CITY OF SIMI VALLEY MEMORANDUM SUBJECT: APPOINTMENT OF SIMI VALLEY COUNCIL ON AGING EXECUTIVE BOARD MEMBERS

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CITY OF SIMI VALLEY MEMORANDUM AGENDA ITEM NO. 3B (1) January 26, 2015 TO: FROM: City Council Department of Community Services SUBJECT: APPOINTMENT OF SIMI VALLEY COUNCIL ON AGING EXECUTIVE BOARD MEMBERS STAFF RECOMMENDATION The Council On Aging recommends that the City Council approve, and the Mayor appoint, applicants nominated to the Council On Aging (COA) Executive Board. CITY MANAGER S RECOMMENDATION The City Manager defers to the Council On Aging recommendations. BACKGROUND AND OVERVIEW The Council On Aging (COA) serves as an advisory board to the City Council on senior citizen related issues. The COA is represented by a nine-member Executive Board. Per City Council Resolution 2006-61, Executive Board members are nominated by the COA general membership and appointed by the Mayor, with the approval of the City Council. Executive Board members serve staggered twoyear terms expiring on January 31 of each year. Vacancies for five COA Board Members will occur on January 31, 2015. FINDINGS AND ALTERNATIVES A recruitment to fill the 2015 vacancies began on October 13, 2014, and concluded on November 10, 2014. The City received four applications. Applicants who have not previously served on the COA Executive Board attended a mandatory orientation session. On January 12, 2015, the COA held its Annual Meeting that included the election of four nominees for appointment to the Executive Board, as detailed in the following list. Since only four applications were received, it was not possible to fill all five of the COA Executive Board positions. However, the COA Bylaws allow for the Board to operate with a minimum of seven Executive Board members, and the Executive Board would have eight members if the four recommended nominees are appointed. The applications of the recommended nominees are included as Attachment A, beginning on page 3. SR1-COA 01-15

2 Nominees Jean Cecil Barbara Durham Fred Goldberg June-Marie Von Osinski The COA recommends that the City Council approve, and the Mayor appoint, the four applicants nominated by the COA general membership to serve on the COA Executive Board. If appointed, the applicants will serve terms commencing on February 1, 2015, and concluding on January 31, 2017. The following alternatives are available to the City Council: 1. Approve, and the Mayor appoint, applicants nominated to the COA Executive Board; 2. Provide staff with alternate direction. The Council On Aging recommends Alternative No. 1. SUMMARY Five vacancies on the Simi Valley Council On Aging (COA) will exist when terms conclude on January 31, 2015. Recruitment to fill these positions began on October 13, 2014, and concluded on November 10, 2014. The City received four applications. The COA conducted an election on January 12, 2015, and is recommending that the City Council approve, and the Mayor appoint, applicants nominated to the COA Executive Board. Sommer Barwick, Director Department of Community Services INDEX Page Attachment A... 3 SR1-COA 01-15

SIMI V ALLEY COUNCIL ON AGING 3900 A VENIDA SIMI Simi Valley, CA 93063 3 ATTACHMENT A APPLICATION FOR COUNCIL ON AGING (COA) EXECUTIVE BOARD MONDAY IN OCTOBER THOUGH THE SECOND MONDAY IN NOVEMBER Name r:w/l, 0 c; J...) Telephone -"---_-=- (please complete in black ink or type) Address_~_~-,-- ~»_ / 1. 2. Why are you interested in serving on the COA Executive Board? zp;,;; 4/0Gjc6 ff ff' &- ;::::::=Lue,/h,CfoV ' x1 005 Jd'-v cj F '1:Y tj o;e/2.,u/i;jv /11s-' Jp"/7/aA!3 C7ie //2/ & I.J----- c:.4/01l?//i/ / 0 &~ cj ~e~ 2 t2.zt:;.r O/L/ C::?C/~ /?? CJ..Jf r, V.A/ u,.<:c ~ J A?' /.?/0...:v. "'A".k:' :5' J ;.e-hc:;...x::" COA ExecutIve Saara meetmgs are liela the second Monaiy of each month from 1 :00-3:00 p.m. at the Simi Valley Senior Center. Will you be able to attend each month's ~es DNo Slv71Jc! ) D#/?C--K hn?,r.>?/ 7A;'~- - c0&:,,,,, 6oP7&/7,Z# i?un1enjt}h'" J& - F tp~.f6&/'& &cj?/"/v.6"'h?q U /./ 7, J V...L.., ~!1/tJ..e I~/~ /p/' 'S~. I 1// V //A'S..-Y'/V ~"e/ F/-lUt1,S./-0/0 CK/0/&IJV..E V v 7S: I certify that I am sixtylears of age or older and reside within the City of Simi Valley Limits and I understand that i selected and appointed as a COA Executive Board Member, I will serve as a volunteer and at the pleasure of the City Council. As a volunteer, I understand that I am not covered by the City's insurance polic and, further, that the City's liability does not encompass volunteers. c/ 741COA Rev. 10/24/2011

