TIME ON ÞpncP ^ M l- Cornmunitv Rec Suo Iì Sal¿rv 100.00/ó 64.992 2s.00% 2. Communifv Rec Suo l S¿l¿rv r00.0%59. r 96 7s.00% 3. Communitv Coordintor Salarv 100.0%57.750 10.00o/" 4. Services Aide-Clerical Sal¿rv r00.0%28.080 2s.00% 5- Site Monitor Salarv s0.0%12.096 100.00% 6. Site Coordinator -Mosqueda Salarv s0.0%9.072 r00.00% 7- Site Coordinator - Pinedale 50.0%9.072 100.00% 8. Site Coordinator - TCW S¡larv 50.0%9.0,-2 100.00% Site Coordinator - TCW Salarv s0.0%9.012 100.00olo 10.Sal¿rv Total Salarie Pøse2LineIa -----> Total Payroll Taxes Page 2 Line 1 b ----'> Total Benefìts Page 2 LÍne I c -----> TOTAL PERSONNEL COSTS Pase 2 Line I -----> NOTE: If there is nore tlnn one entployee per position, lisl each separatelJ). Use adtlitional pages os ne cessdn). E FMAAA GRANT F. PROGRAM DONATIONS G. DONATIONS c-2 H. MATCHING FUNDS I. NON- MATCIIING FUNDS J. TOTAL PERSONNEL COSTS I 1.213 5 015 t6-248 34.397 r 0.000 +4.397 1.81 5 3.960 5.775 3.015 4-005 7 020 12.096 12.096 9.012 9.072 9,072 9.072 9.072 9.Q72 9.072 9.0'72 50-440 23.000 48.384 r2r.824 840 400 s,032 6,272 71 1)î 6,600 39320 84.000 30.000 s3.416 t67.416 IN-KIND PERSONNEL COSTS DESCRIPTION OF WORK PERFORMED NUMBER OF VOLUNTEERS AVE. ANNUAL HOURS PER TOTAL ANNIJAI, HRS RATE PER HOUR TOTAL TN-KIND Serving Meals. Countiils Monev. Paperyork. Clea¡ring Tables. Rollittg Silveruare 62 70.00 4.340 $e 39,060 39,060 TitIC III B / TitIC III C / T¡tIE III D / TitIC VII (Revised.Iune 2014) CONTRACTING AGENCY: PROGRAM: Exhibit B FRESNO - MADERA AREA AGENCY ON AGING PROCRAM BUDGET BY INCOME SOURCE: FY 2014-201s CITY OF FRESNO TITLE III CI - SITE MANAGEMENT *" Listallproposedpurchasesonpago4ofsitrslrr¡r¡ndir¡durlitemswithacostinexcessofSl00¡ncludirtgttxcs.sh¡pp¡rrglndinsttllâtion. Page 2 oi 4 CONTRACT NO: 15-0310 REVISION NO: C,4.TEGORY FMAAA GRANT B PROGRAM DONATIONS DONATIONS c-2 D MATCHING FUNDS E NON- MATCHING FIINNS F TOTAL CASH IN-KIND MATCH r. SALARIES & BENEFITS å. Sâlaries 50.44(23.000 48.384 12r.824 b- Pavroll TÀxes 84(400 5.032 6,272 c. Employee Benefits & Work. Comp.32,72(6,600 39324 I. PERSONNELCOSTS 84.00(30.000 53,416 167,416 39,06( 2. TRAVELANDTRAINING r. StaffTravel b. Volunteer Tråvel c. Trâinins 2. TRAVELANDTRAINING 3. EQUIPMENTPURCHASE (*) 4. CONSULTANTS 5. MEALS 6. PROGRAM/SITE SUPPLIES ( "* ) 7 OTHERCOSTS: a. Liability Insurance b- TeleDhone c. Office Suoplies d. Postâge e. Building Rent f- Buildins Ma¡ntenance s. EouiDment Mâintenànce h. Vehicle Màintenance i- Utilities Printins k. Memberships/Licenses l- Suhscriotions/Publicåtions m. Advertisins n. o. 7. OTHERCOSTS: TOTAL DIRECT COSTS 84,00c 30.00(53,416 167,41(39.06C 8. INDIRECT COSTS (Attach narrative) TOTAL COSTS 84,00c 30,00(53,416 167,41(39.06C TitleIII B/TitleIIICi Title IIID/TitleVII EXhibit B Page3 of 4 (Revised June 2014) FRESNO - MADERA AREA AGENCY ON AGING SCHEDULE OF FUNDING SOURCES: FY 2014-ts CONTRACTING AGENCY: CITY OF FRESNO coNTRAcT No: 15-0310 PROGRAM: TITLE III CI - SITE MANAGEMENT REVISION NO: PROGRAM B. CASH L. lt\-l(l.l\u 1. FMAAA Grant 84.000 2. Proeram Donations: Current Year Prosram Donations 30.000 Deferred Donations 3. Home-Delivered Nutrition (C-2) Donations: Current Year Home-Delivered Nutrition lC-2) Donations Deferred Home-Delivered Nutrition (C-2) Donations 4. Matchine Funds - Cash & In-Kind llist Source): a. In-Kind Volunteers 39.060 b. c- d. 5. Non-Matching Funds [Federal Funds/Other Prosram Matchl - Cash & In-Kind (List Source): a. CDBG Grant 53_4t6 b. c. 6.TOTAL FUNDING (These totals must asree with the totals shown at the bottom of Page 2 column F and G)167.416 39.06C Iotal from Pape 2- Columns F and G 767.416 39,060 Variance (must be zero)0 0 TitleIIIB/TitleIIIC/TitleIIID/TitleYII n--r-:L:1 D Page4ol4 (Revised June 2014) rr u / r rrrc vrr Exhibit B FRESNO - MADERA AREA AGENCY ON AGING SCHEDULE OF PROGRAM/SITE SUPPLIES AND EQUIPMENT PURCHASES: FY 2014-15 CONTRACTING AGENCY: CITY OF FRESNO CONTRACT NO: 15-0310 PROGRAM:TITLE III CI - SITE MANAGEMENT REVISION NO: ITEM QUANTITY (Must List ltem Type / Descripton Estimâted Quarter of Purchase Estimated per unit purchase How is the item to be used for the program the grânt is funding? Estimated amount paid by FMAAA/ GRANT fundinp Estimated amount paid by DONATION Estimâted amount paid by MATCH ÞrrÞf-II^ sü'q E'ôp I'ppôêp ^M / sTTú' sTTPpr.rr'.s" nYcü'nDTNc çl00 PF.R I N fllvl Dl l,l L oR sl Nc I l'. ITIIM: A b c d e f h k I m n o D o nfvrar Þf tÞr.IrÁcÌ,s f,|.lp ilÞÞôêp^ñl / qlTf'. s.fl:ÞÞf nsr nYrf'.trDrNf: {1f}o prR ìNrìrvrfìf lÂt. oR stNct.E ITRM: ÞrlÞarr^qnq ü'frp "Í'lìTTrpr!fú'.NT pf TparrÀsF.." F.xanîDTNc çsoo Ptr',R I NDtvlDt IA l. Olr SlNGl.E ITEM: b c d e I'ôTÄf , I,IIR(.HASÍ',S F'rlR TNf)| rPMENT PIIRCHÀSE'' EXCEEDING S5OO PER INDIVIDTJÂ.I- OR SINCLE ITEM: "** Costs to include estimated purchase ofthe individual / single item to be purchased- any taxes. any shipping and installation costs. Exhib¡t C ANNUAL SUMMARY OF ACTIVITIES PROGRAM: SERVICE PROVIDER: CONTRACT NUMBER: SITES: CONTRACT EFFECTIVE: Elderly Nutrition Program Site Management Elderly Nutrition Program Site Management City of Fresno 15-0310 Six Sites in City of Fresno (See List Below) July 1,2014 to June 30,2015 GoRl: The goal of the Elderly Nutrition Program is to reduce hunger and food insecurity; promote health and well-being; promote socialization; and delay adverse health conditions of older individuals. Drrlrultloru: Site Management is defined as 1) oversight and responsibility for the day-to-day operations of an Elderly Nutrition Program nutrition site with respect to meals; 2) oversight of and responsibility for Elderly Nutrition Program staff and volunteers, including provision of required program training; 3) collection of required Elderly Nutrition Program data from program participants; 4) keeping records