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Home My WebLink About2008-05-27-9:00AM-REGULARBRAZOSCOUNTY BRYAN, TEXAS NOTICE OF MEETING AND AGENDA BRAZOS COUNTY COMMISSIONERS COURT L; ELI .r 23 P kT: 3 f i 1 ~ " 1. ~ - Y I r THE COMMISSIONERS COURT OF BRAZOS COUNTY WILL MEET IN REGULAR SESSION ON 27 MAY 2008 AT 9:00 A.M. IN THE COMMISSIONERS COURTROOM OF THE BRAZOS COUNTY COURTHOUSE, 300 E. 26TH STREET, SUITE 115, BRYAN, TEXAS. 1. Invocation and Pledge of Allegiance - Commissioner Wassermann. 2. Call for citizen's input and/or concerns. 3. Presentation by the Brazos County Tax Assessor/Collector on recent actions of the Navasota Independent School District regarding the collection of taxes. Consider and take action on agenda items 4 - 20: 4. Request from Candy Gallego for funding from the County Records Management and Preservation Fund for office furniture to facilitate the creation, management, maintenance and storage of records created via transcription, from audio and video sources. Funding not to exceed $5,000 (previously tabled). 5. Permission to purchase an additional portable dance floor for the Exposition Complex in lieu of an indoor/outdoor stage. 6. Budget Amendment 07/08-32.1 thru 07/08-32.4. 7. Personnel Change of Status. 8. Payment of Claims. Office of the County Judge • 300 East 2e St. • Suite 114 • Bryan, Texas 77803 • Fax: (979) 361-4503 /d Commissioners Court Agenda 27 May 2008 Page 2 9. Addition of the following to the Steering Committee for selection of the architect and remodeling of the Brazos County Courthouse: a. Rod Anderson, County Attorney's Office b. Judge Smith, 361St District Court 10. Appointment of Marvin Walker to the Board of Directors for the Brazos Valley Council of Governments. 11. Appointment of Dale Picha, P.A. to the Brazos Valley Council of Governments' Transportation Committee 12. Resolution 08-009 supporting the development of a uniform Scope of Work that can serve as a basis for integrated justice system software to meet the needs of any county, regardless of size or location. 13. Renewal of the contract with the Texas Department of Agriculture for the National School Lunch Program which allows Brazos County to be reimbursed for breakfast and lunch meals served at both the Juvenile Center and the Academy for the 2008-2009 academic year. 14. Agreement with ConocoPhillips Specialty Products, Inc. for development and tax abatement in Reinvestment Zone 425 for commercial - industrial tax abatement. 15. Requisition in the amount of $19,861.03 to Mity-Lite, Inc. to purchase a portable dance floor and accessories for the Exposition Complex. 16. Tax Refund Applications for the following: a. James E. & Sharon L. Johnson b. NCMIC Finance c. Monica Bell Huff d. Halex Oil Corporation e. Margaret Taplin Wallace f. Sandra Stanly Swoboda g. M. D. Dollins, Inc. h. Oakwood/Country Village MHC i. Performance Cars & Trucks j. Holland Porter 17. Payment Authorization in the amount of $42.50 to Affiliated Telephone - Austin, Inc. from the Precinct 3 Justice of the Peace Office. A purchase order was not obtained in advance. 18. Payment Authorization in the amount of $249.70 to Champion Firearms Corporation for ammunition purchased for investigators in the District Attorney's Office to qualify with their firearms as required by TCLEOSE. The amount of the purchase exceeded the amount of the blanket purchase order. 19. Convene into Executive Session pursuant to §551.072 of the Texas Government Code to discuss real property. 20. Consider and possible action on the Executive Session. lt& l Commissioners Court Agenda 27 May 2008 Page 3 21. Announcement of interest items and possible future agenda topics. 22. Call for citizen input and/or concerns. 23. Agency / Board / Committee reports by Court members. 24. Adjourn The Brazos County Courthouse is wheelchair accessible. Handicap parking spaces are available. Any request for sign interpretive services must be made two business days before the meetin ~To make arrangements, call (979) 361-4102. COMMISSIONERS' COURT REGULAR MEETING MAY 27, 2008 A regular meeting of the Commissioners' Court of Brazos County, Texas was held in the Brazos County Commissioners Courtroom in the Courthouse in Bryan, Brazos County, Texas, beginning at 9:00 a.m. on Tuesday, May 27, 2008 with the following members of the Court present: Randy Sims, County Judge, Presiding; Lloyd Wassermann, Commissioner of Precinct 1; Duane Peters, Commissioner of Precinct 2; Kenny Mallard, Commissioner of Precinct 3; Carey