Yucaipa City Council
May 23, 2022

Agenda Item No. 8

CITY OF YUCAIPA

AGENDA REPORT
TO: Honorable Mayor and City Council
FROM: Jennifer Crawford, Assistant City Manager
Kimberly Everts, Deputy Rent Administrator/Records Technician CMG ` FOR: City Council Meeting of May 23, 2022
SUBJECT: Fiscal Year 2021/22 Community Activity Grant Accountability Reports RECOMMENDATION:

That City Council receive the Community Activity Grant Accountability Reports and deem the program requirements complete for Al -Anon Family Group — Weekly Meetings, Family Service Association of Redlands — Yucaipa Outreach, Gardenworksforkids — Outdoor Covered Patio, Smiles for Seniors Foundation — Assist Low -Income Seniors, Valley Elementary — Leadership Day, Cali-Caipa Nooners Lions Club — Veterans Day Ceremony, Yucaipa High School — YHS Baseball Team Trip to NHSI, and the Yucaipa Rotary Club — Weekly Business Meetings.

DISCUSSION:

Pursuant to the Community Activity Grant (CAG) Guidelines, the following awarded CAG applicants have submitted their Event Reporting Financial Worksheet and Event/Program Summary for Council review and approval. The following is a listing of the awarded agencies, the amount granted, the actual grant amount spent, and the event reporting worksheets:

FY 2021/22
Awarded
Awarded
Actual
Reporting

ACCOUNTABILITY REPORTS
Financial
In -Kind
Worksheet
Amount
Amount
Attachment
Al -Anon Family Group
N/A
$1,314
$1,314
A
Weekly Meetings
Family Service Association of
$3,587
N/A
$3,587
B
Redlands
Yucaipa Outreach
Gardenworksforkids
$1,875
N/A
$1,875
C
Outdoor Covered Patio
Smiles for Seniors Foundation
$3,587
N/A
$3,587
D
Assist Low -Income Seniors
Valley Elementary
$750
N/A
$750
E
Leadership Da
Cali-Caipa Nooners Lions Club
N/A
$304
$304
F
Veterans Day Ceremony
-37-

Awarded
Awarded
Actual
Reporting
FY 2021/22 (continued)
Financial
In -Kind
Worksheet

ACCOUNTABILITY REPORTS
Amount
Amount
Attachment
Yucaipa High School
$1,000
N/A
$1,000
G
YHS Baseball Team Trip to NHSI
Yucaipa Rotary Club
N/A
$5,454
$5,454
H
Weekly Business Meetings
Staff has reviewed and is recommending that the City Council receive the CAG Accountability Reports and deem, if appropriate, that the program requirements have been met by Al -Anon Family Group — Weekly Meetings, Family Service Association of Redlands — Yucaipa Outreach, Gardenworksforkids — Outdoor Covered Patio, Smiles for Seniors Foundation — Assist Low -Income Seniors, Valley Elementary — Leadership Day, Cali-Caipa Nooners Lions Club — Veterans Day Ceremony, Yucaipa High School — YHS Baseball Team Trip to NHSI, and the Yucaipa Rotary Club — Weekly Business Meetings.

FISCAL IMPACT:

The FY 2021/2022 CAG Fund for financial requests is depleted.

Attachments:

A — Al -Anon Family Group Accountability Report
B — Family Service Association of Redlands Accountability Report C — Gardenworksforkids Accountability Report
D — Smiles for Seniors Foundation Accountability Report E — Valley Elementary Accountability Report
F — Cali-Caipa Nooners Lions Club Accountability Report G — Yucaipa High School Accountability Report
H — Yucaipa Rotary Club Accountability Report
Approved by:

Attachment A
City of Yucaipa Community Activity Grant Received
Event Reporting Financial Worksheet City of Yucaipa
Fiscal Year 2021-2022 Grants APR 2 S 2022
*INCLUDE BACK UP DOCUMENTATION W HI REPORT INCL UDI G.

COPIES OF CHECKS, COPIES OF IN VOICES/QUOTES General ServiceS/ Name of Organization: At Anon Family Group City Clerk's Department Contact Name: John Muller
Phone Number: (714) 290-7341
Email: [email protected]
Description of Event/Project Funded: Weekly Al -Anon meeting Total Cost to Operate Event/Project: S
Amount Granted by City: S Section i (ilonetar.y) S f 4— Section 2 (In Kind) Justify City Grant Monetat), Amount: (if applicable)
SECTION 1
Description
Item 4 Date
(Please be specific. List -%endor and ptu•pose for each disbursement related ONLY to the grant amount)
Amount

1. 5

2. S

3. S

4. S

5. S
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date
(Please be specific. list vendor and purpose for each disbursement related ONLY to the grant amount)
Amount'

1. Saturday (all)
1 1/2 hour al=anon meeting (12 step program)
i€' f

2. $
3 S

4. S

5. S
Total Disbursements (Justifying City Grant Monetary andlor In -Kind) Amount): S Monetary Grant Funds Remaining: S
Notestcomments/additional
information: Our meetings are held in the community meeting room or the Yucaipa Community Center every Saturday except Xmas/New Yeaars.

There are only 2 meeting per week in Yucaipa.

PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS /PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT -39- 1

CITY
Or,----,*",-----"—
r --- - City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2021-2022 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Work -sheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with your Event Reporting Financial Work -sheet, please provide the information requested below:

1. Did the event/program meet the original intended goal? yes. attendance has been picking up since Covid restrictions have eased.

2. If funded in the future, what would the organization do differently? Holding our meetings at the Yucaipa Community Center meeting room work well as is.

3. What type of feedback did organization received from the participants? Excellent. The community center is clean, staff friendly, and the room size works perfectly.

4. What other financial/in-kind contributions did the organzzation seek or receive to fund the event/program (separate from City funding)?
none with the exception that we "pass the basket" collecting funds to buy Al -Anon literature and misc. expenses_ We do not serve refreshments.

5. List the total number of residents served.

Weekly attendance varies. Our average attendance is 12-15 people, the majority live in Yucaipa.

Most 12 step program members attend multiple meetings weekly within 14 miles of home.

Attach copies of marketing/promotional materials for the event/program.

Notes/comments/additional information: Please consider that no 12 step program askes members where they live.

We occasionaly get a an out of towner who found our meeting in a directory however we all live in Yucaipa, Redlands, Forest Falls, and Beaumont. Many go out for breakfast/lunch in Yucaipa before/after the meeting...

PLEASE SUBMIT ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET TO THE CITY CLERK'S OFFICE WITHIN ONE NtONTH FOLLOWING THE EVENTIPROGRAM
Pa e 2
-4b-

Attachment B
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2021-2022 Gra€Its
*I,'VCLVDE BACK-UPDOCUMEA'TATION WITH REPORT INCLUDIAIG:

COPIES OF CHECKS, COPIES OF INVOICMQUOT'ES
Nnnie of Organization, family Service Association of Redlands Contact Name: Kyra Stewart
Phone lNumber: 9-09-793-2673 x134
Emnit: kyra d redlandsfami vservice.or,,
Description of Event/Project Funded: Community Action Grant Toth€ Cost to Operate Event/Project: S 3587
Amount Granted by City: S 3587 Section I { b€onetary) S Section, 2 %€n kind) Justify City Grant ,111anelaily Amount: (if applicable)

SECTION I
Description
Item 9
Date
iI'tease be specific. t. st Ne"dur unit purpow, for c.;et3 itit€atsrienttsu rrlawd O."IA tt,
tiae-orant aannunt)
Amount
t.
7I28t21
:�17284

GREEN VALLEY VILLAGE

DEPOSIT
S 645
y.
7/28/21
417285

GREEN VALLEY VILLAGE

IST MONTH RENT
s 645
3,
8/19121
'17299

THE BUNGALOWS APARTMENTS
AUG. RENTAL
s 1875

4. 10125; 21
43991 12
THE VILLAS A 55+ COMMUNITY

PARTIAL CEP
s 422
5,
s
JustiA,
City Grant
In -Kind Amount: (if applicable)
SECTION z
Description
Item r
Date
it'tease be specific. Lkt ti cnd(ar and purpow for each dishur.enicni related O\LI to
tine grant ainount)
Amount

1. S

2. S

3. $
S
?•
S
Total Disbursements Ullsiifying City Corani Monetary aintlor Itt-Kier j Amount): S 3557 Monetary Grunt Funds Remninin ;: S 0.00
Notcslrotninen(s/additiona€
Information:

PLEASE it,iiiE St' Rf 1"0 t'R()t'ft)E fiACK-! T kKC-IJ€'T:SI PROOF OF PAN'\€F NT TO .tt'STIfI' ,i111t)t'iti"rS AWARMI) it1' (:RAti'f` -41-

City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2021-2022 Grants
In an attempt to assist ali awarded agencies, the City has developed an Event Reporting Financial Work -sheet lattached) to ensure: consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with ;,our Event Reporting financial Worksltcet, please provide the information requested below:
t. Did the event/pro ;rant meet tlti original intended goal' YES

2. If funded in the future, what would the organization do differently?

NOTHING, DEPOSITS AND RENTAL ASSISTANCE IS WHERE THE FUNDS ARE NEEDED MOST.

3. What type of feedback did urganizntion received front the participants'

VERY GRATEFUL FOR THE MOVE -IN HELP & RENTAL ASSISTANCE IN THEIR TIME OF NEED
y. What other financialtin-kind contributions did the urganziation seek or receive to fund the event/program (separate from City funding)'

5. mist the total number of residents sen-ed.

At3ach copies of marketing/promotional materials for the event?progratn.

Notes/commentstadditional information:

PLEARF St'nNirr, ALONG W11'11 I;YFNT RE POItTIN'G riNANCIAL WORKSHKET�t) iw fire' CI RICK-s OFFICF NViTf[IN QNF NIONi'Ttl FOLLOWING 'I'IfEEVENTIPROGRAN!
-42-

PACIFIC WEST"N BANK 17284
Family Service Association of Redlands 2 18 E STATE STREET k 612 Lawton Street REDLANDS, CA 02373
RedlandsGA92374 00-36=222
909-793-2673 71

I PAY TO THE
GREEN VALLEY VILLAGE APTS 111645.00

OSOFROF
Six Hundred Forty -Five and 031100*****................. .............................

DOLLARS.

PROTE=T=Z) "ZANST RAUD
34967 YUCAIPA BLVD, L.P.
34955 YUCAIPA BLVD,
Nt0f YUC.-AiPA, CA 92399,
fj MEIA0
DEP JULY C. RUNYON Y-357
MSW
Family Service Association of Redlands 17284
GREEN VALLEY VILLAGE APTS 712812021
42518,YUCAIPA-CTYGovmmnt-expe DEP 645,00
Cash inchecking-gov"k DER JU'-YC.RUNYON Y-35'f
Family Service Association of Redlands

GREEN VALLEY VILLAGE APTS
42518-YUCAIPA-C!TYGovrnrnnt-exile DEP JULY G. RUNYON Y-357 Cash in checkina-cov'! DEP JULY C. RUNYON Y-357
17284
7/28/2021
\j 645,00
-43-

DATE:

AMOUNT:

FAMILY SERVICE ASSOCIATION

CLIENT ASSISTANCE

CHECK REQUEST VOUCHER
7-27-2021
S645.0-1
MAKE-tMt'k-SPA-'?ABeE'T(Y- ' OreenVal 'ie,�Villqge -T—
TYPE OF ASSISTANCE: Deposit Atuiust 202t
CLIENT NAME &' CASE #:

ADDRESS:

Number of Contacts:

NUMBER IN FAMILY:

NAME OF CASE MANAGER:

Runyon, Christine Y-357
Yucaipa, Ca. 92399
Paula Petty
BRIEF DESCRIPTION OF CASE: Disabled elderly woman came in to be screened for move in assistance due to her senior housing corning in unexpectedly so soon and she didn't have time to save for the move in costs. She had been renting a room and was forced to move due to DV issues and was paying almost as much as she will be paying for her one bedroom, one bath senior apartment. She then had to pay again to Move into the temporary room she had been staying in. She lives on very low income of SS LVnerits.

We worked on her budget that showed her need for assistance. She was given verii-5cation paperwork to get signed by landlord that she get got signed and returned right away. Cm is requesting S645.00 clients Deposit for August move in. But 'for this assistance She wouldn't be able to move into her senior permanent housing, becoming stable and avoiding, the risk of becoming homeless.

OK TO PAY (INITIALS):

OFFICE USE
FUND:
58,
CW,' I --7
Zff�
I

07/20l2021 17:371aeliftovier Terrace
17116120ti 11:25 KM 7D;1S09'975711 FROH:905JU1932
503-743-7324
Sj!rV;.n`e th't I..AMPYlUtltty
st�t� iG9©
Date: 7-1 6-LC2 l
Page: 4
(FX www.redlandsraniityzervice.org taxpayer ID 95-16556; 4 Aileviaie potierry, encourage .5e f=suf reiency, and pronzore the dignity ©,f erit We W4 nVitkin with the fai53iiv through our ro rarn to prevent home:essn ss, avert � ` $ 11 g
Corot 5nottgrrss
Cam n
€eviction or assist when homelessness has already occurred. T iris letter is to verify that the client listed below resides at or has arranged to rent property at the address listed t Trxr,P sltf ne
below in the County of San Bernardino.