and preparing repofts concerning meals ordered and served, nutrition volunteer hours, and donations; and 5) ensuring the Elderly Nutrition Program nutrition site meets all federal, state, and local regulations, including applicable licensing laws and ordinances related to food service operations and sanitation. Congregate MealSites Lafayette Neighborhood Center Mary Ella Brown Community Center Mosqueda Community Center Pinedale Community Center Senior Citizens Village Ted C. Wills Community Center Meals are subject to allocation and reallocation at any time by the Agency on Aging based upon available funding and nutrition program participation. When allocations are imposed, any meals allocated but not served revert to the Agency on Aging for reallocation. Exhibit C FY 2014-2015 Exhibit D PROGRAM COST EFFICIENCY Not Applicable - Elderly Nutrition Program Site Management Contract Program Cost Efficiency Exhibit D FY 2014-2015 1. Exhibit E - Program Narrative City of Fresno - Title Ill C Nutrition Site Management AGENCY'S HISTORY OF SERVICE TO OLDER ADULTS 2. City of Fresno 1 885 Organization Name Year Established SERVICE AREA Type of Organization (Gheck One) Non-Profit 501(c)(3) County Government Joint Powers Authority (JPA) List programs/services your organization provides for older adults, and the number of vears vour orqanization has provided the proqram/service. Program/Service #of Years Congregate Nutrition Program 1994 Where will the contracted program be provided? Street Address City Zip Code Lafayette Neighborhood Center 1 516 E Princeton Ave Fresno 93704 Mary Ella Brown Community Center 1350 E Annadale Ave Fresno 93706 Mosqueda Community Center 4670 E Butler Ave Fresno 93702 Pinedale Community Center 7170 N San Pablo Ave Fresno 93650 Senior Citizens Village 1917 S Chestnut Ave Fresno 93702 Ted 770 C. Wills Community Center N San Pablo Ave Fresno 93728 Program Narrative Exhibit E - Page 1 Title lll C Nutrition Site Management FY 2014-2015 Exhibit E - Program Narrative Gity of Fresno - Title lll G Nutrition Site Management 3. LANGUAGE TRANSLATION NEEDS & PROVISIONS Program Narrative Exhibit E - Page 2 Title lll C Nutrition Site Management Enter an "X" by the languages spoken by older adults and family caregivers in your service area. Enter an "X" if language spoken by program staff. Enter an ¡¡X" il language spoken by program volunteers. X English X X X Spanish X X X Hmong X X Arabic X Armenian Cantonese Farsi (Persian) X Filipino (Pilipino/Tagalog) Hindi Japanese X Khmer (Cambodian) Khmu Korean X Lao Mandarin (Putonghua) Mien (Yao) Mixteco Portuguese Punjabi X Russian Thai Ukrainian Urdu X Vietnamese er: FY 2014-2015 Exhibit E Gity of Fresno - Title - Program Narrative lll G Nutrition Site Management What resources does your organization use, or have available to use, when ion is needed for a prooram participant? STAFF OR VOLUNTEERS FLUENT IN RESPECTIVE LANGUAGE WILL TRANSLATE OR INTERPRET DOCUMENTS, PAMPHLETS, MENUS, PRESENTATIONS, DAILY ACTIVITIES AND ASSIST INDIVIDUALS WITH FILLING OUT FORMS. How does your organization provide the contracted service to individuals who soeak a that is not sooken ram staff or volunteers? ASSISTANCEffRANSLATION CAN BE OBTAINED FROM THE FOLLOWING AGENCIES/ORGANIZATIONS: FRESNO CENTER FOR NEW AMERICANS, FIRM, FRESNO METRO MINISTRIES, PARCS STAFF AND LOCAL NON- PROFITS. 4.CONFIDENTIALITY PROCEDURES How does your organization protect the confidentiality of the program participant during verbal discussions? (For example, asking the program participant for their date of birth, phone number, and any other information that identifies the individual and is needed to te the client intake form PARTICIPANT INTERVIEWS ARE CONDUCTED IN PRIVATE AND REMAIN CONFIDENTIAL. How does your organization protect confidential information obtained from am participants, such as client intake forms, from disclosure? NUTRITION PROGRAM RECORDS, INCLUDING CLIENT INTAKE FORMS, CLIENT REASSESSMENTS AND PROGRAM REPORTS ARE FILED AND KEPT IN A LOCKED CABINET BEHIND A LOCKED DOOR. Program Narrative Title lll C Nutrition Site Management ExhibitE-Page3 FY 2014-2015 Exhibit E Gity of Fresno - Title - Program Narrative lll C Nutrition Site Management Contracted Program: I Title lll C Nutrition Site Management 5.PROGRAM DESCRIPTION Provide a brief description of how your organization provides Nutrition Site Manaqement. THE CITY OF FRESNO PROVIDES CONGREGATE NUTRITION SITE MANAGEMENT AT SIX SAFE LOCATIONS, OFFERING A NUTRITIOUS MEAL, SOCIAL ACTIVITIES, EDUCATIONAL PRESENTATIONS AND RESOURCES TO MAINTAIN AND IMPROVE THE PHYSICAL AND SOCIAL WELL BEING OF OLDER ADULTS What was the primary accomplishment achieved by the Nutrition program in the oast vear? Recruited new senior participants to the SHM Program through marketing and informational seminars. Please describe another accomplishment achieved by the Nutrition program in the past vear. Had a nutrition and fitness speaker come to 4 SHM Program sites to speak to participants regarding benefits of eating nutritious & healthy meals, taking care of themselves and getting recommended daily exercise. Participants were advised the lunch they receive meets their daily requirements. 