4. SIMI V ALlLEY COlUNClIlL ON AGING 3900 A V1ENIDA SIMI Simi Valley, CA 93063 APPlLICAT!ON FOR COlUNClIlL ON AGING (COA) EXECUTIVE BOARD MONDAY IN OCTOBER THOUGH THE SECOND MONDAY IN NOVEMBER Name 2a{b~l"<A- YlArho:m (Please complete in black ink or type) Address~. ~--'-. =-'OL' '... ' ''41r--=~--- 1. 2. Va((~ Telephone ~ Email Why are you interested in serving on the COA Executive Board? G\vn ll'\\/o[ d 0:& \Yl 'iy'<mvi\ CO 1\ aeh, [~-b %:. I V\ ciud I ti\ 9 :o~, C A Executive Board meetings are held the second Monda 0 each month from 3:00 p.m. at the Simi Valley Senior Center. Will you be able to attend each month's 11'\ Jil.l. Yes 0 No SIr\I\! Va 1\e1 lj d!l'\e I certify that I am sixty years of age or older and reside within the City of Simi Valley Limits and I understand that if selected and appointed as a COA Executive Board Member, I will serve as a volunteer and at the pleasure of the City Council. As a volunteer, I understand that I am not covered by the City's insurance policy and, further, that the City's liability does not encompass volunteers. IO/:l! /20(t} Date I

5 SIMI V ALLEY COUNCIL ON AGING 3900 A VENIDA SIMI Simi VaI.ley, CA 93063 APPLICATION FOR COUNCIL ON AGING (COA) EXECUTIVE BOARD NDA Y IN OCTOBER THOUGH THE SECOND MONDAY IN NOVEMBER Name ~~~-~~~~~~~~- (Please complete in black ink or type) Telephone _------- Email --y-- Address ~.,.. tj S; ~t= c4r~/ 0. 1. Why are you interested in serving on the COA Executive Board? IAlM'I Jo f>t Iq,,/I/~LVeft> J/ L-n~G :2/::y/~ Ie 5 /.Jljf;.;"l h a: fip; fa 2 VI>-t.-V' /{II 7;Ec {[{oj (YI4-K rj.j. G ~~'"' t:es).4i\.1c ~,d;{f"-r'i) /NTO Mi G...wnve;'k-[ h Ler&Df?t.. klj&w S~f:!:!;-,e 2. COA Executive Board meetings are held the second Monday of each month from 1 :00 -,.. 3:00 p.m. at the Simi Valley Senior Center. Will you be able to attend each month's 1Yes DNo Srml tlall~ CVt.>PC.I L frid 116'lAuG I certify that I am sixty years of age or older and reside within the City of Simi Valley Limits and I understand that if selected and appointed as a COA Executive Board Member, I will serve as a volunteer and at the pleasure of the City Council. As a volunteer, I understand that I am not covered by the City's insurance policy an, furth r, that the City'S liability does not encompass volunteers. 74\COA Rev. 10/24/2011

SIMI V ALLEY COUNCIL ON AGING 3900 A'VEl\'i:DA SIMI Simi Valley, CA 93063 APPLICATION FOR COUNCIL ON AGING (COA) EXECUTIVE BOARD MONDA Y IN SEPTEMBER THOUGH THE SECOND MONDAY IN NOVEMBER NameJki /lie ~ )Vjc. fie yo" OSII' sf;: Telephone ~~_~~ (Please complete in black ink or type) 6 EmailL, -~'-"'-"'-'~""-"'-=~'-----'---- 1. Why are you interested in serving on the COA Executive Board? r?i,/}\ (I -G' tl I f1 ()\ 0 n Cf ~ ;' /),Ito /~, t' pi, Ci "j I/c/!!''/,,{, I..,J I I{ "- ~ C' 0/1 f (co I l)",v/i' /nj j if l-t I)/',.: ;-<, k;;"./ Ie (15-.c. (p J1 ~J OOfi u/ /) /i i vi /.5 U jui 1,7 ;ns/u',. 2. COA Executive Board meetings are held the second Monday of each month from 1 :00-3: 00 p. m. at the Simi Yalley Senior Center. Will you be able to attend each month's / G:VYes 0 No _ r:::ltli::/\/ljs C' F -the.lip,(!;-ji<'l/-- I'll E!y;/o-l'r 6/ 1 'ip.. D/ic!;C C 70L o, _ v',f '-.. W IV 7 c'bl'2- IAI T H-b'.!:! s cd ;J DC'I< os /C;;eE I,,".~;k hlp /Ihy C o.;f! I'" e:;o,"c,<; e I') hd, "",-. {Y Yl -f'.,(e,.. / A s p,,:; l' te on 1/ e-m,z/ "''''' "J)?s" L '.. I.(.'J p r- ~., f.,;:;)i;;'1 VI':'-. dy II Zt!'/1S i/v; D~/Ir!i /A,cK'i>. fii., i?.c ' W!!try /lhl7/j<'.il /v1 )J11/1/'6t v('/t-( ut6'!' Pdt'! {/4Jt:J ;f{'. emile;;. I certify that I am sixty/ears of age or older and reside within the City of Simi Yalley Limits and I understand that i selected and appointed as a COA Executive Board Member, I will serve as a volunteer and at the pleasure of the City Council. As a volunteer, I understand that I am not covered by the City's insurance policy and, further, that the City's liability does not encompass volunteers..a<,d /zo I~' Date 741COA Rev. 10124/2011