Rid Shettro
?` Y�•A-cridrlu
Mien€N=c: Runyon, Christine
€crrilix AId
#
Yrec 7 nr
City State Zip; Yucaipa, Ca. 92399 1 I
t t p t x ntF� i$ettt°"a
Film
Fttrrtrt itts r
isir'r
7-t
The Rent is 'S `► .th' (ii`ITflotJ i. €, C11AH S, DEi'OSUS or Orl.rER FEES) and i5 flue on 77�, atturt
Seen Edison
fl C jj` of cacti motit t. I agree to ac�, 15645,00 fromFamily Service AsseciatiGn a Redlands* toward theirArty=f Rentldr gsit which'slums di e on 8-1-21 and any Ltuistina i?evs rn
additional subsidies secured by tcrlant 'rrirn
The above mentioned individual is 6'e hlnd D rrionth. For a total of _ G {�
',%Ttiarn P. li unncit,
FAINULY STE�RVICE APPROVES RENTAL ASSIS`I'ANCF, AT ONE IONTH atastotsc Burps
Yoiand.i Con=ax
. T`us is to provide brie inctith's rent to secure 30 days to i' occupancy. (Ntay be nthomh Crowley
only )art.i:l subsidy)
Jana Umber
ZtL': Initial rent ;or an a k; t , el -It or ` oosc- to szcmm 30 days of occt1 nnc r Y p y
Judy Godon
Koy;.t GnVURh o
Tenant is responsible for any portion or full mantic rental expertse not paid by Family 11cle-tt'''timid
Scngcc.

Al :Tt"=dsz
Olivia Krtudw
Land'.ord or Mcma-•r'
St amid.Irtiae2
C
(Please print infao�+rmat on &.tsign name under "signature") 1'1obin liriilE TAn
Mart�.i:tt:ri
(your
�i'� V(�r�1`�r �
I�A.'.�1: t l K U 1 t
S=SouoruMooto
Sue Mssrurt�
(
Joe Kthudson, Atiomey
SIGNAi'LTRE: e' 1
Shell Stodwn
Mich0te vast dtr halm-,Bafogr,A
FULL AL DKESS:AA—
lrctnria s�a�oa
u r
Dwtvr
Xyta Smart, M.Ed
P:?CNE:

Ctec� shou:d bu made playable tat
'Last morn:, Flat nm
PLEASE FAX OR RETURN THIS FORT I TO FSA. AS SOON AS POSSIBLE Tanta +..•art J...-o u..o:ta...a. »Swats tt•w art.4 m*tt'ty 1'„»I11l aw .i r' ssva ta.t » -011 .dtwt.t.. I. verifies the proposed residence of the family and amount Of rent+ Provided all qualifications are met, Lhe ussistantt rnuy bcprcavidcd, Picnso calf if you shoutd ftavc any questions or condoms. Payment requires a W-9 con iiic. * Funds arc drawn from a variety of cavernmont f roans and privato donations.

Case Manager: Verification Date: '7—--2—k

1.15.13 Ct7At
-45-

la
Family Service Assoc" tion o Redlands
t f!"t % i Strong n f t s t
tiY 1 test€tit Strut Redlands, C 1 923' E909i ,27 ,)-? i", Fax t9091 79?-7 32= i
iy k%WV !l (t:-.
tl{'i';�t'C ,ltlliz'7t�k`, L'lIf'(t111't!'i£ n,"2 ` l-011:01le e "lioa iil, 0"(111 Sen inn ttic Cumrnunity .� _ .. 1 .

Since i#i�t!€
Landlord's tater eint, CST 'intent to Rent
Land'ord, have agreed to rent to
/,-�i (Landltord's IV 4,
(Tenant's Name)
Who has accepted the apartment lo:ated at:

Sire G ress {
Ci.,/rJtate/dip
Size of Unit: i I_ Occupancy Limit:
€3edroomsJBaths duffs/ hildren
I require the following to be paid to secure tle uni
Securit,lt Deposit in the amount of: $
ill month rent in the amount o`: 1,7417, i
Landlord's full name
Mailing Address v
C� a 3
Cit. tate, Zia
1�
Landltsrd/trtanagerg `€ure Date ,
LaMlord phone Number Fax Number
EfsrtF tiiir;iitr
I ttcr-1'tY4a: fr t-`
Lot I i iai L1ii
#itut� C:r}2€rs:
c r}f t�tilt.i ttl4L'i:i
Ih,. f?, V Jb4'f'(=its
Wi =t. m Yi. 11milJrti, MI)
t ffai 'olit 3ilYt VNN
I'„kt.t Cf*i.
1 t4�:llit�:i cf`=ti:t 3.5�
�ts'k Si i ��7#llt'
ii+aibist liatq>t:;
5tit` latrt�ict
�4H' itii"ii:il tt�G }[.. .�ttt>2 iiil
'3hu!!l SltFtklon
C ittat'�ti?iCi 11 ;lilt's
1 tcmli6! W:i'mm
M,

C 1-0 w. "/ l�
of San Bernardirlo
Registrar of Voters
Address: 311955 YUCAIPA BLVD, YUCAIPA, CA, 923199
Apoofomsiate Location 34-03355. -117V44215
Districts Board of Supervisors
District 3
City of Yucaipa
City or Yucaipa
City Council
District 4
County of San Bernardino
County of San Bernardino
Sloard of Education
Area E
Son Bernardino Community Coilege District
San Bernardino Community College District
Area 6
San Bernardino Valley N'tunicipal krNfater District
Sari Bernardino Val'eykllunicilpal Water District
Division 5
State Assembly
District ,12
Slate of California
Board of Equalization
District 4
State Senator
District 23
United States Representative
District 8
Yucaipa Valley Water District
Yucaipa VaHey Water District
Division 2
Yucaipa-Calimosa Joint Unified School District
Yucaipa-Calimesa Joint Unified School District
Area 4
(Runyon, Chr-J"seine Y-357 )
-47-

ir ' PACIFIC WESTERN SANK 17235
-I
Family Service Asscc'iatlon of Redlands P2 16 E S7ATF STREET 612 Lawton Street REDLANDS, CA 92373
Redlands CA 92374
909-793-2673 W2812C21

PAY TO THE
TH APTS $ **545.00

ORDEAGREEN VALLEY VILLAGE
Six Hundred Forty -Five and .............. ...... ........ ........... .......

DOLLARS
;—RAUDS
9F 34967 YUCAIPA BLVD,, L.P.
34955 YUCAIPA BLVD.

YUCAIPA, CA 923S9, ---------------
MIEM0
RENT JUL C. RUNYON Y-357
Parnfly Service Association of Redlands 17285
GREEN VALLEY VILLAGE APTS 7/28/2021
42518 YUCAIPA-CITYGovrnmnt-expe RENT JUL RA'!-NYON Y-3577 64500 Cash in checking-gov't RENT, JUL C. RUNYON Y-3357 645M
Family Service Association of Redlands 17285
GREEN VALLEY VILLAGE APTS WHIM!
42518-YUCAIPA-CITY Govrnmnt-exCe RENT JUL C. RUINYOIN Y-357 0,45,00 IN;
Cash in checking-gov't RENT JUL C. RUNYON Y-357 J 645.00 g111111111511 Ilml
-48-

FWMILY SERVICE ASSOCIATION

CLIENT ASSISTANCE,

CHECK REQUEST VOUCHER
DATE:
4 V AMOUNT:

MAKE-464ECKS PAYABLE TO:

TYPE OF ASSISTANCE:

CLIENT NAME & CASE4:

ADDRESS:

Number of Contacts:

NUMBER IN FAMILY:

NAME OF CASE MANAGER:
t-27-2021
S645.00
reen Valley Wilaze
Rent Alul-ust 2021
Runyon, Christine Y-357
YLICaina. Ca. 92399
3 1
Paula Petty
BRIEF DESCRIPTION OF CASE: Disabled elderly woman came in to be screened for move in assistance due to her senior `Noosing corning in unexpectedly so soon and she didn't have time to save for the move in costs. She had been renting a room and was forced to move due to DV issues and was paying almost as much as she will be paying for her one bedroom, one bath senior apartment. She then had to pay again to move into the temporary room she had been staving in. She lives on very low income of SS benefits.

WC wol-ked on her budget that showed her need for assistance. She was given verification paperwork to get signed by landlord that she get got signed and returned right away, Cm is reauestim-, S645.00 clients I st month August rent. But for this assistance she wouldn't be able to move into her senior permanent housing, becoming stable and avoiding the risk of'becoming homeless.

C!
p,

OK TO PAY (INITIALS'
:

OFrICE
USE
FUND:

I
/- MCA
-49-

07/20/2021 17.358ellflower rerrdce
9:I1612-un 11.25 M T0:15057575711 EROM.-5093W.932
p±a9-793-7324
&avian sa* community
filnec IUsa
Pane: 3
(FAx)561-866:.-,601
09*17:08 07-16-2o21
. t0D2100Q
Family service Association of Redlands
Over 120 Years of Brt i:dingj strong Families
612 Lawson Strut • Redlands, CA 92374 • ow?) m-203 • Fla (909) 793-7324 www.rcdlandsfasttilyearvice.org taxpayer 3) 95-1655614 Ai1Eviafe pGVer'y, encourage self-sz`, I €engy, and promafe sire dignftj, of all We are working wit;`a r; a fatal duough our program to prevent hornelessness, avert Quul,t5n � °} ej I`2 � Cara 5nod�tsR
evic,,;on or assist when homelessness bas already occurred. This letter is tU verify that the client ,fisted below resides tit or has arranged to rent groptrty at the address listed � t r,�t3r�irtenr Pnd Shel To
below; n t:'1e County o San Bernardino,
�' Srrcr-}�zareicat
Client Name: � 1 Lori iitufdd
Address:
3` SiGtitwrtfrru
Ci ty, Mate, Zip: YucaiCa, Ca, 92399 ' ! i Ellett 4ve,luer 0 MCI$ I # UnIhs
the Rent is ,*�45M (Y,�I' TOUT LA*XUARCES, i3EPOSITS or t3THER r3.5} and 1 s due on Trvtv law
9�trs £d�t:n
t::e 't,'t of each month. I agree10 2CCODt horn Tams;y Service Association of Red:ands'' toward their tlurruarRentld-1-p sit which slwus due on g-t-21 and any ��arcv�
twt�.� 1���m
t €u
ndt-tonal subsidies secured by tenant. m
The above mrnt;oried lnd:vidual is behind &_tnantlt. For a fatal of S_ -- t P.8
*,Eu t:, , ss>,
>~ AMILY SERVICE APPROVES RENTAL ASSISTA€ ICE AT OKE N OINTH clmelutm Durgin
d*oef Cote

INTERVALS,
Talanda Owitre s
7bi5 is to provide one month', rent to secure 30 days of occupancy. i'M ay be nelmr:J1 crottity
only par t al subsidy}
I nc Drct,er
ud CaOilvA
l,ttitiai tarst !r6r art aparuisant ar knuua to a"ura 30 dayo of oDcupunuy �:ay�a ;;zatLn
Tenant is resgongible for any portion of full month rental expense not paid by Family Robarr Heiau
Service,
Al 1t�tlez
swift yzudital
or IyIanager
SumLandlord
RoW Mutincz
]pots? 4,rtr pin
(frleme pt�nt informatifln & sigh your name under "signctura-) Mats 14:illtr
(i t
It(tiur Nfuart
NAME:
5ueh1tinuto
e i !
Jac 1ti:3tar60n, Attorney
S1Gh'ATUR E Dc:e: I
Sher St n
Miehtl;o U= ecr Match-3nlogna

F'U'L'L ADDRESS,
VICtodaNvolson
girru tr Dimr r
PHONE:

Cheeps should be made payable to: � �C�K�
t%nst name. Ftrit nar€e?

PLEASE FAX OR RETURN THIS FORM TO FSA AS SOON AS POSSIBLE This tettor dons not Constitute a guaradtae of payment by Family Service As€ociaiion of Redlands. It verities the proposed reaidcr,-Ca of the family and amount of rent. Provided all puall lcatlons ara mat, IN tusivance may be provided, Please ca?t if you should have any questmns or concerns. Payment requires a —9 on Wa. * Funds and drawn from a variety at governmcnt grants and private donations. � Cast M anugert &U& Verification slue:.-`-

1.1S111 CfVt1
-50-

Family Service Association of Redlaids
Silrtmg Fc.,inilies
j-e) Yea; -Y oFRdiding
3 Fa\ 009) 79-7324
(it 2 Lamm Street Redlland,�, CA 9237 1 793-267-1
5561 1 W\ paver 1D 95,161 —
L
servinr the Community �ievfttfe pove/-1y, e I,, cot I t, a j I tj .,))-oinoie the dignify o cu'll shwv WIN]
La nd IoA—d' s StatL e m e n t o 14 1 n te rit "M R en.t LL 410 Landlord, have agreed to rent LO
Landlord's Na
(Tenant's Name)
r 405 P P P
Stre ddrec.s Unit 4
L
JX -C*ik/State/Zip
Size of Unit: Occupancy Limit:

Bedrooms/Baths Aultsi hildren
I require the following to be paid to secu-e t e Unit,
Security Deposit in the amount of: V
ill month rent in the amount of:
:Q VW—n
Landlord's full name
Mailing Address
)ac
Elicit \Vrssm I.