6.CASE STUDY Briefly describe how the Nutrition program successfully met the needs of a icioant in the past vear. Do not use real names. Ted C. Wills couple, married 66 years: My husband and I have been coming to the Hot Meals Program for many years. We always have enjoyed the meals and recreation activities. But the past two years, I have been dealing with Parkinson's Disease. I have a hard time cooking; I really can't cook anymore without the help of someone else. We are thankful for the Hot Meal Program. It's good food, and nutritious for us senior citizens. lt's food we should be eating, so we can stay healthy. And besides after we eat, we can play cards together. Program Narrative Title lll C Nutrition Site Management ExhibitE-Page4 FY 2014-2015 Exhibit E - Program Narrative Gity of Fresno - Title lll C Nutrition Site Management 7. STAFFING Please provide the names and titles of all staff listed in the Personnel section of the contract budget (Exhibit B). *Please provide the name and contact information for the person who has primary, hands-on involvement and oversight of the day-to-day operations of the Nutrition Site Management program. SHAUN SCHAEFER COMMUNITY RECREATION SUPERVISOR II Name Title 559-621-2910 S h a u n. Schaefer@fresno. oov Telephone Number E-mailAddress + *Attach the following documents to the "Documents Required to Execute Gontract" checklist: Program Narrative Exhibit E - Page 5 Title lll C Nutrition Site Management Name Title SHAUN SCHAEFER COMMUNITY RECREATION SUPERVISOR II LEVI WINEBRENNER COMMUNITY RECREATION SUPERVISOR I DARRYL DU'CHENE COMMUNITY CORRDINATOR DANA LIBERTY SERVICES AIDE _ CLERICAL N/ONICA LEON SITE MONITOR BRENDA BROWN SITE COORDINATOR - MOSQUEDA ISHCA HINOJOSA SITE COORDINATOR - PINEDALE CARLEEN BRYANT SITE COORDINATOR - TCW EOLA MELANCON SITE COORDINATOR - TCW FY 2014-2015 Exhibit E - Program Narrative Gity of Fresno - Title III G Nutrition Site Management 8. SERVICE PROVIDER TIME FRAME What days and hours will the Nutrition Site Management program be available? (Please note that fhese are not necessarily the same hours your org an ization/faci I ity i s ope n. ) Site Days Open Start Time Close Time Lafayette M-T-W-Th-F 10 A.M.1 P.M. Mary Ella Brown M-T-W-Th-F 10 A.M.1 P.M. Mosqueda M-T-W-Th-F 9 A.M.1 P.M. Pinedale M-T-W-Th-F 9 A.M 1 P.M. Senior Citizens Village M-T-W-Th-F 10 A.M.1 P.M. Ted C. Wills M-T-W-Th-F 9 A.M.1 P.M. Month Enter Dates of Holidays & Other Planned Glosures Total Days Service to be Provided July 2014 714114 22 August 2014 21 September 2014 911114 21 October 2014 23 November 2014 1 1 I 1 1 t1 4, 1 1 t27 I 1 4, 1 1 t28t 1 4 17 December 2014 12t25t14 22 January 2015 111115, 1119115 20 February 2O15 2116115 19 March 2015 22 April 2015 22 \Aay 2015 5t25t15 20 June 201 5 22 Total Days of Contracted Service to be Provided under this Agreement:251 Program Narrative Title lll C Nutrition Site Management ExhibitE-Page6 FY 2014-2015 9. Exhibit E - Program Narrative Gity of Fresno - Title Ill G Nutrition Site Management PROGRAM EVALUATION/IMPROVEM ENT Describe the specific steps your organizalion will take to make these improvements durino the current fiscal vear SHM management leadership added this component to the site coordinators monthly staff meetings. Leadership will bring in speakers and educational materials along with meaningful discussions with staff. Describe how you will know if your improvement efforts are successful, and how you will measure vour achievements. We will measure pre/post customer satisfaction survey levels during the effort. Our goalwill be to increase satisfaction by 10%. Program Narrative Exhibit E - Page 7 Title lll C Nutrition Site Management ln reviewing the past year's performance, identify areas that your organization could focus on for improvement of the Nutrition oroqram. Continue to provide training to SHM program staff that provides meal service on a daily basis. The point of emphasis with management and service delivery staff is customer satisfaction in regards to meeting the needs of the participants. Staff will receive educational training and professional videos to accomplish this goal. How would participants of the Nutrition proqram benefit from these improvements? Participants would receive a better quality service from the SHM staff that is designed to meet their needs. FY 2014-2015 Exhibit E - Program Narrative Gity of Fresno - Title lll G Nutrition Site Management 10. oUTREAGH ACTIV|T|ES/TARGET|NG PLAN (22 CCR S 7310, WtC S 9103) Targeted Group of Older lndividuals How will the Targeted Group be informed of the Nutrition program & encouraged to participate? Month(s) Scheduled Reside in rural areas Will target faith based organizations around the Mary Ella Brown site. Nov & April Greatest economic need (lncome level at or below the federal poverty line) Table providing SHM program information to potential participants, their children and/or caregivers at the September Carnival @ Mosqueda and at the October Kids Fest @ Holmes Playground. Sept & Oct Greatest social need (Need caused by non- economic factors) Will promote the SHM program to older adults who have lost a loved one by inviting those attending the grief discussion group at Mosqueda to stay for a meal. Nov Native Americans The PARCS SHM Staff will target Tribal TANF in order to reach older adults who are Native American. A presentatioò will be given at Board/Charter meeting along with flyer dispersal. Jan Minorities with greatest economic and/or social need Provide a discussion seminar regarding program essentials and opportunities that exist for older adults. March Limited English proficiency Flyers in both English & Hmong will be given to Fresno lnterdenominational Refugee Ministries. Flyers in English & Spanish will be given to Central La Familia and local Faith Based organizations. Jan - June Severe disabilities (Severe, chronic physical and/or mental impairment that is likely to continue indefinitely & results in su bstantial fu nctional limitation in 3 or more major life activities) Will partner with Valley Caregiver Resource Center to get information about SHM program to individuals. Feb Alzheimer's disease or related disorders with neurological & organic brain dysfunction (and the caregivers of these individuals) Send an e-mailwith information about the SHM program to all