Cauley, Jr., Commissioner of Precinct 4, Absent; Karen McQueen, County Clerk. The attached sheet contains the names of the citizens and officials that were in attendance. Commissioner Wassermann gave the invocation and then led the pledge of allegiance. There was no citizen input/and or concerns. The Court heard a presentation by the Brazos County Tax Assessor/Collector Kristy Roe. She discussed HB 1010 and the affect on the Appraisal District. Appraisal Districts can no longer appraise property beyond their county line. She also spoke on recent actions of the Navasota Independent School District concerning the collection of taxes. The Brazos County Vol 0 Page [Cl 5 Commissioners Court meeting May 27, 2008 2 Appraisal District will collect taxes for the Navasota School District on those properties whose owners live in the south end of Brazos County but whose children attend Navasota schools. There will be no cost to Brazos County. The next matter before the Court was consideration of a request from Candy Gallego for funding from the County Records Management and Preservation Fund for office furniture to facilitate the creation, management, maintenance and storage of records created via transcription, from audio and video sources. The funding is not to exceed $5,000. On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to remove this item from the agenda. The Court next considered a request from the Director of Special Events Facilities for permission to purchase an additional portable dance floor for the Exposition Center. Cost of the dance floor with accessories is $19,861.03. On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to approve the request. The Court next considered Budget Amendment #07/08-32.1 through 32.4 that would reallocate funds for Capital Improvement Fund: Commissioners' Court and Exposition Complex, Sheriff: Administration (2); and recognize equipment donated Vol 10K Page Commissioners Court meeting May 27, 2008 3 to the Sheriff's Department. On motion by Commissioner Peters, seconded by Commissioner Mallard, the Court voted unanimously to approve the budget amendments as submitted. A copy is attached. The Court proceeded to consider the change of status of employees as submitted on the attached Personnel Action Requests. On motion by Commissioner Wassermann, seconded by Commissioner Peters, the Court voted unanimously to approve the changes as submitted. The Court next considered the following Claims as submitted by the County Treasurer for payment: 7050116 through 7050436 On motion by Commissioner Peters, seconded by Commissioner Mallard, the Court voted unanimously to approve the Claims as submitted. The next matter before the Court was the addition of two individuals to serve on the Steering Committee for the selection of the Architect and remodeling of the Brazos County Courthouse. On motion by the County Judge, seconded by Commissioner Peters the Court voted unanimously to appoint the following individuals: a. Rod Anderson, Count Attorney's Office b. Judge Steve Smith, 361St District Judge Vol WK Page [ a 3 Commissioners Court meeting May 27, 2008 4 The next matter before the Court was the appointment of an individual to serve on the Brazos Valley Council of Governments Board of Directors. On motion by the County Judge, seconded by Commissioner Peters, the Court voted unanimously to appoint Marvin Walker to serve on the Board of Directors of the Brazos Valley Council of Governments. The Court next considered the appointment of an individual to serve on the Brazos Valley Council of Governments Transportation Committee. On motion by the County Judge, seconded by Commissioner Peters, the Court voted unanimously to appoint Dale Picha, P.E. to serve on the Brazos Valley Council of Governments Transportation Committee. The next matter before the Court was consideration of Resolution 08-009 supporting the development of a uniform Scope of work that can serve as a basis for integrated justice system software to meet the needs of any county, regardless of size or location. On motion by the County Judge, seconded by Commissioner Peters, the Court voted unanimously to adopt Resolution #08-009 supporting the development of a uniform scope of work. The Court next considered the renewal of the contract with the Texas Department of Agriculture for the National School Lunch Program which allows Brazos County to be Vol I OAS Page (q Commissioners Court meeting May 27, 2008 5 reimbursed for breakfast and lunch meals served at both the Juvenile Center and the