I I ut
Rod ShO00
3, 1 'Irr P'r,gival
ju,41% GoA, 1)
Si;111 li<h,un
.Sc(A 4,111
(1411,1111ZI Rj%vta
Vawdoll)avitw�
%V1111,1111 1'. ISMIM11, MID
C 11.11'(we 'kvgv,
I-111c% co!"
Yo,awla 0111..vl:t,
1)C1;.-.-t,d1 ctlmlo
I inc Dich—
Dchh1c EvulN
Ka%fa Gralli".r)
Rol)(11 llcinff
V Hollandu
()'Mia Kitt kvo
Sll5;jt1 Maltinc.,
Robin X1,1upill
Man Nhl!cr
l'othe Mflow
11m.1%
.Wortivl
-51-

County of San Bernardino
Registrar of !Voters
Address, 34955 YU-CAIPA BLVD, YUCAIPA. CA, 92399
Approxirrale LoicaliOn a4 03355,-117-L--1215
Districts Board of Supet-visors
District 3
City of Yumpa
city or Yucaipa
City Council
District 4
County of San Bernardino
County of San Bernardino
Board of Education
Area c-
San Bernardino Community College District
San Bernardino Community College District
Area 6
San Bernardino Valley municipal Waler District
San Bernardino Valley Municipal Water District
Division 5
Stale Assembly
District 42
State of California
Board of Equalization
District 4
State Senator
District 23
United States Representative
District a
Yucaipa Valley Water District
Yucaipa Valley Water District
Division 2
Yucaipa•Calimesa Joint Unified School District
Yucaipa•Ca=;mesa Joint Unified School District
Area 4
Runvon, Christine Y-357
-52-

Family Service Association of Redlands _ 218 iE STATE STREET fife taiwton Street REDLANDS, CAS2373 z
Redlands CA 92374 14"82a°1222
9119-793-2673 3i 19=2^,21
PAY TO THF- � r $ !
ORDER of THE BUNGALOWS APARTMENTS ---. : 1,B75.00
c
� fkl;!}!;}!}!h R'Il�t;.R}}t}}. M+ .......R4fi}k YRffi'fktfttti kiRt l+tR<#^ r One Thousand Eight Hundred Seventy -Five and 001100°} _ DOLLARS i jDP CH INVESTMENT L.P.
dha THE B1.JNGALOWS APARTMENTS
2222 N'ARTIN Y100
IRVINE. CA 92612MEMO
RENT AUG K. JOHNSON Y-359
_., Family Service ASsoclatiOn of Redlands 17299
T HE BUNGALOWS APARTMENTS 8f 1902021
42518 - YUCAIPA-CITY Govmrnnt -expe RENT AUG K. JOHNSON Y-359 1,875.00 Cash in checking-gov't RENT AUG K, JOHNSON Y-359
Family Service Association of Redlands

THE BUNGALOWS APARTMENTS
42518 YUCAIPA-CITY Govrmmnt -expe RENTI A1, G K. JOHNSON Y-359 Cash in checking-gov't RENT AUG K_ JOHNSON Y-359
L
8119f2021
1,875.00
17299
1,875.00
1,875.00
11 R_
iliElillttll I lEl tlt
-53-

FAMILY SERVICE ASSOCIATION

CLIENT ASSISTANCE

CHECK REQUEST VOUCHER
DATE:

AMOUNT:

MAKE,QHECK'S PAYABLE
TYPE OF ASSISTANCE:

CLIENT NAN11113 "S, CASE:'i:

ADDRESS
8- 13-2 '1
S1975,00
wT4v* Bungalows -Apartments
Rental August 2021
Johnson, Kristy Y-359
Yucaipa, Ca.92399
# OP CONTACTS: 4
NUMBER IN FAMILY:

NAM- OF CASE MANAGER: Paula
BR:EF DEEISCRIP-ION OF CASE: Elderly woman has, Financial CdaLs &C to her hours at work at her second job stopping. Her disabled adult son is unemployed and h-e—c-51116-cTs- SSencjt.s�.-,5-1M- J-I!Z SOTIS aff-d­1111S j Ust 11pp —xd-Tdr-C-a1:xk7oTks- andLGal4resh benefits that are pending. She was given rental verification papers to get signed and return ASAP to complete screen. This interruption in her income tot tier behind on her rent and she hasn't been able to catch up on tier own. She was assisted with 6 bags food, 4 hv-icne kits and resource referra'.s. Cm is requesting SI975.001 her August past due rent to :tic?o her save her)ousin- to become stable vzmn.

OK TO PAY ( ' INITIALS)

OFF -ICE USE
FUND:

Kito
-54-

sorting the Community
Since. 18 911
Date: 5-5-2021
Family Service Association o Redlands
Over 120 Years QrBuildhi'a, Strong Families
612 Lawton Street' Redlands, CA 9237' ' 9s9) 793 ?b,3 - Fax t,9 t9) 793- .12.t u'ww.recttantts,amilyservice.ora tax paver ID 95-1655614 tli £'1'ttiiE' �) 11L'3'fi'{ L'JtG'C7lftLtiyL'self su Ylciencv, fltIClE proi1 ote "he �f�?2fl'ti' or aN We are working wittl the family through our jpri)griitli to prevent 1i}tllelessness, avert i viction car assist when homelessness has already occurrec . This '.ester is to verity that the client lister below resides at or iris arranged to rent property a" Ole addresa listed t...,tn..- .. incuntl y of wC aii✓.-it lrifl no. .-
t"-':ient Nanie: Johnson Kristy
t 1rdress:

City, Slate. rip: Yucaina, Ca. 92399 2 l x
0 Rals t N [laths
` he Rent is S I875.00 i' tVI'1'110Ui' L.%TE' IAIt(;FS, tll i*.)St,rs t1r OI'IIFIZ FF.E:S) and is due can the of each Month I a-21 to aer A S1975.00 froth Family Set -vice Msociation, oi2ec lanes* toward their Ait_gyst Renildeposit which isAvas due on 8-1-21 and any ICdttional subsidies secured liv tenant from _
"i l: a)ove mentioned individu(11 i; behind 1 p1h. Pot a total o1`S 1875.04 � FAMILYSERVICE APPROVES RENTAL ASSISTANCE. ATONE MONTH
INTERVAIhS.

XX This is to provide one mon,,Ws rent to secure 10 days of occupancy, (Vi lay Ile only partial subsidy)
Initial rent for tin apartment or house to secur[ 30 days otticcupiincy I't ria€it is responsible for any portion of full month rental expense not pant by Family Service.

Landlord or Mainauer
LL`it:u`+i. print inifbituation C\. sizil y0111 ilaine titidel `4t tii=_Rtltt:'f SIGNATURE: Late: ? S 21021
Fu'" I1 ADDRESS:

PHONE:

ClIecks should be mode payable to:
#Last nam&first namel
PLEA E FA � OR RETURN THIS FORM TO FSA AS SCION AS POSSIBLE This letter dots not constitute a guarantee of payment by Family Service Asiocialion cif Redlands. It verifies flie proposed residence of the: family and amount of rent. Provided all qualifications are met, the assistance tnay the provided. Pleat call if you should haveany questiuns or concerns. Payment requires 3 W-9 on tile. Funds are drawn from a variety ref gmernment jants and private donaiion..i.

Case Manager. Paula Verification Date:

Art it}t'ttf
t..-ahol isood"Tev,
} tit -41a aOvfv
Itt;tl 5lic•iliei
t.11etl
S;m, t:c16ull
Christilla ltivvra
11ijap i r1j-Mirt -fill t
Wilhiml Ii, I4unncH, 1II}
Linaarttint: Ii o rgvs s
Jancr Colt:

Yolanda cony -cm,"
t)ellm.111 Cltitiley
Jane Dieller
j11r!V t:ii{jolt
IiaNIi (;iaAllo
ltolxnI I [eater
Al I Icmandez
Olivia Ilniuken
Si:wan Nt:artillcz
Robin M-111pin
Malt Mtii'c•r
Hollie \loow
sae Monism
,Foe ltictlartls{m Att{imei
Shel i Slocklol)
'Nuche:Ile ran tier paten-11 aoglut
Vietotia Watson
El t i/i`-ft v Mirci r
tit-na Sletlan. M.&I
-55-

THREE DAY MOT ICE TO PAY RENT QUIT
TO: 21i'v
dants fltanarlts and subli
of - ---s located at
In ; ass ils s !on (ruff name) and 6 Y o th om In poas a s s Ili n I �
Unit (if epplicable.
,CA
MP)
M it I
'A"T IIJ I IN Tit ­IR-M DAYS a ter pie semice on you o 'I this Not ce, you are hereby requ'red, to m a ke p a, me nt PAYAB= TL- O Pqj
!Owner/Agent's the rent for the premises
amounting to the total slim of
dollars (S 1 calcu'.ated as follows:
for the rental pefod i7e 'through from Ill
S for `.he rental period from through
for the rental period from through
OR QUIT AND DELIVER THE POSSESSION OF THE PRE,A:SES.

If you fal,"m perform or otherwise comply, OwnedAgent declares the forfeiture of your Rental! ease Agreement and will Institule legal proceedings to obtain possession. Such proceedings could result in a Judgment against you, which may include attorneys' fees and court costs as al,owed by law, and an additional punitive a\A,,ard of six hundred dollars ($50M in accordance with I al
,owed
law. If you fail to fulfill the terms of your credit obligations, a negative credit report may be subm`t`.ed to a credit reporting agency. This Three-day Notice to Pay Rent or Quit supersedes all previous Three-day Notices to Pay Rent or Quit, if any. :V .1
Payment must be delivered' W:
at 3 Soo
qe_'A�IrS AI)i
6 T"
should be defivemd)
Telephone number for above address: 1� Lit
Payments male in perso be de:'Nered between the hours Ate, and 6-*00 P-M on tare folloWng days of ,p� may
the week: AM'onday El Tuesday GlC ednesday0ibursday RFrFday 0 Saturday 15 Sunday E''Other N*�: 0, Ar"M �22jr tj r 1Gn e-e.

Acceptable methods of payment OPersonal Check QX'Gshlees Check M<o'ney Order OCredit 13EFT (Pursuant to previously established Electronic Funds Transfer procedure) and Mash %
1W
CaMfomia Aparulnent Assacegon Approved Fonn
r-ITIMM—M—orizea Keprocluctio
w1wvi.ceaneLoin,
(•'tsll Form 4.0-SV— Revised 12114 - Q20414 —All Rtgh?s Reserved of Blank Forms is Illegal.

Page I of 2
-56-

Coo. -ffy of Sari Bemardino
Registrar of Voters
Address: 33BOO CHAPMAN415IGHTS RD, YUCAIPA. CA, 92399
ADpmxknate Los-mian 3-*,03805,-117.Oe703
Districts Soard of Supervisors
Dssstrict 3
City of Yucaipa
City of Yucaipa
City Council
Dtqtrict 4
County of San Bernardino
County of San Bernardino
Board of Education
Area E
San Bernardino Community College District
San Bemardino Community College District
Area 6
San Bernardino Valley Municipal Water District
San Bernardino Valley Muni6pal Water District
Division 5
State Assembly
District 42
State of California
Board of Equalization
I)isLr-,c I, e
State Senator
District 23
United States Representative
Districl 8
Yucaipa Valley 'Nater District
Yucaipa Valley Via' 'er District
Division 1
Yucaipa-Ca'irnesa Joint Unified School District
Yucaipa -Ca` nlesa joint, Unified School District
Area 2
(Johnson, Krlis�,/ Y-359 )
-57-

Famn PACAFIC PREMIER BANK 300 172ily Service Associatioof Redlands 201 ESTATE STREET 6l2_t orb or Sleet REDLANDS, CA 92373
Redipds CA 0374 PO-057M222
pb7s4:2q3
Pl* Account

PAY TO THE
THE VILLAS A 55+ COMMUNITY YUCAIPA $ **750.00

ORDER OF
...

Seven Hundred Fife,# and 0C110G*****'*­* ......... ................... DOLLARS Ti A V! L'_AS 5 5 + 0 ".1 M Tj N: TY YU CA I PA
EAGLE YUCt"IPA 55 LP
500-QUAIL S T STE 120
NEA'POR7 BEACH, CA 92660
(AEM0
DEP NOV C. TINOCO Y-365
Family Service Association of Redlands I Pink Account '731 1 72 THE VILLAS A 55+ COMMUNITY YUCAIPA 1012512021 -
4251.8 YUCAIPA-C1'TYGovrnrnn'-expo DEPNOV C TINOCO Y-365 42200 42611.1 - YUCAIPA-CITY Go%,,rnmnt -exile DEP NOV C TINOCO Y-365 IJ 328 00 3-PAC Premier CASH DEP NOV C. TINOCO Y-365
Family Service Association of Redlands I Pink Account
THE VILLAS A 55+ CO'MrAUNITY YUCAIPA
42518-YUCAIPA-CITYGovrnmnt-exile CEP NOV C.TINOCO Y-365 42618 - YUCAIPA-CITY GoviTirrint -exile DEP NOV C TINOCO Y-365 3-PAC Premier CASH DEP NOV C TINOCO Y-365
10125/2021
TSO.D0
300172
422.00
328.00
750.00
092MVI 1 19
-58-

FAIMILY SERVICE ASSOCIATION

CLIENT ASSISTANCE

CHECK, REQUEST VOUCHER
DATE:

AMOUNT:

MAKE CHECKS PAYABLE TO:

I YPE OF ASSISTANCE:

CLI1-:N-I*NA-,-Tr,t'
ADDRESS:
10;2112021
S750.00
The Villas 55- Comrnunitv
Deposit-2021
Cirilo Tinoed'Y.'-165-
Yucaina. CA, 92399
OF CONTACTS:

N UM B E R IN FAMILY: 2
NANIE OF CASE MANAGER: 1 Abi Pote
BRIEF DESCRIPTION OF CASE: An elderly couple have finaily-fibund housing after months of living with their daughter due to sudden displace ent.-J-heyareal)'ettopay th;S—ffirii —m(Tn­i','scZt—an-d will continue to be able to pay rent after this point, but rFLe- iia notice riiipprovai unexpectedly did not give enough time to also save the rnonev for deposit, With the assistance of our agency this couple wi!I be able to regain self -'sufficiency in their own space. We are rcquesting a check o1'S750,00 to fund the deposit to get this couple moved into their new home.