service providers working with the protected classes. May Lesbian, gay, bisexual, or transgender Make presentation at the Gay Fresno quarterly meeting with SHM program information.Nov Program Narrative Exhibit E - Page 8 Title lll C Nutrition Site Management FY 2014-2015 Exhibit F Service Provider Emerqencv Resource lnformation Please complete for each location from which contracted services are offered. Please list any additional services your site can provide in the event of a disaster: UNKNOWN Organization CITY OF FRESNO Site Name LAFAYETTE Street Address 1516 E. PRINCETON AVE. City/ST/Zip FRESNO, CA 93704 Primary Contact SHAUN SCHAEFER Job Title COMMUNITY REC SUP II E-mail SHAUN SCHAEFER@FRESNO GOV Office Phone 559-621-2910 Cell Phone 559-696-7899 Secondary Contact:LEVI WINEBRENNER Job Title COMMUNITY REC SUP I E-mail LEVT.WTNEBRENNER@FRESNO GOV Office Phone 559-621-6688 Cell Phone 559-246-7382 Please check all emerqencv services that could be orovided from this site. Distribution Site for Food & Water Other Translation: Yes No Can this site provide temporary shelter space for 48 hours or more in the event of an emerqencv?X ls this site able to help with assessing the needs of older individuals in the neighborhood or community following a disaster?X Following a major disaster, can this site help transport older individuals to disaster services?X Does this site have a dedicated vehicle that is lift-equipped?X Given the resources, can this site expand meal services following a disaster to meet needs in the communitv?X How many people can this facility provide emergency shelter for?60 How many days can this facility function using its back-up power source?KNOWN How many gallons of water are stored on-site as an emergency supply?NONE Emergency Resource lnformation Exhibit F FY 2014-2015 Exhibit F Service Provider Emerqencv Resource lnformation Please complete for each location from which contracted services are offered. Please list any additional services your site can provide in the event of a disaster: UNKNOWN Organization CITY OF FRESNO Site Name MARY ELLA BROWN Street Address 1350 E. ANNADALE AVE. City/ST/Zip FRESNO, CA 93706 Primary Contact SHAUN SCHAEFER Job Title COMMUNITY REC SUP II E-mail SHAUN SCHAEFER@FRESNO GOV Office Phone 559-621-2910 Cell Phone 559-696-7899 Secondary Contact:LEVIWINEBRENNER Job Title COMMUNITY REC SUP I E-mail LEV| WTNEBRENNER@FRESNO.GOV Office Phone 559-621-6688 Cell Phone 559-246-7382 Please check all emergencv services that could be provided from this site: Distribution Site for Food & Water anish Translation Other Translation: Yes No Can this site provide temporary shelter space for 48 hours or more in the event of an emergencv?X ls this site able to help with assessing the needs of older individuals in the neiqhborhood or communitv followinq a disaster?X Following a major disaster, can this site help transport older individuals to disaster services?X Does thís site have a dedicated vehicle that is lift-equipped?X Given the resources, can this site expand meal services following a disaster to meet needs in the communitv?X How many people can this facility provide emergency shelter for?165 How many days can this facility function using its back-up power source?KNOWN How many gallons of water are stored on-site as an emergency supply?NONE Emergency Resource I nformation Exhibit F FY 2014-2015 Exhibit F Service Provider Emerqencv Resource lnformation Please complete for each location from which contracted services are offered. Please list any additional services your site can provide in the event of a disaster: UNKNOWN Organization CITY OF FRESNO Site Name MOSQUEDA Street Address 4670 E. BUTLER AVE. City/ST/Zip FRESNO, CA93702 Primary Contact SHAUN SCHAEFER Job Title COMMUNITY REC SUP II E-mail SHAUN SCHAEFER@FRESNO GOV Office Phone 559-621-2910 Cell Phone 559-696-7899 Secondary Contact:LEVI WINEBRENNER Job Title COMMUNITY REC SUP I E-mail LEVI,WINEBRENNER@FRESNO GOV Office Phone 559-621-6688 Cell Phone 559-246-7382 Please check all emerqencv services that could be provided from this site: Emerqencv First Aid Distribution Site for Food & Water Spanish Translation Translation Other Translation: Yes No Can this site provide temporary shelter space for 48 hours or more in the event of an emerqencv?X ls this site able to help with assessing the needs of older individuals in the neiqhborhood or communitv followinq a disaster?X Following a major disaster, can this site help transport older individuals to disaster services?X Does this site have a dedicated vehicle that is lift-equipped?X Given the resources, can this site expand meal services following a disaster to meet needs in the communitv?X How many people can this facility provide emergency shelter for?234 How many days can this facility function using its back-up power source?KNOWN How many gallons of water are stored on-site as an emergency supply?NONE Emergency Resource I nformation Exhibit F FY 2014-2015 Exhibit F Service Provider Emergencv Resource lnformation PIease complete for each location from which contracted services are offered. Please list any additional services your site can provide in the event of a disaster: UNKNOWN Organization CITY OF FRESNO Site Name PlNEDALE Street Address 7170 N. SAN PABLO AVE. City/ST/Zip FRESNO, CA 93702 Primary Contact SHAUN SCHAEFER Job Title COMMUNITY REC SUP II E-mail SHAUN SCHAEFER@FRESNO.GOV Office Phone 559-621-2910 Cell Phone 559-696-7899 Secondary Contact:LEVI WINEBRENNER Job Title COMMUNITY REC SUP I E-mail LEV| WTNEBRENNER@FRESNO GOV Office Phone 559-621-6688 Cell Phone 559-246-7382 Please check all emerqencv services that could be orovided from this site: Distribution Site for Food & Water Home/Neiqhborhood Clean Other Translation: Yes No Can this