Academy for the 2008-2009 academic year. On motion by Commissioner Wassermann, seconded by Commissioner Peters, the Court voted unanimously to authorized the County Judge to execute the documents. A copy is attached. The next matter before the Court was consideration of an Agreement with ConocoPhillips Specialty Products, Inc for development and tax abatement in Reinvestment Zone #25 for commercial-industrial tax abatement. On motion by Commissioner Peters, seconded by Commissioner Wassermann, the Court voted unanimously to table consideration at the request of court counsel. The Court next considered a requisition in the amount of $19,861.03 to Mity-Lite, Inc. to purchase a portable dance floor and accessories for the Exposition Center. On motion by Commissioner Peters, seconded by the County Judge, the Court voted unanimously to approve the requisition. The next matter for consideration was approval of tax refund applications from the following individuals and/or companies: a. James E. & Sharon L. Johnson, over payment $9.21 b. NCMIC Finance, over payment $10.00 c. Monica Bell Huff, over payment $11.36 d. Halex Oil Corporation, over payment $20.00 e. Margaret Taplin Wallace, over payment $25.47 f. Sandra Stanly Swoboda, over payment $73.30 Vol t0 Page «,A Commissioners Court meeting May 27, 2008 6 g. M.D. Dollins, Inc., over payment $92.19 h. Oakwood/Country Village MHC, over payment $114.38 i. Performance Cars & Trucks, over payment $199.87 j. Holland Porter, over payment $1,557.15 On motion by Commissioner Wassermann, seconded by Commissioner Peters, the Court voted unanimously to approve the tax refund applications. The Court next considered a payment authorization in the amount of $42.50 to Affiliated Telephone-Austin, Inc. from the Precinct 3 Justice of the Peace office. No purchase order was obtained in advance. On motion by the County Judge, seconded by Commissioner Peters, the Court voted unanimously to approve the payment authorization. The next matter before the Court was consideration of a payment authorization in the amount of $249.70 to Champion Firearms Corporation for ammunition purchased for investigators in the District Attorney's Office to qualify with their firearms as required by TCLEOSE. The amount of the purchase exceeded the amount of the blanket purchase order. On motion by Commissioner Mallard, seconded by Commissioner Peters, the Court voted unanimously to approve the payment authorization. At 9:16 a.m. the County Judge announced the meeting closed to the public so that the Court could meet in Closed Executive Session to discuss the purchase of real property as allowed Vol 0 Page 0'(0 0 Commissioners Court meeting May 27, 2008 7 under Section 551.072 of the Texas Government Code. He asked Tina Snelling, Candy Gallego, Katie Conner, Irene Jett, Todd McDaniel, Bob Malaise and Brett McCulley to stay in the meeting. At 10:54 a.m. the County Judge announced the meeting open to the public and announced that no action would be taken on the Closed Executive Session. There were no announcements of interest items and possible future agenda topics. There was no citizen input and/or concerns. There were no Agency/Board/Committee reports by Court members. There being no further business to come before the Court, the meeting was adjourned. Vol 09 Page ~l The foregoing minutes of the Commissioners Court meeting held May 27, 2008 have been examined and are approved in open Court this the day of p~j,~vr 2008, in Bryan, Brazos County,~Texas. Randy Si County udge Gt,L4LIf Duane Peters Commissioner, Precinct 2 arey C uley, Jr. Commis ioner, Preci t 4 Attest: ~G~C c McQueen 4Krh~ County Clerk - Ak Lloyd 'ssermann Commissioner, Precinct 1 f Kenny Mal d Commissioner, Precinct 3 Vol 1 09 Page 016) BRAZOS COUNTY COMMISSIONERS COURT MEETING ON 2008 AT p~ L~ -I Name (PLEASE PRINT) Organization/Department /4 L , cx, c, #2111.2 ~GG v (~4~ wtfle-~ . cr. 10 9 ;?