OK TO PAY (rNITIALS)
1 OFFICE USE A
FL,7ND:

N2.
f
-59-
91,111

Svrsisg the Community
Sinre M113
!
Date:—: ✓`_ -47
Family Service Association of Redlands
Over 120 Years oj^Buildinla, Sir'oItg Families
_,12 i_awton Street ' Redlands, CA 92374 ' �i?t)i, f �-'3" t u•Ww.redtandsfarnilyser4 ice.org tax payer lD 95.16556141 Aiievicite poveri v, L'IIminige sel;'-sufficiency, andt?1'(3mtote thze di-mi:)' & Ciht We are woikin,- with the family throngli our program to prevent homelessness, avelt eviction, or assist w':ten homelessness has already nceuired, 7Itis letter is to verify that the client listct; below resides at or has arranged to rent 1noperty at the address listed beta v in (lie County of San Bernardino. .. +
Client Nato 1
Address:

City, State, Zip: or��Li�
ru r sr� Raths
'ic nlontlll rent is S ��l%� iXVITHOUT LATE CHARGES, DEPOSITS or OTHER [ EES) and is clue on t;, y�''of each month.
�1
I a 'Ve w accent S i:iii.t i from Family Seivicc Association ti Re hands* toward the abtiv nwntioned individuals rent/deposit which islwas due on and any additional St#Iaiidie5 secured by tenant from i`SA.
v
timed individual fS bchind nionths. For a total of S.
1 ANUL1 SERVICE APPROVES RG'tiTAL ASSISTANCL A71 ONE MONTH _ This is to provide one month's rent, to secure 30 days of occupancy. (May be only partial subsidy'
kX Initial rent'deposit for an apaitnient ot- house to secure 30 days of -occupancy Tenant is responsible for tiny por-tion of fall ntotith rental expense not paid by rarnily+ Service,
Landlord or Manager
,'Please print information & sig/n your naj�n3e under 'signature") S GNA" RE:

F ULL A DD'2
Da'e:

PHONE: 0 ' --
C`iechs should be made payable ta; T}=
(Last iiane, First name)
PLEASE FAX OR RETUR.-S TIIIS ]FORNI TO 17SA AS SOON AS POSSIBLE T its letter does not constitute a guarantee of payment by Family Service association of p,cd ands. It verifies the proposed residence of the family and amount of rent. Provided a!l qualifications are niet, tite assistance may °oe provided. Please call if you should have any questions or concerns. Paynicnt requires a W-9 on file. * Funds are drawn from a variety of novernment Grants and private donations.

C;ise Manager: AN Dote Verification hate:
-60-
1 vt 'irictir
Lon 11ai:ield
,`N 1 ii�'-15x•anai•rtt
\fait Shi.cr
3 1 im lit°.salt lit
Itrl11 (�rst lc�it
rtlt5tirt'r'
S:titt I:S il.}sJn
NerrvIan
cliti,tiita ltit c'ia
llci,titl oflhlvrwji
Valiliti tlean
.inn ll.n.ati
( wtrait.Iln€yoc
Yolantl:t Ctsitirt'rsti
1)(4mili t'rttttict
Gcor4e I)ctange
Dctthic Errors
Gin Fikpn
Roller llviiwe
tl t trrt�mdt'�
�tlttne Ledmix
ifti4;m `Iittiintz
Robin Maultia
karah Shaw
jttc Itit•titril�titt..1#tt>ntc}
Carol sllmt p use
stirlli Sum L(on
L'hiisiop'ler talker
t'ittnri:i Watson
i-iefwt tr' 11frr't'ti r
httaslettmi, M.Ed

sening The cammuft:ly
since IBoa
Family Service Association of Redlands
Celebrating 118 ears of Building Strong Families
613 t.uwlon Strect • Redlands, CA 97374 • (909) 793.2673 • Mix I(M- ) 793.7324 ws��v,redicns!s umily5ctuirn.crr# tux payer ID 95-1655614 Gila evince noltert�t, encofit-age ,rely=str�ioieticy►, anti promote the dignity of ali t'rerideat
Statement of lnter,t to Rent
DonnFulfacone
I" Victf- rrairtcttt
Carol Snod-,ress
2" Vh-r-Pres"d nt
Glofltt Moreland
_8;1d1t?rG', hdlig a�raed t4 rant tC3
r�
,# t%irr t'rertttcltt
(l.3tri 'trrd`s N rig
EY6nv{$tssa►
j
'� ���1 �,�
.J1n
(Tenant's Name)
Trett}ttrt•f
Diann f9emy. CPA
Who has acre ted the artment located at:
seervan
f.udana Pesakanl0
ti .StreetAddr 5 ,� Unit#
Vuttrtlttft)ircGlnrc
l r t
'Thomas Z Aram, CPA
ity/State/Zi
Kalhlaen 8..Vbfektson, Allomey
jetty Bean
�
Whail4 aolo�pa
S1 iUm P. 8ur�► 1, MD
Sire of Eln t: Occupancy Limit: --+�
c satlolle G, Gurgasa
SedroomsJ aids Adult iChildren
janoYelayColonlEetas
June orehsr
I require the fool wl ig to l E g?id to secure the unit: r Lad Hallield
Securlty Depo. lt,in the amount of- $
acksa
Kelly n
Ke J eonksa
fd
I�r month rent sn the amount of: $
SusanMarMa:

Masuo, In
{ t 1
S._) � ��
Moore
,� �i'!T';'1 �,�`� Li L�
in
JEre Richardson, Atlttrney
Landlord's Full flame
Barbara Mordan
Sabina RobeAson-Phil5ps
'
Rod eVo
y spuritat
ttuthl $painaS4E
Malling Address
Shells Mocklon
i �j f
Terry' l es. DOS
Joyce Warier
t!`Ij
cit�, State, zip
Tf�ittir$ f?irertt,r
Kyra Stewart, M.Ed
w
! andbrdJ naaer ignature Date
r)
iand'ord PhotiP. Number Fax Number
-61-

Counly of San i3emardino
Registrar of Voters
Address: 34232 COUNTY LINE RD, YUCAPA, CA, 92399
Ap.aicximaru Location 34,00526. -11 17.05773
Districts Board of Supervisors
District 3
City of Yucaipa
City of Yucaipa
City Council
District 2
County of San Bernardino
County of San Bernardino
Board of Education
Area 1:

San Bernardino Community Col'fege District
San Bernardino Community College District
Area 6
San Bernardino Va"!.ey Municipal Water District
San Bernardino Vai'-3,1 Municipal Water District
Div:s'on 5
St -We Assembly
District 42
State of CalJornia
Board af 'Evualization
District 4
Stare Senator
District 23
United States Representative
District 8
Yucaipa Valley 10.1aler District
Yucaipa Vatley Water District
Division 5
Yucaipa-Cafirnesa Joint Unified School District
Yucaipa-Catitnesa joint Unified School District
Area I
(Tinoco, Cir-ilo Y-365 )
-62-

Attachment C
City of Yucaipa Community Activity Grant
Event Reporting Fin ancial'Yarksheet t;eciEVed
Fiscal Year 2021-2022 Grants City of Yucaipa
*LYCLUDEBACk-GPDOCL,tfE.N'TATIO_V WITH REPORT LN-CLLDIAG: 2 COPIES OF CHECKS, COPIES OF M1WOICES/0L OTES
Name of Oruanization: I���s� tf'�'' "S ^F1 i �S ( c it f V{CcS% Contact Name: City Clerks Depa "tniei'lt
Phone Number:
� j
Email: � Ylt1 2mcmt-1---,Crfrt�tttti { i COne—,
Description of EventlProject Funded:(16 y'
Total Cost to Operate Event Project: S i 440
Amount Granted by City: SSection I (Monetary) S Section 2 (In Kind} Justify City Grant _ ffre't :;.s Amount: (if applicable) SECTION 1
Description
Item # Date (.Please be specific '. L ... zi,d
:i c rrenz 11 In
noun!) Amount
/t
7 S

3. S

4. S

5. S
Justify Cite- Grant Ti.nd Amount: (if applicable)
SECTION 2
Description
Item # Date - {Please be specific. List vendor and purpoke for caph disbur e3n_iEt t l-ated ONLY to the <eT,ram Ian nrr) Amount
I . S
' _ S

3. S

4. S

5. S
Total Disbursements (Justift ing Citr Granf.lfonetaq and/ter M-Find) Amount): S Monetary Grant Funds Remaining: S
Notes'co mmentslad dition al
information:
�t� 4CIC ir1ai rr�nt—)RICen �M('©m jirat (Alory'
e�Cz
PLEASE MAKE SLIZE TO PROVIDE BACK-UP RECEIPTS I PROOF OF PAYNIE � TO JUSTIFY AMOUNTS AWARDED BY GRANT Paee I SubliuI
-63-

City of Yucaipa Cornu-nunit:y Activity Grant
Even t/Proggram Sun, mary
Fiscal Year 2021-2022 Grants
n amcnnpt to, a-sh: A awaked agenck, W Cky Am datkat an Mm R moure consimenE and amuse upwAg of dw omMed agencks CCivy twnc-;.n4 xncf,or in---ii,,6 services. Alon-L! wit!-.

Event Reporting Financial WAshem please Provide the ia-`ormation requemea below:
4 Did the eventprograril nwet the oriona! intender 'RW? 2, if Uq6ed in mie .'U'Ure, what would tae or' irizxion r'o Ci::crent;y? C-,
j, what type of Musack Wd opmAnAn reteived frorn tac participanrs? D-C) ec"
'VU U C e Q
zcf
What other finandsPlOw- Organzjx-:Toh sLelci?r r�,:21-,:e the et en �lp roggy a as : s,2 -� i- -, -- c_`-, - ") 3 : i C fty 111:1 C: hTic')? r,-.Y--) n 11 (0,r)-k-A-ric G'tom c�
i

5. ust the total n-urnber of residents serve(!.

W - 0 n 75 CILUM Lei.`JAC,
d, C
A -;I CopieF Oronnotiona; rzat��riia!s --or
ac
YOUskarnmemAdOM e- r
<
C
PLEASE ST-B."�TITT, A-LIONG IMH FVENT R-EPOPTING FINA-NC!AL WORKSHEET. TO T9EC-11YIELEIRIK'S OFFWE WITHIN ONE AWTH FOLLO" QG THE EVENUPROGRAN!
MIA

. �V� r aTube�'

BUILDING SYSTEM
Remit To: VersaTube Building Systems, Inc.
50 Eastley Street
Collierville TN 38017
Bill To: Garden Works For Kids
Domma Soloman
10966 Bryant St
Yucaipa, CA 92399
Ph: 909-838-9430
Email: donna2momma(cDgmaiLcom
Order Date: 1/712022
Invoice Number.
invoice Date: 1170022
Ship To: Same
iPZ1irA
Ship Via: Best Way PO Number:

Est, Ship Date: 8 business days from cleared payment PO Date:

Terms: Cash in advance Order No.:

Ship Wt.: 5779 LBS Sales Person: Mike Bond
Item / Description Quantity Jnit Price USS Total Price USS Classic Style Cover Roof With One Side Sheeted 12 Gables 1 $21,990,00 S 21,990.00 32' W x 56' x 147 Frame
2"X4" tube frame with horizontal roof, one side sheeted and t gables. 29 gauge sheet metal package with trim and all hardware Concrete anchors
Transportation included with off-loading
Cash in advance and sales tax is not included in quoted price..

Sheet metal delivers in 2-4 weeks. Frame ships in 6-8 business days Sheet Metal Colors_
Roof: TBD
Walls: TBD
Trim: TBD
invoice Sub Total: S 21.990.00
Local Sales TAX: 0.00% $ -
TOTAL: $ 21.990.00
-65-

Attachment D
Received
City of Yucaipa Community Activity Grant City of Yucaipa Event Reporting Financial Worksheet APR 2 7 ZO22
Fiscal Year 2021-2022 Grants
xtV'CLL'UE I3CK-L`PD©L'L`:11E.A7.ATID>!' tV7TfI REPORT Is'ClrLr��.�I�t ,ICE'S/ COPIES OF CHECKS, COPIES OF I1'i OICT_S,"01 - TE
City Clerk's Department
Name of Organization: Smiles for Seniors Foundation
Contact Name: Catherine Sel ianni
Phone Number: 909-790-6671
Email: smiles4seniors(a-1yahoo.com
Description of E entlProject f:uitdc£i: Low Income Senior Assistance Total Cost to Operate Event/Project: S--1 50,000
Amount Granted by City: S 3,587 v Section 1 (NIonetary) S Section 2 (In Kind) Justify City Grant sflunefa):rAtnount: (if applicable)
SECTION 1
Description
Item it Date
(Please be specific. List %rndor and purpose for each disburseinent rtaated OMA to the „rant amount)
Amount

1. Senior Assistance utility Payments
S l978.42
1 Senior Assistance Food/ Gift Cards
s 500.00

3. Senior Assistance Housingl Rental
S 800.00
Senior Assistance Medication/ Medical EquipmeIlt
s 208.58
4 Senior Assistance Home Repair/ Grab Bars
S 100.00
Justify City Grant In -Kurd Amount: (if applicable)
SECTION 2
Description
Iten£ # (late
(Please be specific. List r•endor and purpose for each disburscinem related ONLY to the grant amount)
Amount
i.

S
7 S
S

3. 4.

S
J.