site provide temporary shelter space for 48 hours or more in the event of an emerqencv?X ls this site able to help with assessing the needs of older individuals in the neighborhood or communitv followinq a disaster?X Following a major disaster, can this site help transport older individuals to disaster services?X Does this site have a dedicated vehicle that is lift-eouiooed?X Given the resources, can this site expand meal services following a disaster to meet needs in the communitv?X How many people can this facility provide emergency shelter for?252 How many days can this facility function using its back-up power source?KNOWN How many gallons of water are stored on-site as an emergency supply?NONE Emergency Resource I nformation Exhibit F FY 2014-2015 Exhibit F Service Provider Emerqencv Resource lnformation Please complete for each location from which contracted services are offered. Please list any additional services your site can provide in the event of a disaster: UNKNOWN Organization CITY OF FRESNO Site Name SENIOR CITIZENS VILLAGE Street Address 1917 S. CHESTNUT AVE. City/ST/Zip FRESNO, CA93702 Primary Contact SHAUN SCHAEFER Job Title COMMUNITY REC SUP II E-mail SHAUN.SCHAEFER@FRESNO,GOV Office Phone 559-621-2910 Cell Phone 559-696-7899 Secondary Contact:LEVIWINEBRENNER Job Title COMMUNITY REC SUP I E-mail LEVI.WINEBRENNER@FRESNO GOV Office Phone 559-621-6688 Cell Phone 559-246-7382 Please check all emerqencv services that could be provided from this site: Distribution Site for Food & Water anish Translation hborhood Clean Yes No Can this site provide temporary shelter space for 48 hours or more in the event of an emergencv?X ls this site able to help with assessing the needs of older individuals in the neiqhborhood or communitv followino a disaster?X Following a major disaster, can this site help transport older individuals to disaster services?X Does this site have a dedicated vehicle that is lift-equipped?X Given the resources, can this site expand meal services following a disaster to meet needs in the communitv?X How many people can this facility provide emergency shelter for?175 How many days can this facility function using its back-up power source?KNOWN How many gallons of water are stored on-site as an emergency supply?NONE Emergency Resource lnformation Exhibit F FY 2014-2015 Exhibit F Service Provider Emerqencv Resource lnformation Please complete for each location from which contracted services are offered. Please list any additional services your site can provide in the event of a disaster: UNKNOWN Organization CITY OF FRESNO Site Name TED C. WILLS Street Address 770 N. SAN PABLO AVE. City/ST/Zip FRESNO, CA 93728 Primary Contact SHAUN SCHAEFER Job Title COMMUN¡TY REC SUP II E-mail sHAUN SCHAEFER@FRESNO.GOV Office Phone 559-621-2910 Cell Phone 559-696-7899 Secondary Contact:LEVIWINEBRENNER Job Title COMMUNITY REC SUP I E-mail LEVT.WTNEBRENNER@FRESNO GOV Office Phone 559-621-6688 Cell Phone 559-246-7382 Please check all emerqencv services that could be provided from this site: Emeroencv Power/Generator Cookinq Facilities Distribution Site for Food & Water Yes No Can this site provide temporary shelter space for 48 hours or more in the event of an emerqencv?X ls this site able to help with assessing the needs of older individuals in the neiqhborhood or communitv followino a disaster?X Following a major disaster, can this site help transport older individuals to disaster services?X Does this site have a dedicated vehicle that is lift-equipped?X Given the resources, can this site expand meal services following a disaster to meet needs in the communitv?X How many people can this facility provide emergency shelter for?531 How many days can this facility function using its back-up power source?KNOWN How many gallons of water are stored on-site as an emergency supply?NONE Emergency Resource lnformation Exhibit F FY 2014-2015 Certificate Number CERTIFICATE OF SELF:INSURANGE lssue Date 201 52069 711412014 City of Fresno Personnel Services Department Risk Management Division Fresno, CA 93721-3612 (559) 621-6e00 COVERAGE AFFORDED BY THIS CERTIFICATE IN NO EVENT EXCEEDS THE COVERAGE AFFORDED BELOW. THIS COVERAGE DOES NOT EXTEND TO THE SOLE NEGLIGENCE OR WILFUL MISCONDUCT OF THE ADDITIONAL INSURED. COVERAGES THIS IS TO CERTIFY THAT THE CITY IS SELF-INSURED FOR THE COVERAGE AND PERIOD SHOWN BELOW, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE FOR GENERAL LIABILITY AND AUTO LIABILITY IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF THE SPECIAL EXCESS LIABILITY POLICY FOR PUBL¡C ENTITIES, WHICH THE CITY MIRRORS IN PROVIDING THIS SELF-INSURANCE. Type of Coverage Effective Date Expiration Date Limits of Liability General Liability 07101120't4 07101t2015 Each occurrence $3,000,000 Automobile Liability 0710112014 07t01t2015 Combined Single Limit (each accident)$3,000,000 Workers' Gompensation Statutory Limits Employer's Liability Each Accident Disease - Each employee D¡sease - Pol¡cv Lim¡t DESCRIPTION OF OPERATIONS/LOCATIONS/VEH ICLES/SPEGIAL ITEMS The Fresno-Madera Area Agency on Aging (FMAAA) its otficers, agents, employees, and servants are included as additional insureds with respect to work performed for the FMAAA under this Agreement: Contract No. 15-0310, Site Management. CERTIFICATE HOLDER Fresno-Madera Area Agency on Ag¡ng 3837 N. Clark Street Fresno, CA 93726 COVERAGE IS IN EFFECT AS STATED ABOVE AND WILL NOT BE CANCELLED BEFORE ÏHE EXPIRATION DATE THEREOF, EXCEPT UPON 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER. City of FresnoãM# K:\Certificates of lnsurance\FY201 S\Cert 201 52069 FMAAA.docx City of Fresno Parks, After School, Recreation and Community Services Department Senior Hot Meals and Recreation Program (SHM) Site Monitor Clerical Services