-o 3 BRAZOS COUNTY, TEXAS BUDGET AMENDMENT(S) FOR THE 2007-2008 BUDGET YEAR NO. 07/08-32.1 thru 07/08-32.4 On this the 27th day of May 2008 at a regular meeting of the Commissioners' Court, the following members were present: Randy Sims, County Judge, Presiding Lloyd Wassermann, Commissioner, Precinct 1 E. Duane Peters, Commissioner, Precinct 2 G. Kenny Mallard, Commissioner, Precinct 3 Carey Cauley, Jr., Commissioner, Precinct 4 Karen McQueen, County Clerk The following proceedings were held: THAT WHEREAS, on 27 May 2008 the Court heard and approved a budget amendment for the 2007-2008 budget year for Brazos County, Texas; and WHEREAS, an expenditure is necessary due to the necessity to meet unusual and unforeseen conditions which could not be reasonably included in the original budget adopted 11 September 2007, the following amendment(s) to the original budget are hereby authorized, as described on the attached page(s). ADOPTED AND APPROVED this the 27th day of May 2008. THE COMMISSIONERS COURT OF BRAZOS COUNTY, TEXAS. By: Randy,Sims, County Judge Original: County Clerk's Office and attached to the original budget Copies: County Auditor County Treasurer County Budget Officer Commissioners' Court Minutes 0 'a 0 4 BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 07108 - 32.1 5/27/2008 FUND DIV ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 4500 63000500 80890000 CR Vehicles 9,861.03 4500 63000500 80293000 DR Expo-Equipment 9,861.03 Ca ital Improvement Fund: Commissioner's Court and Exposition Complex To reallocate funds to allow for the purchase of additional portable dance floor in lieu of an indoor/outdoor sta =e with accessories. The portable stage was incorrect) budgeted in the vehicle account therefore funding must be moved to the correct account tt80293000. The funds for the fans were appropriated in Ex o-E ui ment account. Prepared By: ifj Date: 5/22/2008 Department County J Approval l b~ - ~D5 Cj-`~✓~-L~J Date 7 a ate BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 07/08 - 32.2 5/27/2008 FUND DIV ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 0100 28000100 59100000 CR DDEA 6,500.00 0100 28000100 65950000 DR Vehicle Maintenance 6,500.00 Sheriff: Administration To reallocate funds to allow for unexpected vehicle maintenance expenditures to vehicles that were expected to be re lace this year. The vehicle maintenance account was appropriated $45,000.To date $41,603.12 has been ex ended with an additional $6,823.73 encumbered which totals $48,426.85. Prepared By: ifj Date: 5/22/2008 10 ao6 Department Approval Date BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 07/08 - 32.3 5/27/2008 FUND DIV ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 3202 282300 80310000 CR 80OMHZ Communication Sys 26,500.00 3202 282300 67287000 DR Equipment-Radios 26,500.00 Sheriff: Administration To reallocate funds to allow for unexpected vehicle maintenance expenditures to vehicles that were expected to be replace this year. The vehicle maintenance account was appropriated $45,000.To date $41,603.12 has been expended with an additional $6,823.73 encumbered which totals $48,426.85. Prepared By: ifj Date: 5122/2008 10~ 207 Department Approval Date BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 07/08 - 32.4 5/27/2008 FUND DIV ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 0100 46023000 CR Donations-Other 29,762.50 0100 28000100 67010000 DR Donated Minor Property 29,762.50 Sheriff: Administration To recognize equipment donated b Gold's Gym to be used in the work out room at the Sheriff Administration Building. This donation was a roved b Commissioner Court on May 20, 2008 item number 13. Department Approval Date Prepared By: i Date: 5122/2008 8 County Jud a Approval Date 169 ao8 PERSONNEL CHANGE OF STATUS REQUESTS :~#7 ? Commissioner Court Date: May 27, 2008 Department Submitting Information: Human Resources Purpose of Submissions: Consider and Take Action on Change Requests Department Submitting Employee Request Action Requested Request(s) Applies To 272nd District Court Odstrcil, Robert Retirement Montoya, Ernie New Hire District Attorney Archambault, Chris New Hire Hamlin, Katye New Hire Justice of the Peace Pct.l Garcia, Loretta New Hire Juvenile Services New Hire Wood, JG Tax Office Approved in Commissioners' Court: May 27, 2 County Judge's or Commissioner's Signature: (This Copy to be attached to minutes) Callahan, Clarissa Resignation STATE OF TEXAS§ COUNTY OF TRAVIS § TEXAS DEPARTMENT OF AGRICULTURE FOOD NUTRITION DIVISION AGREEMENT The Texas Department of Agriculture, hereinafter referred to as TDA, AND l3 Brazos County Juvenile, hereinafter referred to as Contractor, Services do hereby make and enter into this Agreement ("Agreement'), as required by the National School Lunch Act and the Child Nutrition Act, as amended, and the following program regulations: the National School Lunch Program (NSLP), 7 Code of Federal Regulations (CFR) Part 210; the Special Milk Program (SW), 7 CFR Part 215; the School Breakfast Program (SBP), 7 CFR Part 220; the Summer Food Service Program (SFSP), 7 CFR Part 225; and the Child. and Adult Care