Total Disbursements (Justif}'irrt; Cit)' Grant 31oneftir-r awyorin-Kind) Amount): S 3,587 Monetary Grant Funds Remaining: S 0
notes/comments/additional
information: Thank you for your support for our low income Seniors

PLEASEMAKE SERE TO PROVIDE BACK-UP RECEIPTS / PROOF OI PAYNIENT TO JUSTIFY ANIOUNTS AWARDED BY GR ANT

-66-

CITYOF City of Yucaipa Community Activity Grant
/�/�� J Event/Program Summary
l///C��_� Fiscal Year 2021-2022 Grants
:7 z
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use ot' City funding aandlor in -kind services. Along with you Event Reportim,- Financial Worksheet, please provide the information requested below:
i. Did the eyentiprogram meet the original intended goal? Yes
If funded in the future, what mould the organization do differently-? Try to lei cra pe ftmding and to collaborate with agencies to assist more loaf income seniors

3. What type of feedback did organization received from the participants? Our seniors are very happy to have food on the table and to have the comfort and safety of a warm hone( Thanks to the support of The City of Yucaipa

4. What uther tinancialAn-kind contributions did the organziation seek or receive to tend the event/program (separate from Cite funding)?
Please set; our website for complete list of sponsors
List the total number of residents served.
25 Attach copies of marketing1promotional materials for the eventlprogram. \oteslcotninentsiadditional information:

PLEASE SUBMIT. ALOtit; NVITH EVENT REPORrtNG i i\A\CIAI, \F'ORKSIIFF;i' TO'I'HE CITY CLERK'S OFi iCE, WITHIN ONE MONTH FOLLO\YI\G THE EYENTiPROGRAM

-67-

Kim Everts
From: Cathy@smiles4seniors
Sent: Thursday, May 5, 2022 2:43 PM
To: Kim Everts
Subject: Re: FY 2021/22 Community Activity Grant Award
Attachments: Check Register Verifying Senior Assistance from 08 11 2021 to 05 04 2022.pdf Hi Kim,
Attached you will find the check register verifying the senior assistance. I have highlighted amounts used for Yucaipa Seniors and have redacted the names of our clients.

Catherine Serianni, Director
Smiles for Seniors Foundation
909-790-6671
P.O. Box 1113
Yucaipa Ca. 92399
https://Iinkprotect.cudasvc.com/url?a=https%o3a%2f%2fwww.smiles4seniors.org&c=E,1,52b- 9F4Q9keYIRYrRi3_QBOgPfgvOc97e8W3tHm5uKXfIEOltFiKFOnl3RsAcDLOt9Lc8ufFF3NVEdfVyMKNSdZUSbtnodF_214Mvp ApcXso6clw„&typo=l
[email protected]
Helping the Lives of Seniors Through Acts of Kindness
Confidentiality Disclaimer
This email is confidential and intended solely for the use of the individual(s) to whom it is addressed. The information contained in this message may be privileged and confidential and protected from disclosure.

If you are not the author's intended recipient, be advised that you have received this email in error and that any use, dissemination, forwarding, printing, or copying of this email is strictly prohibited. If you have received this email in error please delete all copies, both electronic and printed, and contact the author immediately.

M:

On Thursday, May 5, 2022, 11:37:57 AM PDT, Kim Everts wrote:

Hi Cathy:

I am in receipt of the FY 2021/22 Accountability Report, thank you. As a financial grant award recipient, your report should include information that would substantiate how exactly the $3,587 award was spent. Would you please email me copies of the receipts associated with the expenditure(s)? I will need to include receipts with your wrap-up report in the Staff Report to Council.

If you have any questions, please don't hesitate to contact me. I'm happy to assist any way possible.

Kim Everts
Deputy Rent Administrator / Records Tech CIVIC City of Yucaipa City Hall • 34272 Yucaipa Blvd • Yucaipa, CA 92399Office: 909-797-2489 Ext.
https://Iinkprotect.cudasvc.com/url?a=https%3a%2f%2f221www.yucaipa.org&c=E,1,LMojRBWWbgYJOPMlIQ91ZBs8dC ZUGPbGJfuFdLwVTTKCbOwFPx2it7-JgC61Z175ROV-ZSADpjp2X7ZbbZ49rnDQzf9kj9tSrPKvfpWwSoGxTfUSoQ„&typo=1 From: Kim Everts
Sent: Monday, April 25, 2022 8:27 AM
To: Cathy@smiles4seniors
Subject: FW: FY 2021/22 Community Activity Grant Award
Good morning, Cathy:

Just a reminder to get your Accountability Report in for the grant awarded FY 2021/22 in the amount of $3,587 for the Low -Income Senior Assistance Program. This report will need to be received prior to the consideration of any application submitted. Thanks.

M

From: Kim Everts
Sent: Thursday, May 27, 20214:59 PM
To: [email protected]
Subject: FY 2021/22 Community Activity Grant Award
Good afternoon:

Congratulations! The Yucaipa City Council has awarded your financial grant request valued at $3,587 in support of assistance to low-income seniors in the community. Awards will be dispatched immediately following the approval of the FY 2021/22 Budget at the June 14, 2021, City Council Meeting.

Upon completion of your Community Activity Grant event/program, and pursuant to the Council approved guidelines (attached), grant recipients must submit to the City Council, a detailed follow-up Event Reporting Financial Worksheet (attached) within one month following the event or program.

Please be sure to include copies of marketing/promotional materials, copies of invoices/payments (as applicable for financial awards), total number of residents served, and a written statement from the organization providing a summary of the event/program to include:
* Outcome measurement— Did event/program meet the original intended goal? * If funded in the future —What would the organization do differently? * What type of feedback did organization receive from the participants? • What other financial/in-kind contributions did the organization seek or receive to fund event/program (separate from City funding)?
If you have any questions, please don't hesitate to contact myself at 909/797-2489 ext. 221. -70-

Regards,
Kimberly Everts
Deputy Rent Administrator/Records Technician
Yucaipa City Hall • 34272 Yucaipa Blvd • Yucaipa, CA 92399 Office: (909)797-2489 ext. 221 https://Iinkprotect.cudasvc.com/url?a=https%3a` /`2f%2fxn--www- rpOa.yucaipa.org&c=E,1,_S7UbseVaQTKIHM1MdEY0eXrtiw8hIcZi7ahyREzW EFitFoZor2PajiklcB- 7Z13gYLt5pF11ELxX9XzHLejDsQHROr5WfTs0sO7VBycUeN7&typo=1 -71-

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Attachment E
Received
City of Yucaipa Community Activity Grant City of Yucaipa Event Reporting Financial Worksheet MAY 0:3022
Fiscal Year 2021-2022 Grants
*I,VCLUDE BACK-UP DOCUMIERFTATION HTTII REPORT L'1'CLUDnQ3 tneral Services/ COPIES OFCHECKS, COPIES OFINVOICES/QUOTES city Clef-k'S Departnleiit Name of Organization: Valley Elementary, A Leader in Me Lighthouse School Contact Name: Kathy Miller
Phone Number: 909-797- l 125
Email: Principal Kathlene [email protected]
Description of Event/Project Funded: Leadership Day/Memorial Garden Ceremony Total Cost to Operate Event/Project: S
Amount Granted by City: $ 750.00 Section 1 (Monetary) S Section 2 (In Kind) Justify City Grant ,11onenny Amount: (if applicable)
SECTION 1
Description
Item #
Date
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)
Amount
i.
04/27/2021
Commercial Coffee Pot
150.85
r'

2. 08/23/21-01/28/22
Amazon - Speaker/Audio Equipment
S 297.70
V

3. 05/08/21-04/29/22
Amazon - Stationary
S 97.98

4. 09/10/21
Amazon - Military Flags
s 45.88

5. 12/2021
Refreshments
$165.01
V
Justify
City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item #
Date
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)
Amount

1. S

2. S

3. S

4. S

5. S
Total Disbursements (Justifi�ingCity Grant Alonetart,andlorin-Kind) Amount): S757.42 Aionetary Grant Funds Remaining: S .00
Notes/com mentsladditional
information:

PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS I PROOF OF PAVINiENT TO JUSTIFY AMOUNTS AWARDED BY GRANT

City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2021-2022 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and'or in -kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:

1. Did the event/program meet the original intended goal? Due to COVID-19, we changed our Leadership Day into a Memorial Carden ribbon cutting ceremony on 5/26/2022.

2. If funded in the future, what would the organization do differently? Our Leadership Day has been an amazing event. We will continue to have it in the years to come.

3. What type of feedback did organization received from the participants? We will have over 300 visitors on our campus in addtion to the students and staff members. We have local news agencies and the family and friends of Tyler Davis, the VES soldier that we are dedicating. 4_ What other rinanc'laVin-kind contributions did the organzzation seek or receive to fund the event/program (separate from City funding)?
There are no other funding resources.

5. List the total number of residents served.
600 residents are served during this event.

Attach copies of marketing/promotional materials for the event/program.

Notes/comments/additional information:

PLEASE SUBMIT ALONG Lk7TH EVENT REPORTING FINANCIAL WORKSHEET, TO THE CITY CLERK'S OFFICE

WITHIN ONE MONTH FOLLOWING THEEVENTIPROGRAM
no

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002403
04/27/2021
Description: 4310-Instructional Supplies
Percolator

YUCAIPA-CALIMESA JUSD
Ship DISTRICT WAREHOUSE
To: 12360 SIXTH STREET
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Requestor's POS/Name Annual
r Destination Best Way I SEC 113,HeggenbergerlMiller NO PO # PO Date Location Bldg/Dept Room Entered By
VES VES Pamela Heggenberger
# Qty Unit Description Unit Price Ext Cost Acct Line #
1,00 EA Vendor Item##: SYBO SR-CP100C S140.00 S140.00 ALL SYBO SR-CP100 Commercial Grade Stainless Steel
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Ship Addl Info:

Ship Addl Instr:
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Items Ordered Price
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35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
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Shipping Speed:

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35211 Crystal Street
Yucaipa, California 92399
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Item(s) Subtotal: 525.99
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35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
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Billing address
Kathy Miller
35211 Crystal Street
Yucaipa, California 92399
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YUCAIPA, CA 92399-2951
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Billing address
Kathy Miller
35211 Crystal Street
Yucaipa, California 92399
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Total before tax: S25.99
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Estimated tax to be collected: 52.01
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United States
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United States
Shipping Speed:

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Kathy Miller Estimated tax to be collected: $4.50
35211 Crystal Street
Yucaipa, California 92399
United States Grand Total: $62.46
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415/22, 4:02 PM Amazon.com - Order 112-3310721-7275419
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Amazon.com order number: 112-3310721-7275419
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Items Ordered
2 of: Universal Speaker Stand 6.65 ft DI Mount PA Loudspeaker Holder Heavy Duty Tripod w%Adjustabie Height from 46" to 80" Rated at 150 pounds Steel Insert Sold by: ProAm USA (seller profile)
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35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
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35211 Crystal Street
Yucaipa, California 92399
United States
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415122, 4;15 PM Amazon.com - Order 112-6273852-8282613
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Order Placed: January 28, 2022
Amazon.com order number: 112-6273852-8282613
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Items Ordered Price
1 of: Dekomusic 2Pack 100 ft Speakon to 114" Male Speaker Cables, Professional 12 $75.99 Gauge AWG Wire Audio Amplifier Connection Cord, D31PA Speaker Cable Wire with Twist Lock.

Sold by: Dekomusic (seller profile)
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Kathy Miller
35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
United States
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Kathy Miller
35211 Crystal Street
Yucaipa, California 92399
United States
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Items) Subtotal: $75.99
Shipping & Handling: $0.00
Your Coupon Savings: -$3.80
Total before tax. $72.19
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Gift Card Amount:-$50.00
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415122, 411 PM Amazon.com - Order 112-7015601-3017029
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Amazon.com order number: 112-7015601-3017029
Order Total: $23.05
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Items Ordered Price
1 of: Self Adhesive Dots, Strong Adhesive 1000pcs(500 Pairs) 0.59" Diameter Sticky $8.99 Back Coins Nylon Coins, Hook & Loop Dots with Waterproof Sticky Glue Coins Tapes, Very Suitable for Classroom, Office, Home
Sold by: Lute (seller profile)
Condition: New
1 of: Amazon Basics A9 Blank Invitation Envelopes with Peel & Seal, 5-314 x 8-314 Inches, White, 100 Count
Sold by: Amazon.com Services LLC
Condition: New
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Kathy Miller
35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
United States
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Kathy Miller
35211 Crystal Street
Yucaipa, California 92399
United States
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4129122, 2:28 PM Amazon.com - Order 112-1359850-7168267 amazon.com,
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Order Placed: April 28, 2022
Amazon.com order number: 112-1359850-7168267
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Shipped on April 29, 2022
._...... —.___-.Items Ordered ---___..__ Price
3 of: Die Cuts & Paper Set - Paradise - by Miss Kate Cuttables - 16 Single - Sided 520.99 12"x12" Premium Specialty Paper Sheets & Over 60 Coordinating Die Cuts Sold by: Miss Kate Cuttables (seller profile)
Condition: New
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Kathy Miller
35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
United States
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Visa I Last digits: 6467
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Kathy Miller
35211 Crystal Street
Yucaipa, California 92399
United States
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Buy More SAVE MORE$: -$4.41
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4129f22, 2:27 PM Amazon.com - Order 112-5380799-7433864 amazon.eom,
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Order Placed: April.__28, 2022
Amazon.com order number: 112-5380799 7433864
Order Total: $11.84
Shipped on April 29, 2022
Items Ordered - -. ....... - - _....__.... Price
1 of: Colored 262 Feet Raffia Paper Ribbon,6 Colored Packing Paper String Perfect for $10.99 Gift Wrapping and DIY Decoration (Pink)
Sold by: G21-ife (seller profile)
Condition: New
Shipping Address:

Kathy Miller
35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
United States
Shipping Speed:

FREE Prime Delivery
Payment Method:

Visa j Last digits: 6467
Billing address
Kathy Miller
35211 Crystal Street
Yucaipa, California 92399
United States
Payment information
Item(s) Subtotal:
$10.99
Shipping & Handling:
$0.00
Total before tax:
$10.99
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415122, 4:06 PM Amazon.com - Order 112-9275256-3377060
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Order Placed: November 9, 2021
Amazon.com order number: 112-9275256-3377060
Order Total: $30.05
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Items Ordered Price
1 of: Wholesale Lot 5 3x5 Branches Military USAF USCG USMC (EGA) Army Navy Set Flag $22.90 3'x5' #6 Fade Resistant Double Stitched Premium Quality Sold by: Miami wholesale Inc (seller pro -de)
Condition: New
Shipping Address:

Kathy Miller
35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
United States
Shipping Speed:

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Payment Method:

Visa I Last digits: 6467
Billing address
Kathy Miller
35211 Crystal Street
Yucaipa, California 92399
United States
Payment information
Item(s) Subtotal: $22.90
Shipping & Handling: $4.99
Total before tax: $27.89
Estimated tax to be collected: $2.16
Grand Total: $30.05
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4t5122. 4:06 PM Amazon.com - Order 112-1275850-7601004
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Order Placed: November 9, 2021
Amazon.com order number: 112-1275850-7601004
Order Total: $15.83
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Items Ordered Price
1 of: FindingKing All Gave Some Some Gave All Military Flag with Grommets aft x 5ft $14.69 Sold by: Artisan Owl (seller profile)
Condition: New
Shipping Address:

Kathy Miller
35211 CRYSTAL ST
YUCAIPA, CA 92399-2951
United States
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Visa ( Last digits: 6467
Billing address
Kathy Miller
35211 Crystal Street
Yucaipa, California 92399
United States
Payment information
Items) Subtotal: $14.69
Shipping & Handling: $0.00
Total before tax: $14.69
Estimated tax to be collected: $1.14
Grand Total: $15.83
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Memory of
Nathan *liner Davis �
Januar{ 27,1992 - June 9, 2012
Memorial Garden Ribbon Cutting Ceremony
Valley Elementary School
A Leader in Me Lighthouse School
12333 Eighth Street, Yucaipa
909-797-1125
Our Memorial Garden is in honor of those men and women who died while serving in the United States military, and is dedicated to Valley's own fallen soldier, Nathan, "Tyler" Davis.