Aide7 FMAAA Site Coordin.rtors City of Fresno R67 COMMT]IVTY RECREATION ST]PERVISOR II Class Dertnftion Under direction, supervises the day-today activities of one or more communþ centers or City-wide or Dishict- wide community service or recreational programs. D i st inguishing C haracte ri stic s CommunþRecreation Supervisor II is a specialized, supervisory class in the Parks, Recreation, and Community Services Department. Incumbents supervise the day-to-day activities of one or more communþ centers or the social, recreational, culfural, senior citizens, therapeutic, and/or physical development programs provided to the communþ. These programs include civic/cultural arts, sports, after school recreation, counseling and/or workshops for youth, adults, and senior citizens. lncumbents are also given considerable latitude in accomplishing assignments. This class is distinguished fromCommunþ Recreation Supervisor I inthat incumbents ofthe latter supervise the dayto-day activities of communþ centers, neighborhood parks, neighborhood centers, or a segment of the community service or recreational programs within established guidelines and procedures. T]¡pical Tasks (Ihis list is neither inclusive nor exclusive. Consequently, this information may not reflect Essential Functions for this class.) Plans, implements and evaluates communþ service programs. Consults with administrative staü school principals and various school ofücials regarding the provision offacilities, personnel, and prograrns utilizing school facilities. Makes inspections of recreational facilities; reviews operating activþ records and reports. Evaluates programs to asceftain efficiency and effectiveness of personnel assigned and type of in-service training required; advises and instructs personnel on methods and techniques for improving programs. Studies and makes recommendations on equipment and materials needed for various playgrounds, centers, pools and their programs. Makes presentations before clubs and organizations regarding communþ service programs; assists organizations and civic groups in utilization of the programs and facilities offered by the Cþ. Orients, trains, assigns and evaluates subordinates. Reviews progrcms with neighborhood councils and private agencies. Acts as liaison between the division and various boards and commissions, and a variety of public and private agencies in co-sponsored programs. Supervises and coordinates the activities and operations of a large community center or several smaller centers. Communþ Recreation Supervisor II Page2 Prepares conespondence, informational statements, reports, and budget requests on the operations of a Communþ Center and/or program activities. Supervises the collection and analysis of programmatic data and preparation of staffreports. Issues permits for use of sports fields and tennis courts and secures permits for use of school facilities. Assigns sports officials to league games and keeps records of leagues. Performs related duties as required. Knowledge. Abilities. and Skills Knowledge of the principles, practices, procedures, and techniques employed in public recreation programs. Knowledge of the purposes of clubs, centers or other units established to meet the leisure time and recreational needs of community groups including children, adults and senior citizens. Knowledge ofthe methods involved in organizing conducting and supervising recreation activities. Knowledge of the facilities and equipment needed in a broad recreation program. Knowledge ofthe principles ofmunicipal administration and budgeting, and federal and state grant program rules and regulations. Knowledge of frrst aid methods and safety precautions used in recreation work. Abilþto understand the various communþ social conditions throughout the City to determine special recreation needs. Ability to train and supervise the personnel required to execute the authorized recreational programs. Ability to establish and maintain effective working relationships. Ability to speak and write clearly and concisely. Ability to establish and mainøin effective operating records and reports. Minimum Ouallìcations Graduation from an accredited college or university with a Bachelor's Degree in recreation, education, physical education, public administration, or related field; and two years of experience similar to that gained as a CommunityRecreation Supervisor I with the City ofFresno. Additional qualifring experience may be substituted for the required education on a year-for-year basis. SHAUN R. SCHAEFER, MA S hau n. Sc h aefe rfdfrcsno. gov 37101Avenue 12V4 . Madera, California93638 o (559) 696-7899 - General Business Management - Leadership and Organizational Development - Results - oriented leader with over 25 year portfolio of successful programming, strategic marketing, project development, direction and management; innovative thinker driving community partnerships and customer return on investments to increase contracts, enhance performance, and increase revenue and participation in order to achieve maximun utilization of facilities, resources and staff; community team builder with sound budgetary management and fiscal accountability. o Strategic Project Leadership o Entreprenurial Contract Service Development o Cross-Functional Team Leadership o Customer Service Assessments & Campaigns o Grant Aqustion & Fundraising o Creative Outreach Strategies Expertise Includes: o Marketing & Communications o Budget Building & Administration o Corporate, Non-Profit & Foundation Relations o Government & Media Relations o External, Internal & Community Relations o Stakeholder Relations PROFESSIONAL EXPERIENCE CITY OF FRESNO, PARCS DEPARTMENT, Fresno, CA Community Recreølìon Supervßor II 1985 - Present 2010 - Presento PARCS Mayoral Initiative Campaign of Adopt-a-Park and Go Green and Clean will eclipse $ 1,000,000 (current value 5927,813) of community service work value by 16,012 volunteers in early 2014 with 60,326 of volunteer hours to supplement and enhance PARCS Planned Maintenance and Public Works Landscape Maintenance Service.o Managed Division and staff through unprecedented organizational downsizing while maintaining and in some cases increasing service levels. o Directed stakeholder meetings with Pinedale Community Association, Hinton Muliti- Cultural Community Center Board, Chicano Youth Center, Leadership Fresno, Church of Latter Day Saints, and Reading and Beyond to educate and garner partnership support for service and events. o Crafted and provided unique annual envents of "Mosqueda Carnaval and Mosqueda Idol" at the Mosqueda Community Center (Council District 5). The events boosted community support, service awareness and appreciation for PARCS services and brand.o PARCS Lead for FUN and has managed fundraisers (Annual Charity Golf Tournaments) to over $100,000 of net proceeds which have sent thousands of inner-city youth to summer camps since 2006 and generated over $1,000,000 of grants, fundraising and donations. o In 2013 assisted in acquistion of $60,000 community grant from Kaiser Permanente that enabled PARCS to open up four (4) closed learner pools for the summer aquatics program. o In 2013 assisted in the opening of the California & Elm Community Center/Gynasium by developing the relationship, business plan and contract with lead community based organization lead - Leadership 1", Boise, Idaho. SHAUN R. SCHAEF'ER S h a un. Sc haejcrl@Itcs nq.etoy o Rebranded contracted services programs to solidify service to vendors and created overhead charge to recoup staff for direct service time. Recreation Manger, Community Servíces Dívßion 2007 -2010 Responsible for Community Services Division and providing exemplary service, capital improvement and management in the areas of Senior Hot Meals, local area school district contracted services (Elementary Spark Physical Fitness Community Science, Life and Enviromental Science Program, High School Youth Job Prep Program (YJPP), Summer Aquatics Program, Community Center Reservations, Volunteer and Work Experience Programs, Neighborhood Park Services at Mosqueda Community Center and Granny's Science Center, Community Special Events, Community Based Organization (CBO) Management at Dickey Youth Development Center, Dog Parks, Department Special Projects and PARCS 501(c)3 non- prof,rt Fresno United Neighborhoods (FUN). o Working Fresno County, City of Fresno Human Resources and Personnel Department and the United States Economic Stimulus Program, acquired funding to stave off layoffs for over a hundred City of Fresno workers and continue services. o In 2008 assisted in the opening of the Dickey Youth Development Center and fostered partnerships with stakeholders, the Chicano Youth Center and the community; building developed into a tremendous community asset. o In conjuction with Department Director handled media and public appearances to educate and inform public with television, radio, print media and public meetings. o Transformed in 2009 the discontinued After School Recreation Enrichment Program (ASR) with Fresno Uniflred School District (FUSD) and changed services to physical fitness and nutrition program (SPARK); program is core piece of FUSD elementary after school program, fiscally sustainable and thriving. o Awarded2009'Achievement Award' for the Youth Job Prep Program (Fresno BEST) by the California Parks and Recreation Society (CPRS). o Awarded 2010 'Bright Idea Award' from the Harvard University School of Business for the Youth Job Prep Program. o Ignited working relationships with Fresno State University, Fresno Pacific University, Fresno City College, Fresno Unified School District and Fresno County to create opportunities for youth, volunteerism services, education and employment (current and future). Community Recreation Supervísor II 2005 -2007 Served as lead for direct service programming in the Community Services Division under the lead of the Division Manager; supervised a team of six (6) supervisors and community coordinators. Built Mayoral Initiative High School Job Skills Development Program Fresno BEST and expanded it to provide service to all FUSD High Schools. Implemented Mayor Technology Access Initiative of Fresno Connect which provided computer access and programming at PARCS Community Centers and Neighborhood Parks. Implemented Mayoral Initiative to provide employment opportunities to Fresno citizens with the Mayor's Job Initiative (MJD. Evaluated programs to ascertain efficiency and effectiveness of resources, outcomes and staff. Utlimately, promoted to Community Services Division Manager for the PARCS Department. SHAUN R. SCHAEFER S h a un.Schae fe r(dfres n o, gov Community Recreøtion Supervisor I 1996 - 2005 Supervised services and employees in the areas of Adult Sports, Youth Sports, Senior Hot Meals, Summer Aquatics Program, After School Recreation, Neighborhood Parks and Community Centers recreation, Sack Lunch Program, Theraputic Recreation, Special Events, grant awarded progr¿Ìms, contracted service programming and fee for service programming. Assisted in the assessment, planning and administering of community recreational programs to provide for the social and recreational needs of the community. o In 1997 was assigned to the PARCS Adult Sports program and was given seven (7) months by Director to turn program around or program would be discontinued; increased annual softball team participation I89% (222 teams to 641 teams) in one (1) year, streamlined site management expenses; current program