2017/07/01 Kaiser Foundation Hospitals, Inc. Healthy Menifee Program- Obesity/HEAL/Diabetes Prevention LETTER OF AGREEMENT
KAISER FOUNDATION HOSPITALS, MORENO VALLEY
COMMUNITY BENEFIT CHARITABLE CONTRIBUTIONS PROGRAM
This Letter of Agreement (hereinafter"Agreement") is entered into by and
between Kaiser Foundation Hospitals, a California nonprofit, public benefit corporation
(hereinafter"KFH") and City of Menifee a charter city organized in the State of
California and not subject to federal or state income tax.
This Agreement sets forth the understanding of the parties hereto as to the
terms and conditions under which KFH shall donate funds in the amount of$25,000.00
for a one year funding period beginning July 1,2017 through July 1,2018 for
Healthy Menifee Program - Obesity/HEAL/Diabetes Prevention. Such terms and
conditions are as follows:
1. Tax Exemption Status: Grantee represents that at all times relevant herein, it is a
charter city organized in the State of California and not subject to federal or state income
tax.
2. Purpose of Grant. Grantee shall use entire Grant to support the specific goals,
objectives, activities, and outcomes as stated in the Grant Summary.
3. Expenditure of Funds. This Grant(together with any income earned upon
investment of grant funds) is made for the purpose outlined in the Grantee's Work Plan
and may not be expended for any other purpose without KFH's prior written approval.
4. Prohibited Uses. In no event shall Grantee use any of the funds from this Grant to
(a) support a political campaign, (b) support or attempt to influence any government
legislation, except making available the results of non-partisan analysis, study or
research, or(c) grant an award to another party or for any purpose other than one
specified in Section 170(c)(2)(b) of the Internal Revenue Code of 1986 as amended.
5. Return of Funds. KFH reserves the right to discontinue, modify or withhold
payments to be made under this Agreement or to require a total or partial return of any
funds, including any unexpended funds under the following conditions:
(a) If KFH, in its sole discretion, determines that the Grantee has not performed in
accordance with this Agreement or has failed to comply with any term or
condition of this Agreement.
(b) If Grantee loses its status as an eligible Grantee under Paragraph 1 above.
(c) Any portion of the funds is not used for the approved purpose
(d) Such action is necessary to comply with the requirements of any law or regulation
applicable to Grantee or to KFH or to this Grant.
6. Records, Audits and Site Visits. KFH is authorized to conduct audits, including
on-site audits, at any time during the term of this Grant and within four years after
completion of the Grant. Grantee shall allow KFH and its representatives, at its request,
to have reasonable access during regular business hours to Grantee's files, records,
accounts, personnel and client or other beneficiaries for the purpose of making such
audits, verifications or program evaluations as KFH deems necessary or appropriate
Community Benefit-Letter of Agreement
Kaiser Tracking number for this grant/donation is 20655774 1 of 4
concerning this Grant. Grantee shall maintain accounting records sufficient to identify the
Grant and to whom and for what purpose such funds are expended for at least four(4)
years after the Grant has been expended.
7. No Assignment or Dele a� tion. Grantee may not assign, or otherwise transfer, any
rights or delegates any of Grantee's obligations under this Agreement without prior
written approval from KFH.
8. Records and Reports. Grantee shall submit written progress report(s)to KFH in
accordance with the due dates stated on the Grant Summary (Attachment).
Grantee shall be primarily responsible for the content of the evaluation report. If KFH
determines IRB approval is necessary, as part of the evaluation process, Grantee shall
follow KFH IRB approval processes and procedures.
9. Required Notification. Grantee is required to provide KFH with immediate
written notification of any change in Grantee's tax exempt status or when Grantee is
unable to expend the grant funds for the approved purposes described in the Work Plan.
10. Identification of KFH. Grantee shall identify KFH as a supporting organization in
all published material relating to the subject matter of this Grant. Whenever possible and
appropriate, Grantee shall publicly acknowledge KFH for this Grant.
11. Equal Employment Opportunity. Grantee agrees to comply with and be bound by
the nondiscrimination and affirmative action clauses contained in: Executive Order
11246, as amended, relative to equal opportunity for all persons without regard to race,
color, religion, sex or national origin; the Vocational Rehabilitation Act of 1973, as
amended, relative to the employment of qualified handicapped individuals without
discrimination based upon their physical or mental handicaps; the Vietnam Era Veterans
Readjustment Assistance Act of 1974, as amended, relative to the employment of
disabled veterans and veterans of the Vietnam Era, and the implementing rules and
regulations prescribed by the Secretary of Labor in Title 41, Part 60 of the Code of
Federal Regulations (CFR).
12. Immigration Act Requirements. Grantee shall comply during the term of this
Agreement with the provisions of the Immigration Reform and Control Act of 1986 and
any regulations promulgated thereunder. Grantee hereby certifies that it has obtained a
properly completed Employment Eligibility Certificate (INS Form 1-9) for each worker
performing services related to the program described in the Work Plan.
13. Licensing and Credentials. Grantee agrees to maintain, in full force and effect, all
required governmental or professional licenses and credentials for itself, its facilities and
for its employees and all other persons engaged in work in conjunction with this Grant.
14. Payment of Grant. First payment by KFH will be contingent upon a signed
Agreement between KFH and Grantee. Subsequent payments (if any) are contingent upon
compliance with this Agreement, including timely receipt of reports as outlined in
Paragraph 8 above.
Community Benefit-Letter of Agreement
Kaiser Tracking number for this grant/donation is 20655774 2 of 4
IN WITNESS WHEREOF, the parties hereto have executed this
Agreement as of the date first above written.
Kaiser Foundation Hospitals
By: ���, 1 ,d 3 / 7
Vita M. Willett Date
Senior Vice President, Area Manager
Grantee
By:
Ronald Bradley Date
Interim City Manager
City of Menifee
Community Benefit-Letter ofAgreement
Kaiser Tracking number for this grant/donation is 20655774 3 of 4
LETTER OF AGREEMENT
Attachment
GRANT SUMMARY
GRANT NUMBER: 20655774 DATE AUTHORIZED: May 5, 2017
GRANTEE NAME: City of Menifee AMOUNT: $25,000.00 over 12 months
CONTACT, TITLE: Mr. Robert Lennox, Community Services Director
TELEPHONE: 951723-3880 FAX: (951) 723-3881
CB PROJECT MANAGER: Cecilia Arias, Community Benefit Health Manager
Phone: Email: Cecilia.X.Arias k .org
GRANT PURPOSE: Healthy Menifee Program - Obesity/HEAL/Diabetes Prevention
GRANT OBJECTIVES:
The key strategies the Program will undertake is to educate the community on healthy food preparation
and increase the number of participants at healthy food demonstrations to increase give them the tools
to end obesity and diabetes in our youth and seniors.
• Provide 50 Evaluate My Plate/Drink Forums at local schools.
• Provide 25 Menifee Mobile Kitchen demonstrations at community events.
• Provide 12 What's Cookin' Menifee podcasts within a year.
GRANT PERIOD:
Start date: 7/1/2017 End Date: 7/1/2018
NARRATIVE AND FINANCIAL REPORTS DUE:
Requirement Due Date
Final Report August 1, 2018
City of Menifee
CB Grant Summary
Grant#20655774
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