Please join us as we celebrate what would have been the year of Tyler's 30th birthday

r - -

https://drive.google.com/drive/folders(f-2gQsFWbmo3AC19PdyJZtXpdQK7flyv 1/1

Inspiring Learners, Empowering Leaders!
You're invited to Family Leadership Day!
Thursday, April 14, 2022
8:00 AM to 10:30 AM
Valley Elementary
A Leader in Me School
12333 81" Street
Yucaipa, California 92399
Leadership Day is a unique opportuuit_y !o invite parents, community leaefers, business partners, andfeffo•w educators to showcase our understanding o f tfre 8 :habits andourin�ceptionafleadership cufture.

This special event is for adults only. Childcare will be provided for those that RSVP by March V.
,Aease Ii S`'l4' 6y Warcft 1, 2018 to 97aur Jfggenfietyertit pamefrt hr errlierger(;;L�jrrsd rrs or (909) 797-1125
`We fookforward to yourvisit!
Le-ader"riMe�
Inspiring Learners, Empowering LeadersO
You're invited to Family Leadership Day!
Thursday, April 14, 2022
8:00 AM to 10:30 AM
Valley Elementary
A Leader in Me School
12333 8"' Street
Yucaipa, California 92399
Geaifership (Day is a unique opportunity to in vil e parents, coututunity leaders, 6usirress partners, andfeflt w educators to sfrowcase our understanding of the s 9L46il:s ardour eaceptionall' adersfrip culiure.

This special event is for adults only. Childcare will be provided for those that RSVP by March V.
(Please 6y March 1, 2018 to TarnOeggen6ergerat
parnehn he rjterPyci usor(909)797-1125
,6Ve fooUorwarf to your visit!
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Attachment F
Rc—cei ed
City of Yucaipa Community Activity Grant _ a
Event Reporting Financial Worksheet fVAR 0 Z022
Fiscal Year 2021-2022 Grants
INICLtDEBACE-LPDOCUME?�' ATIO.VJ17TIl REPORT IVCLUDIVE-1_ ners1 v` Vi,vv l COPIES OF CHECKS, COPIES OF IAI -OICESIO UOTES Cott C�erK'D Y c -par meat
.Name of Organization: Veterans Day=Memorial Day Committee Contact Name: Linda Molina
Phone Number: 626 731-2335
Email: ares8ladyqgmail.com
Description of EventlProject Funded: Veterans Day Event Total Cost to Operate Event/Project: S 2092.59
Amount Granted by City: 5��� ; Section i {�ianetar�j S J04 Section 2 (In Kind) Justify City Grant 11onerar_j• Amount: (if applicable) P,-4 a C-�{ SECTIO` I
Item # Date
10/27/21
Description
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)
V ideographer

2. 11/ 16/21 Event Photos
Amount
s 400
SIN

3. 02/28/22 YCJUSD Music Program donation s 200

4. 11/29/21 Sea Cadets Color Guard, posting of colors donation s 200 ;.

Justify City Grant.hi-Kind Amount: (if applicable)
SECTION 2
E,
Description
Item # Date (Please be specific. List vendor and purpose for each disbunet:ient related ONLY to he grant aims -m-) Amount
1, 11/10/21 Sullivan chair rentals S 90

2. 11/29/21 Summer -wind K-8 School donation for student singer S 50

3. 02/28/22 Cub Scouts Pack 4 participants donation s 50

4. 02/28/22 Girl Scouts Troop 883 participants donation S 50

5. 11/29/21 Michael Gross, music system for event donation S 100 Total Disbursements (Justiftling City Grant Jfonetary andlor In -Kind) Antouno.- S 340 Monetary Grant Funds Remaining: S 0
Notes/commentsladditional
information: Total event cost include meetings leadig up to the event and misc. expenses. Program design and printing cost was donated.

PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS 1 PROOF OF PAYMENT TO JUSTIFY AMOUNTS ANVARDED BY GRAN-T 5u6m t

_ City of ticailia l.t3P1"Iltitillity Activity Grant
EN etTt;Pro-rann Sun-trua> `°
Fiscal Year 2021a2022 Grants
!,I an an,,_-_-..P: .CF 2_ e Ciizy :as eiello ed all Evem Rcp-...H1gg Financial Wo-k-_.h-ee, IaltaChedl zo ,. and a:c` tale tin- of use of Ckv fundin! z3__._.ja ._. I::.id serv;ccs. .:.lon ` with vour i ,, nI Rep ort;n,v Financi,;i Wfr't:sh et. i fi_t I':< �'J_ fI) .._.i' I.1Li:C n requestled Did the eventlpronram meet the original intended 4oal?
Yes. This e1'ef1T was an ffl-pC"+_-l�011 CZ`C-llt. -f:li * t'c)IllIllittCC has produced;llfS, event .ifor t?T-'.'..I' 10 years. __ if funded in the future. -what ii ould the organization do differently Nelost particn)ants in this CnveZ1T are Ideal School childreli, Scants, non -profits. W did not serve ibod in 2021, we usually provide free lunch to attendees. We plan to serve lLnlclls in 2022 What tti pe of feedback did organization received from the participants? I Cet ii}ii%l fr0111 attendees i3`aS fantastic. We had ii-ve fly" OvCI'S Il ' i`fistly?C 111a?2cS. a Car local car Cllt11 of nlostiv veterans, and Volunteers from American LeLlioil and N' FW. '- What other rinaneialfin-kind contributions did the organziation seek or receive to fund the eventim-ogram (separate from City fundina)?
Dona -Lions fioill local ccc_:?ttralt5 & CCinllitte il!e._;ll'C;J.

List the total number of residents served.

Approximately 350 residents attended
Attach copies of marketing/lfronlotional materials for the event -program. loteslcommentsiadditional information: We loco: forward to 2022 event.

PLEASE SUBMIT. ALONG WITH EVENT REPORTING FINA\CI_AL NVORKSH£ET, TO THE CITY CLERK'S OFFICE N4'ITHIN O\E MONTH FOLLOWING THE EVE\TIPROGRANI
I� TO4_

ALWAYS-, REMEMBER

VETERANS DAY
NOV. 11, 2021-11:00am
Yucaipa Community Pork
340/00 Oak Gen Rd,
Yucaipa Park, CA 9231/19
-105-

Attachment G
City of Yucaipa Community Activity Grant Received
Event Reporting Financial Worksheet
City of Yucaipa
Fiscal Year 2021-2022 Grants MAY 0 9 Z022
*IAiCLUDE BACK-UP DOCUMEA'TATION €3'ITHREPORT IVCLUDIATG.

COPIES OF CHECKS, COPIES OF IRtVOICES/QUOTES General Services/ Name of Organization: Yucaipa High School Baseball City Clerk's Department Contact Dame: Ralph Grajeda (Head Coach)
Phone Number: (951) 751-2177
Email: [email protected]
Description of Event/Project Funded: Travel Trip to North Carolina Total Cost to Operate Event/Project: S $25,000
Amount Granted by City: S $9,919.37-8 Section 1 cNlonetary) S Section 2 (In Kind) Justify City Grant Jlonetar j? Amount: (if applicable)
SECTION 1
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount

1. 4/6/22 Hotel Rooms - Courtyard by Marriott s 2156.32

2. 4/4/22-4/9/22 Team Meals (Chick-Fil-A, Jimmy Johns, Hibachi 101, Pizza Hut. s 2622.45 c- -A

3. 4/11/22 Rental Van S 195&6-5-

4. 4/4/22 The rest helped cover the player entry fee of $640 per kid. s 3241.96

5. S
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount

1. S

2. S

3. S

4. S

5. $
Total Disbursements (Jirstifj irig Cite Grant ilfonetary anrllor Iry -Kind) Amount): s 9979.38 Monetary Grant l,unds Remaining: S 0
Notestcomments/additional
information:

PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS / PROOF OF PAY TENT TO JUSTIFY AMOUNTS AWARDED BY GRANT -106-

v Cite of Yucaipa Community Activitx Grant
Event/Program SuInmary
iJ tf�l Fiscal Year 2021-2022 Grants
In an attempt to assist all awarded agencies, the Cih, has developed an Event Reporting Financial tz'orksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and; or in -kind services. Along with your• Event Reporting Financial N orksheet, please provide the information requested below:

1. Did the event; program meet the original intended goal? Yes! The team played 3 games and won 2 of them against some of the top teams in the country. 1 of the Baines was rained out. Great experience touring local colleges for the athletes.

2. If funded in the future, i hat would the organization do differently? Nothing different. Evei-ything was positive.
s. NN`hat type of feedback did organization received from the participants? Many of the parents went on the trip along with the athletes, and they loved the facilities; level of play, and opportunity to tour colleges. They were raving about the trip. 4- what other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from Cite funding)?
There were donations from local business members, and YCJL;SD covered all costs associated with the coaches and chaperones (approx. S12,000)
List the total number of residents served.

Approx. 100 (25 athletes; their parents and coaches/chaperones) Attach copies of marketing/promotional materials for the eventlprogia;n. 'Notes/comments/additional information:

PLEASE SUMMIT. ALONG WITH EN" IT REPORTING FINANCIAL li'ORKSHEET. TO THE CITY CLERK'S OFFICE

WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
-107-

To: Matt Carpenter
Frorn: Yucaipa Baseball
NHSI Baseball Trip North Carolina
Group Food
Charged to VISA #3358
4/4/2022 { Jimmy Johns Sandwiches
MONDAY
----4/5/2022 fu—Chick Filet

TUESDAY
4/6/2022 Jimmy Johns Sandwiches
WED
4/7/2022 Hibachi 101---------

THURSDAY
418/2022 Chick Filet
FRIDAY
418/2022 Pizza Hut
FRIDAY
4/912022 City 1313Q Cary NC

SATURDAY
DATE: 4111/2022
------____�—_-- MEAL AMOUNT_
Dinner 4 $369.55
Lunch $472.83 {
Lunch $387.41 1
Lunch $385.33
Lunch—� — $472.83
Dinner $318.02
i
Lunch S216.48
TOTAL CHARGED TO MATT CARPENTER VIS # 3358 $2622 45-
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!'10RLD CUP GOLD MEDALISTS = -

BASEBALL
WORLD BASEBALL CLASSIC CHAM?IohS
Matt Carpenter
Athletic Director
Yucaipa High School
33000 Yucaipa Boulevard
Yucaipa, California 92399
Re: Letter of Agreement Regarding 2022 NATIONAL HIGH SCHOOL INVITATIONAL Dear Matt Carpenter:

We understand that your academic institution, Yucaipa High School (YHS) would like to participate in the USA BASEBALL NATIONAL HIGH SCHOOL INVITATIONAL (the "Event") as a "Participating Organization." It is vital to USA Baseball ("USAB") to ensure that the Event and all activities conducted by all Participating Organizations with respect to the Event are conducted in strict accordance with USAB's established guidelines, and to make it clear to all Participating Organizations the parameters under which the Event will be conducted. In addition, it is imperative that USAB ensure that all Participating Organizations clearly understand and agree to USAB's terms regarding the proper use of its valuable trademarks. As such, this letter of agreement (the "Agreement") sets forth USAB's policies and terms under which YHS may participate in the Event as a Participating Organization.

This letter will serve to memorialize the terms of our Agreement.

1. Event Details. The 2022 USAB National High School Invitational is an event exclusively reserved for varsity -level high school baseball teams. The Event will be conducted April 6 — April 9 at the USA Baseball National Training Complex in Cary, North Carolina. The Event will involve twelve (12) to sixteen (16) teams, at the sole discretion of USA Baseball. The Event will consist of one game per day on Wednesday, Thursday, Friday and Saturday, as individual state association rules allow and as weather permits unless otherwise confirmed in advance and in uniting by a USAB representative. The Event will include a one hour practice slot at the USA Baseball National Training Complex on Tuesday, April 5 should the team's travel schedule allow.

Practices shall be scheduled at the sole discretion of USAB taking into account the team's travel itinerary. The Event will be conclude Saturday evening, so team should make arrangements to depart Sunday, April 10.