model today is a direct descendant of this transformation. o In 2002 created 'Bitty Sports - Youth Sports' fee for service program that created a Saturday format that added baseball, basketball, flag-football, soccer, martial arts to the PARCS Department antiquated T-Ball program; the Bitty Sports - Youth Sports model is the current model utilized by PARCS. Lifeguard, Pool Manøger and Services Aìde Provided temporary services to PARCS Department for seasonal neighborhood parks and after school elementary recreational services. CALWA RECREATION and PARK DISTRICT, Fresno, CA Adults Sports Coordinato r Led softball complex after Fresport Softball Complex shutdown in North Vy'est Fresno and transitioned hundreds of teams to South East Fresno venue; possessed larger tournament and team participation numbers than the City of Fresno PARCS Department Adult Sports Program. Ultimately, was recruited by the City of Fresno PARCS Department to transform the Adults Sports Program. EDUCATION & TRAINING Bachelor's of Arts - California State University Fresno, Fresno, CA Major: English Master's of Arts - Fresno Pacific University, Fresno, CA Leadership Studies, School of Business Certification in Sports Officiating - Amateur Softball Association (ASA) and California Inner- S cholastic Federation (CIF) Certifïcation in Lifeguarding - American Red Cross AFFILIATIONS Current Sports Offrcial, San Joaquin Valley Officials Association Current Member of Golden Valley Chamber of Commerce Member, California Parks and Recreation Society Past Member, Leadership Fresno Past Member, Fresno Rotary Club 1985 - 199s aquatics program, 1988 - 1994 11t17t2014 Home I ContactUs I FAa | (559)621-CITY(2489) | City Council Search Site District 1 District 2 District 3 District 4 District 5 District 6 I '.'r'¡,! ' ,: ir¡ I I I I ìt -rt¡rit us ]Departnrcnt llomc Distrìct 7 District Locatcr Live Broaclcasl To contact any of lhe Council Members, please call (559) 621-8000 Blong Xiong Councilmember District 1 limail FAX (559) 268-1043 Steve Brandau Cor¡ncilmember District 2 Email FAX (559) 621-7892 Oliver L Baines ìll Councilmember District 3 Email FAX (559) 621-7893 Paul Capr'roqlio Councilmember Dístrict 4 Email FAX (559) 621-7848 Statement of Economic lnterésts Council District Locator Not sure which Council District you're located in? Please use our Council District Locator for assislance 5al Quintero Councilmember District 5 Enrail FAX (559) 490-5395 Lee Bratrd Councilmember District 6 Email FAX (559) 621-7896 Clint Olivier Councilmember Districl 7 Enrail FAX (559) 498-2541 Council Agendas & Minutes 2014 Council Meetirrg Schedule Report of Public Official Appointments FPPC Form 806 For RESTDEHTS F0[ BUSTNESSËS t0ß VrSrT0ßS ,GOVIRIUMEÃIT DISCOUE8 FBESñIO ]{EWS ,..,.r.ir¡1.;Þ*+1ii ì ; f '\/lÏlt ' Welcome to the City of Fresno, Cíty Council Home Fage vlE!1/ crw counrcrl Mayor's Office i;1?:l {.-.o.It".'.t1 Blong Xiong, District 1 Sleve Branclau, Dìstrict 2 Olìver L. Baines lll, District 3 Paul Caprioglio, District 4 Sal Quintero, District 5 Lee Brand, District 6 Clìnt Olivier, District 7 Contact City Councíl City Manager City Clerk City Attorney Departmerll Directory Services Directory City Budget Disability Advisory Commission eGov Services One Call Center http://www.fresno.gov/Governm enVC ityCounci l/default.htm 1t2 The Parks, After School, Recreation and Community Seruices Department (PARCS) enriches the lives of Fresno citizens by investing in parks, open space and by providing diverse opportunities for human development and social interaction. 6(¡, .E ot^ Ë,Êf E Eo(J ïlc.!c .9 l!oL9^ clr! E¡\ 9å9l\l+t\PËr E EgEb_<LÞPÃVEd(,t=b ":=i 3 PÈ s È þrJo.6l-ll SENIOR ITOTMEALS AATD RECREATION PROGRAM City of Fresno a culture of excellence where- people get the best every day. Mission Statement The City of Fresno's Parks, After School, Recreation and Community Services Department is pleased to provide a quality lunch and recreation program for older adults. Our nutrition and social programs are operated at 6 sites throughout the City of Fresno. Lunch is served Monday through Friday (excluding holidays) at Community, Neighborhood and Senior Residential Centers. Suggested contribution for a hot meal is $1.50 for adults 60 years and older. The contribution is kept confidentialand no one willbe denied a mealdue to the inability to donate the suggested amount. Those 59 and younger are welcome, but will be charged $3.50 per lunch. The Senior Hot Meals and Recreation Program is funded by a Community Development Block Grant (CDBG), C¡ty of Fresno General Fund and by the Fresno-Madera Area Agency on Aging (FMAAA). ln addition to serving lunches, a friendly social environment is offered, which provides the opportunity to build new friendships and expand your interests. Activities include, but are not limited to: Ceramics - Exercise Special Events - Monthly Social Dances Volunteer Opportunities Each center is unique in it's own activities, please call for specific information. Don't sit at home alone. Visit the site nearest you to enjoy a nutrituous hot lunch, recreation activities, and the company of others. For additional information on the services provided through the City of Fresno Senior Hot Meals and Recreation Program call 559.621.2900. Visit our website www.fresno.gov/ SeniorConnection Progrom locqtions & Hours Hf¿ãE ßÅl Ëq æ Et-?I Lafayette Neighborhood Center 1516 E. Princeton Ave. 10 a.m. to 1 p.m. Mary Ella Brown Community Cen- ter 1350 E. Annadale Ave. 10 a.m. to 1 p.m. Mosqueda Community Center 4670 E. Butler Ave. 9 a.m. to 1 p.m. Pinedale Community Center 7170 N. San Pablo Ave. 9 a.m. to 1 p.m. Senior Citizens Village 1917 S. Chestnut Ave. 10 a.m. to 1 p.m. Ted C. Wills Community Center 770 N. San Pablo Ave. 9 a.m. to 1 p.m.