2. Responsibilities of USAB. USAB will promote the event to the public, high school baseball community and larger amateur baseball community. USAB will also promote the Event during other select amateur events. Any and all such support and promotional activities by USAB will be conducted in USAB's sole and absolute discretion. Nothing herein creates an independent ! 1030 Swabia Court, Suite 201, Durham, NC 27703
Tel - 919.474.8721 1 Fax - 855.420.5910
USABasebatt.com I [email protected]
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U.. WORLD BASEBALL CLASSIC CHAMPION'S

ERAS BALL
obligation on the part of USAB to undertake any particular promotional activities for any particular Participating Organization.

USAB will provide YHS with standardized local services. These services will include hotel accommodations for five (5) nights, local ground transportation to and from Event related functions, breakfast (provided by the hotel) for five (5) days, dinner for one (1) day and baseball related apparel laundry services for two (2) days. Additional needs of these services will be the sole responsibility of YHS.

Hotel accommodations for the Event will be provided at Embassy Suites, Courtyard Marriott or additional comparable properties in the Raleigh -Durham area. YHS will be assigned to a hotel at the sole discretion of USAB. Participants will be housed three to a room at the Embassy Suites and two to a room at the Courtyard Marriott. Each participant will be guaranteed their own bed for the duration of their stay in the Raleigh -Durham area.

Local ground transportation to and from Event related functions will be provided via coach bus and each Participating Organization will be assigned their own bus. Due to rescheduling and other unanticipated reasons, at the sole discretion of USA Baseball, the sharing of buses with other Participation Organizations may be necessary. YHS is expected to fully comply with the pre -determined bus schedule which will be presented upon arrival and updated, as necessary, each night. USAB is not responsible for YHS`s transportation to or from the Raleigh -Durham area for the Event. If YHS is furnishing their own local ground transportation during the Event, this must be communicated in writing to USAB prior to their arrival.

USAB shall provide YHS with dinner for one (1) days during the Event. Breakfast will be provided by the hotel and served daily. USAB will provide a voucher redeemable at one of the food trucks at the USA Baseball National Training Complex for distribution to all uniformed participants on the final day of the event. Special meal requests will not be accepted unless due to documented medical reed and must be communicated in advance and in writing.

Laundry service will be provided for 2 days (excluding travel days). YHS is expected to adhere to the pre -determined pickup and drop-off schedule for laundry. USAB will provide a minimum of two bags for laundry collection and will pick-up, launder and drop-off all baseball related apparel.

Personal clothing will not be laundered.

Base coaches are required to wear skullcap helmets when coaching first or third base during gameplay. USAB will have extra batting and coach's helmets for use by YHS during the event.

These helmets will be returned immediately following the completion of YHS`s final game. 1030 Swabia Court. Suite 201, Durham, NC 27703
Tet - 919.474.8721 I Fax - 855.420.5910
USABaseball.com 1 lnfogUSABasebalt.com
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3. Participating Organization Obligations. As a Participating Organization, YHS must agree to all terms and conditions of this Agreement, and must abide by all terms and conditions set forth by USAB with respect to the Event, and with respect to all activities conducted with respect to preparation by a Participating Organization to participate in the Event.

Each Participating Organization is required to pay USAB a fee to participate in the Event, as further set forth in paragraph 12 of this Agreement. Subject to the terms of this Agreement, it is up to the sole discretion of each Participating Organization to select their team forthe Event, and to bear all costs, expenses, responsibilities and liabilities in connection therewith. The Participating Organization will also bear all costs, expense, responsibilities and liabilities in connection to and from the Raleigh -Durham area.

4. Disclosures and Confidentiality. All disclosures made to a Participating Organization by USAB regarding USAB, the Event, this Agreement, USAB's business, financials, know-how, technical information, processes, trade secrets, intellectual property and experience, and all USAB or Event related vendor, supplier, player, partner, team, coaching staff or other business partner information, lists and contact information, will be kept secret and confidential by a Participating Organization, its officers, agents, and employees. A Participating Organization will not, nor will it allow any of its officers, agents, and employees to, make any use not expressly authorized by USAB, directly or indirectly, of these disclosures or any updates thereof for a period of five years from receipt thereof, unless the disclosures enter the public domain, are generally known in the industry, or become known to a Participating Organization other than by means which would constitute a breach of this Agreement and these confidentiality obligations. Each Participating Organization agrees that, in addition to any other rights and remedies of USAB provided for in this Agreement, USAB shall be entitled to immediate injunctive relief against a Participating Organization in the event of a breach, or the threat of a breach of these confidentiality obligations. Each Participating Organization will bind its officers, agents, and employees in writing to observe the provisions of this paragraph prior to allowing any of those persons access to the disclosures. These obligations of confidentiality and non -disclosure shall survive any termination of this Agreement for any reason.

5. Participating Organization Team Selection. The Participating Organization will be permitted to roster a minimum of eighteen (18) and a maximum of forty (40) players for the Event. The roster submitted for the Event must be consistent (with an allowance made for adding junior varsity players from within the same institution) with the roster used during normal interscholastic play. Participating Organizations are prohibited from accepting any gifts, gratuities or other non -monetary consideration in exchange for placement of any player on the roster, it being agreed and understood that each Participating Organization will choose its team based upon the individual merits and talents of its participating players. Each Participating Organization is required to submit its final team roster to USAB by Monday, March 14, 2022, but 1030 Swabia Court, Suite 20 t, Durham, NC 27703
O Tel - 919.474.8721 l Fax - 855.420.5910
" -`�" ` USABasebatt.com I [email protected]
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OLYMPIC GOLD MEDALiSTS
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WORLD CUP GOLD IAEDALiSTS ..:. � - ..:..

WORLD BASEBALL CLt SS1C CHAMPIONS
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substitutions from within the same institution for documented injury or bereavement concerns will be permitted up to Monday, March 28, 2022. Additionally, each Participating Organization is responsible for submitting a final rooming list to USAB by Monday March 14, 2022.

Nonetheless, each Participating Organization agrees to use its best efforts to notify USAB as soon as it becomes aware of any such substitutions.

6. Participating Organization Obligations With Respect to Team Roster. Each Participating Organization must provide to US,'-,,B all necessary medical authorization and medical waiver forms, parental consent forms, and any and all other documentation reasonably requested by USAB for every player participating for that Participating Organization at the Event. USAB will provide umpires, trainers and baseballs for the Event, but each Participating Organization is responsible for providing all equipment, coaches, baseballs for practice and warm up and all other expenses incurred with respect to their team's participation at the Event that are not covered in paragraph 2 of this agreement.

7. Additional Responsibilities of Participating Organizations. Each Participating Organization agrees that it shall not use USA Baseball trademarks, logos or images in connection with any program or event, unless otherwise approved in advance, and in writing, by USA Baseball's designated representative. YHS will post the Event logo provided by USAB on its baseball team's home webpage, this logo will be hyperlinked to an Event information related url also provided by USAB. USAB may also provide additional Event related web material such as promotional videos and the like for inclusion on the baseball or athletic department web pages, the posting of such secondary material will done at YHS is discretion.

Notwithstanding the Participating Organization's regular interscholastic conference and non - conference schedule, activities conducted by a Participating Organization with respect to partiCirnation in the Event Shall not, be conducted as part of any other progratmming, selection, or identification opportunity unless otherwise approved in advance, and in writing, by USA Baseball's designated representative.

So as to maintain the proper safety standards, the Participating Organization will use the mandated batting and coach's helmets provided by USAB for the duration of the Event. These helmets will be returned following the completion of YHS `s final game.

The Participating Organization agrees to submit to USA Baseball's standard background check on all individuals, including, but not limited to, all coaches, trainers, personnel and chaperones affiliated or associated with the Participating Organization with respect to the Participating Organization's participation in the Event. Further, the Participating Organization agrees to have all individuals, including, but not limited to, all coaches, trainers, personnel and chaperones affiliated or associated with the Participating Organization complete USAB's online Abuse ! 1030 Swabia Court, Suite 201, Durham, NC 27703
Tet - 919.474.8721 1 Fax - 855.420.5910
USABasebait.com 1 [email protected]
Initial:
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OLYMPIC GOLD MEDALISTS "
14'0RLD CUP GOLD MEDALISTS
' 1i'0P,LD BASEBALL CLASSIC CHAMPIONS

BASEBALL
Awareness Course for Adults. If any individual has completed the Abuse Awareness Course for Adults in the past, they are still subject to the annual standard background check to complete the Pure Baseball Compliant Designation required to participate or be involved with the event. Please refer to the disqualifying factors matrix provided here within with respect to the standard background check pass/fail. The Participating Organization will receive promotional codes for the fees required to submit to USAB's standard background check for compliance with this paragraph. The Participating Organization will bear all and sole liability for compliance with this paragraph and completion of all requirements concerning background checks and Abuse Awareness education compliance, as well as for any and all violations of this paragraph, and shall fully defend, indemnify, and hold USAB harmless from and against any and all claims, allegations, charges, suits, damages, costs, fees, and/or expenses arising from the Participating Organization's activities with respect to submission of individuals for background checks, failure to appropriately screen individuals affiliated or associated with it, and/or for the Participating Organization's failure to adhere to any aspects of this paragraph. & License Grant. In consideration of the faithful performance by Participating Organization of the covenants and conditions herein, and subject to the termination provisions contained in paragraph 13, USAB hereby grants a limited non-exclusive and terminable license to use the following terminology: "Yucaipa High School baseball participating in the USA Baseball National High School Invitational" or other similar terminology that is pre -approved by USAB. (In the foregoing instance the reference to USAB and to the National High School Invitational ("NHSI") shall hereinafter be referred to as the "Marks".) The license to use the Marks shall only extend to the Participating Organization as set forth in paragraph 10, in connection with its team which will participate in the Event.

Participating Organizations are prohibited from using any other trademarks, logos, images or intellectual property of USAB and are prohibited from making any statements or communications which in any way imply that a Participating Organization is in any way sponsored by or affiliated with USAB without the advance, express, written approval of USAB. Each Participating Organization must provide to USAB in advance of any publication, any and all collateral or promotional materials regarding their participation in the Event, for USAB's written approval.

USAB will provide its notice of approval or disapproval within seven working days. On the eighth working day after submission of such materials, if the Participating Organization has not received USAB's notice of approval or disapproval, such materials shall be deemed approved.

Any and all web sites or web pages maintained or constructed by a Participating Organization with respect to the Event must include an approved text link to USAB's home page at www.usabaseball.com . Graphic or HTML links are prohibited unless otherwise approved in writing by USAB. All permitted text links shall be disabled after the Term of this Agreement has expired.
1030 Swabia Court, Suite 201, Durham. NC 27703
Tel - 919.474.8721 ( Fax - 855.420.5910
° E4t USABaseball.corn I [email protected]
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OLYMPIC GOLD MEDALISTS

WORLD CUP GOLD MEDALISTS

BASEBALL

WORLD BASEBALL CLASSIC CHM ,PIONS

9. Quality Control, All Participating Organizations acknowledge and agree that maintenance of the utmost quality with respect to use of USAB's Marks as permitted herein, is an important part of this Agreement. As such, all Participating Organizations agree that use of USAB's Marks and name shall be conducted only in accordance with this Agreement, only as permitted and approved by USAB, and that all Participating Organizations shall use best efforts to provide the highest quality events and activities with respect to all activities and promotions conducted by such Participating Organization as it relates to the Event. At all times during the duration of this agreement, each Participating Organization shall maintain the quality standards set forth herein in connection with its use of the Marks and permitted terminology. Each Participating Organization shall use the Marks and terminology only in the form designated by USAB, only in association with the Event, and only in association with services that are at least equal in quality to those approved by USAB from time to time. USAB shall have the right to modify or supplement the quality standards applicable hereunder or the permitted services with which the Marks may be used by providing written notice thereof to each Participating Organization. Prior to any use of the Marks, each Participating Organization shall furnish to USAB, without cost, any advertisements, promotions, or other materials bearing the Terminology, in order to enable USAB to determine that such use of the Terminology is proper- and that the services offered under the Marks conform to the quality standards set forth herein,

10. Protection of USAB's Marks. Registration and other protection for USAB's Marks shall be obtained only by USAB in its name and at its expense. Each Participating Organization shall furnish to USAB at its request any information about, and specimens illustrative of, the manner of use of the marks by that Participating Organization.

11. Term of Agreement and Duration of Grant. Subject to the termination provisions in paragraph 13, the term of this Agreement commences upon signature and ends on April. 20, 2022.

12. Fee. YHS agrees to pay USAB a fee of Six Hundred and Forty Dollars ($640.00) ("Entry Fee") per participant to participate as a Participating Organization in the Event. Participants will include all players, coaches, trainer, dugout staff and traveling press officer. USAB shall provide complimentary Entry Fee for up to three members of the Participating Organizations' coaching staff. The Entry Fee payments are due and payable on a pre -determined schedule as set forth later in this paragraph 12.
a Non-refundable deposit due upon execution of contractor by November S, 2021- $3,000 (this deposit shall be non-refundable in all cases except in the case of a termination under the last paragraph of the following section 13 related to Covid-19 closures); and • March 14, 2022 — Remaining balance of $640 per participant 1030 Swabia Court, Suite 201. Durham, NC 27703
Tel - 919.474.8721 I Fax - B55.420.5910
USABasebatl.com I In€o@USABasebatLcom
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BASEBALL WORLD BASEBALL CLASSIC CHAMPIONS

13. Termination. Notwithstanding anything contained herein to the contrary, this Agreement may be terminated at will and without cause by either party upon not less than one hundred and eighty (180) days' prior written notice to the other party. However, in the event of a breach of this Agreement by a Participating Organization, USAB may terminate this Agreement immediately by giving written notice thereof to the breaching Participating Organization. This Agreement shall immediately and automatically terminate if a Participating Organization ceases to do business. In the event of termination of this agreement for any reason, the Participating Organization shall immediately discontinue: 1.) all use of the Marks; 2.) all USAB provided information and materials; and 3.) all use of any other information, intellectual property, materials or other data received from USAB, and shall pay all fees due through the termination date.

In event that the Participating Organization terminates the agreement with the one hundred and eighty days (180) or less prior to the start of The Event, they will be responsible for any outstanding dues up to the roster minimum of eighteen players (total amount of $11,700).

Notwithstanding the foregoing termination provisions in the preceding paragraphs in this section 13, and without any amendment or modification thereto except as expressly stated in this paragraph, either party may terminate this Agreement without penalty, upon no less than forty- five (45) days' advance notice, in the event of Covid-19 related closures, travel restrictions or quarantine requirements affecting at least 50% of the Participating Organization's team members and coaches. Unless travel restrictions or closures are mandated and publically announced at the state or federal level, a Participating Organization seeking to terminate this Agreement under this paragraph shall be required to provide to USAB, written proof of the relevant closure, travel restriction or quarantine event. Any payments made by a Participating Organization prior to a termination made in accordance with this paragraph and relating specifically to Covid-19 shall be returned to the Participating Organization at the sole discretion of USAB, within sixty (60) days of the notice of termination and receipt by USAB of written proof of Covid-19 circumstances as specified herein, subject to hotel and ground transportation refund policies. All other obligations on termination in this section 13 shall remain in full force and effect.

The Participating Organization is responsible for any and all expenses incurred related to COVID- 19 events or circumstances, including, but not limited to, quarantines, travel arrangements, lodging, meals and/or medical expenses, incurred while at the event.

14. Legal Responsibilities, Warranties and Indemnification. In addition to the obligations of the Participating Organization as set forth in this Agreement, including, but not limited to those obligations set forth in sections 3-9, 12, and 16-18, all activities with respect to the selection, preparation, participation and travel of the Participating Organization's team, and all activities with respect to a Participating Organization and its team's participation at the Event are the sole s1030 Swabia Court, Suite 201, Durham, NC 27703
Tel - 419.474.8721 I Fax - 855.420.5910
USAEasebati.com I InfoC:'�USABasebatlxom
Initial:
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WORLD CUP GOLD MEDALISTS

WORLD BASEBALL CLASSIC CHAMPIONS

BASEBALL
responsibility of the Participating Organization. In addition to the obligations of the Participating Organization asset forth in this Agreement, each Participating Organization is responsible for full compliance with any and all applicable laws, statutes, mandates, ordinances, and/or regulations concerning its participation under this Agreement, and with respect to the Event, including, but not limited to laws specific to health and safety, Covid-19 screening, quarantining, closures and restrictions, contracting with minors, soliciting and/or communicating online with minors, all criminal laws, appropriate monitoring of any and all coaches or others having direct access to minors, background checks, Public l_aw No: 115-125 ("Protecting Young Victims from Sexual Abuse and Safe Sport Authorization Act of 2017") and any and all other applicable laws regarding safety, health and/or privacy. More specifically and without in any way limiting the foregoing, it is also the responsibility of each Participating Organization to protect the privacy of all personal data or personally identifiable information of each and every player or potential player that may provide personal information to a Participating Organization. Each Participating Organization must abide by all applicable privacy laws, regulations and obligations as it relates to the collection, storage, transmission, retention and destruction of any and all personal information it collects, receives or maintains relative to the Event or this Agreement. Each Participating Organization agrees to fully defend, indemnify and hold USAB harmless from and against any and all claims, demands, suits, actions, proceedings, allegations, costs, damages, expenses, losses and fees of any kind (including, but not limited to attorneys' fees) arising out of any breach or alleged breach, activities, acts or omissions by or of a Participating Organization of any of its commitments, obligations or responsibilities set out in this paragraph 14 or elsewhere in this Agreement. This indemnity shall survive termination of this Agreement for any reason.

Maintenance of the required quality standards for services in connection with which the Marks are used is the responsibility of each Participating Organization. As such, each Participating Organization, and in this case, YHS, shall fully defend, indemnify and hold harmless USAB from and against any and all claims, demands, suits, actions, proceedinC. gs, allegations, costs, damages,
expenses, losses and fees of any kind (including, but not limited to, attorneys' fees) arising out of any act or alleged activity of YHS in connection with YHS selection, preparation, advertising, or promotion of its team, its participation in the Event, or any of its activities conducted relating in any way to this Agreement, excluding only the use of the Marks in the manner permitted hereunder. This indemnity shall survive the termination of the Agreement for any reason. Should YHS become aware of any infringement of the Marks by others, YHS shall promptly notify USAB in writing. USAB, at its sole discretion, may commence and prosecute any claims or suits in its own name or the name of YHS, or join YHS as a party thereto, but it is understood and agreed that USAB is under no obligation whatsoever to institute suit or take any other action on account of such infringements. YHS shall not institute any suit or take any action on account of any such infringement without first obtaining USAB's written consent to do so. 1030 Swabia Court, Suite 201, Durham, NC 27703
Tel - 919.474.8721 I Fax - 855.420.5910
USABasebati.com 1 [email protected]
Initial:
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OLYft,PiC GOLD MEDALISTS
., WORLD CUP GOLD MEDALISTS
' WORLD BASEBALL CLASSIC CHAMPIONS

BASEBALL

15. Limitation of Liability. Under no circumstances shall USAB have any liability to any Participating Organization, or to any individual players, parents, legal guardians or any other persons or entities for any activities, conduct, acts or omissions attributable in whole or in part, to any Participating Organization or for any activities, actions or conduct which are identified as the responsibility of the Participating Organization in the foregoing paragraphs comprising section 14. Likewise, USAB will not have any liability to the Participating Organization or any individuals or entities associated therewith, for any force majeure events, pandemic or Covid-19 related illnesses, closures or restrictions, any weather related events, labor strikes, work stoppages, governmental closures, riots or civil unrest. USAB also shall not have any liability of any kind for any acts, errors or omissions of any third parties including, but not limited to hotel or travel partners. Further, USAB shall have no liability whatsoever for any direct, indirect, consequential, incidental, punitive, special or other kinds of damages or actions with respect to this Agreement, or the Event, except in the event of USAB's gross negligence or illegal activity committed by USAB with respect to the Event.

16. Insurance. Each Participating Organization is required to carry general commercial liability insurance sufficient to cover all of its activities in connection with its team selection and participation in the Event (including, but not limited to, automobile policies, property damage, personal injury and death) in the minimum amount of One Million Dollars ($1,000,000). Such policies shall include USAB as an additional insured, and shall be primary to cover any claims against USAB for which a Participating Organization is obligated to defend and indemnify USAB pursuant to Paragraph 14 of this Agreement. Each Participating Organization hereby agrees to waive its rights of subrogation with respect to such policies. Each Participating Organization shall provide evidence of such insurance policies within thirty days of the signing of this Agreement.

17. Equipment. The Participating Organization will enforce and require their participating players to adhere to the equipment standards set forth by USAB. USAB reserves the right to update or alter the standards for permissible equipment at any time without prior notice to the Participating Organization. USAB shall have no liability whatsoever for any direct, indirect, consequential, incidental, punitive, special or other kinds of damages or actions with respect to the use of equipment deemed illegal by USAB at events conducted by the Participating Organization.

18. Participating Coach Requirements. In addition to the requirements set forth in section 7 of this Agreement, all rostered coaches who wish to receive field and dugout access must be accredited coaches who have successfully completed the USA Baseball Coaches "A" Certification.

The Coaches "A" Certification is comprised of the following five (5) requirements: Confident Baseball Coach Course, Abuse Awareness Course, Pitch Smart Course, First Aid Course, "A" Certification Code of Conduct. USAB shall provide a complimentary course fee for up to three (3) members of the Participating Organizations' coaching staff. 1030 Swabia Court, Suite 201, Durham, NC 27703
{JQ Tel - 914.474.8721 1 Fax - 855.429.5910
USABaseball.com I [email protected]
Initial:
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OLYMPIC GOLD MEDALISTS
!WORLD CUP GOLD t'cDAL15T-
'NORLD BASEBALL CLASSIC ChAMPIONS ...

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19. Event Products. YHS grants to USAB, on a worldwide, royalty -free basis, the right to use the academic institution's name, nicknames and/or mascot names, on products ("Event Products") in connection with the Event name and/or logo. The right to sell or otherwise distribute Event Products by USAB and/or its official licensees shall be for a period commencing on February 1, 2022 and ending May 1, 2022.

20. Severability. The provisions of this agreement shail be severable, and if any provision of this agreement shall be held or declared to be illegal, invalid, or unenforceable, such provision shall, if possible, be limited or construed so as to make it valid and enforceable or, if such limitation or construction is not possible or would be contrary to the parties' manifest intentions, such provision shall be stricken from this agreement and the remainder shall continue in full force and effect.

21. Assignment. The Participating Organization may not assign any of its interests, rights, duties, or obligations hereunder by operation of law or otherwise without the prior written consent of USAB.

22. Governing Law. This agreement shall be deemed to be made and entered into pursuant to the laws of the state of North Carolina. In the event of any dispute hereunder, this agreement shall be governed by and shall be construed and interpreted in accordance with the laws of the state of North Carolina. Any and all disputes relating in any way to this Agreement shall be heard exclusively in the state and/or federal courts located in Wake County, North Carolina, and the Participating Organization expressly consents to exclusive jurisdiction in such courts over any disputes relating in any way to this Agreement.

23. Waiver. The terms of this agreement may be waived, and this agreement may be amended, only in a writing signed by the party to be bound thereby. A waiver of one term shall not be construed as a waiver of any other term, nor shall a waiver of, or failure to enforce, a term in one instance be deemed a continuing waiver of the provision itself.

24. Nature of Relationship. Nothing herein shall be construed to place the parties in a relationship of partners or joint ventures, and neither party shall have the power to obligate or bind the other in any manner whatsoever.

25. Entirety. This agreement constitutes the parties' entire agreement and understanding with respect to the subject matter hereof, and supersedes all prior oral and written agreements and understandings, including, but not limited to, any prior agreements relative to USAB events, as may be applicable.
l -r 1030 Swabia Court. Suite 201, Durham. NC 27703
�� �AvC6{YL Tel - 919.474.8721 I Fax - 855.420.5910
USABasebstl.com I [email protected]
Initial:
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OLYMPIC GOLD MEDALISTS ,, 04
WORLD CUP GOLD MEDALISTS a € _ __

WORLD BASEBALL CLASSIC CHAMPIONS

BASEBALL
If you are in agreement with the terms of this arrangement and are an authorized Signee of the Participating Organization, please sign this letter and the enclosed duplicate original, and return one to us as soon as possible. We appreciate your participation in our common goal of the development of young athletes.

Very truly yours,
i N
Paul Seiler
Executive Director/CEO

USA BASEBALL
AGREED:

DATE:

AGREED:

DATE:

Authorized Signee
Matt Carpenter
Athletic Director
Yucaipa High School
Signee
Ralph Grajeda
Head Baseball Coach
Yucaipa High School
1030 Swabia Court, Suite 201, Durham, NC 27703
Tel - 919,474.8721 I Fax - 855.420.5910
USABasebalt.com ( [email protected]
Initial:
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4/18/22, 1L24 PM
Posted Transactions Since Your Last Statement

FITTIMI
Apr 11
Alamo Rent A Car

CATEGORY
Car Rental
Capital One
https:/Imyaccounts.cepitalone.com/Card/pWophp742MVm9EljKB1 IXADOLZIXFlgvvqssUOYuAbQ=/printTransactionsModaI -121-
Account Ending in ...4557
Kyle K....4557 $1,488.65
Total: $1,958.65

Attachment H
Receive d
City of Yucaipa Community Activity GrantCity of Alcaipa Event Reporting Financial Worksheet
Fiscal Year 2021-2022 Grants APR 25 2022
*LN"CL UDE BACK-UP DOCUMENTATION WITH REPORT INCL UDING.

COPIES OF CHECKS, COPIES OFLYVOICESlQUOTELeneral Services/ City Clerk's Department
Name of Organization: Yuaipa Rotary Club
Contact Name: Sherrie O'Connell
Phone Number: 909-80 I -41 S 8
Email: [email protected]
Description of Event/Project Funded: Weekly Business Meetings Total Cost to Operate Event/Project: $ 5,454.00
Amount Granted by Cite: $
Justify City Grant fonetar y Amount: (if applicable)

SECTION I
Item # Date
Section I (Monetary) S 5,454.00 Section 2 (In Kind)
Description
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount

3. 4.

5. Justify Cite Grant In -Kurd Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)

1. 2.

3. 4.

5. Total Disbursements (Justiji•irtg City Grant afonet(a y andlor In -Kind) Amount): S Monetary Grant Funds Remaining: S
Notesteo mments/additional
information:

Amount

PLEASE IMAKE SURE TO PROVIDE BACK-UP RECEIPTS / PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT -122-

C1F OF.,-- - City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2021-2022 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with your Event Reporting Financial Work -sheet, please provide the information requested below:
l . Did the event/program meet the original intended goal? Yes

2. If funded in the future, }chat would the organization do differently? No

3. What type of feedback did organization received from the participants? The Yucaipa Rotary Club members are plesaed with the facility and are appreciative of the in -kind support to waive the rental fees associated with the weekly meetings held at the Senior Nutrition Site.

4. what other financial/in-kind contributions did the organiiation seek or receive to fund the event/program (separate from City funding)'

5. List the total number of residents served.

The Yucaipa Rotary Club strives to serve all community members in the City of Yucaipa with outreach and service projects such as the Yucaipa Chirstmas Parade.

Attach copies of marketing/promotional materials for the event/program.

Notes/comments/additional information:

PLEASE SUBMIT ALONG WITH EVENT REPORTING HNANCIAL WORKSHEET, TO THE CITY CLERK'S OFFICE

WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
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