Food Program (CACFP) 7 CFR Part 226 (collectively herein, "Programs"). This Agreement establishes or continues the rights and responsibilities of TDA and Contractor pursuant to Contractor's participation in one or more of the above named programs as stipulated herein. If this Agreement continues as an existing agreement, all existing terms, conditions, liabilities and obligations of the parties under the prior Agreement remain in full force and effect, except to the extent that those terms, conditions, liabilities and obligations conflict with this Agreement, in which case this Agreement takes precedence. By signing this Agreement, both parties are bound by its terms and conditions from its beginning effective date, or the beginning effective date of any prior Agreement(s) continued by this Agreement, until terminated in accordance with this Agreement. 1. MUTUAL AGREEMENTS The Parties mutually agree: A. If Contractor fails to provide services in accordance with the provisions of this Agreement, TDA may, upon written notice of default to Contractor, immediately terminate the whole or any part of this Agreement, including refusal to pay claims for reimbursement, and such termination shall not be an exclusive remedy but shall be in addition to any other rights and remedies provided by law or under this Agreement B. If federal or state laws or other requirements are amended or judicially interpreted so that the continued fulfillment of this Agreement, on the part of either party, is substantially unreasonable or impossible, or if the parties are unable to agree upon any amendment which would therefore be needed to enable the substantial continuation of the services contemplated by this Agreement then, the parties shall be discharged from any further obligations created under the terms of this Agreement, except for the equitable settlement of the respective accrued interest of obligations, including audit findings, incurred up to the date of termination. II. CONTRACTOR PROGRAM ADMINISTRATION AND FINANCIAL MANAGEMENT A. Contractor will comply with all applicable regulations for its designated program, as well as 7 CFR Parts 245 and 250, as amended, the Uniform Federal Assistance Regulation (7 CFR, Part 3015, as amended), Audits of State, Local Governments, and Non-Profit Organizations (7 CFR 3052, as amended) and state policies and procedures as issued and amended by TDA. Contractor further agrees to perform as described in its application (including its Policy statement and supporting documents, and approved amendments to the application) for participation in the designated program. 0 ca B. Contractor accepts final administrative and financial responsibility for food service operations in each school, summer feeding_site,..and child and/or adult care facility, hereinafter referred to as a site, operated or sponsored by Contractor. The responsibility includes any audit exceptions or payment deficiency in the program covered by this contract, and all subcontracts hereunder, which are found after monitoring or auditing by TDA or USDA and will be responsible for the collections and payback of any amount paid in excess of the proper claim amount. C. Contractor must submit for TDA approval only those applications for sites which have delegated the authority for the administration of food service operations to the Contractor or which have executed sub agreements with Contractor for the administration of food services operations. D. If Contractor participates in the NSLP, Contractor agrees: 1. That the official signing the Claim for Reimbursement will be responsible for reviewing and analyzing meal counts to ensure accuracy and compliance with federal regulations; 2. To enter into an agreement to receive donated foods as required by federal regulations; 3. To price the lunch as a unit; 4. To claim reimbursement at the assigned rates only for reimbursable free, reduced price and paid lunches served to eligible children in accordance with 7 CFR part 210; 5. Count the number of free, reduced price and paid reimbursable meals served to eligible children at the point of service, or through another counting system, if approved by TDA; 6. Limit its net cash resources to an amount that does not exceed 3 months average expenditures for its nonprofit school food service or such other amount as may be approved in accordance with 7 CFR §210.19(a); and 7. Maintain a financial management system as prescribed under 7 CFR §210.14(c). E. If Contractor participates in the CACFP, Contractor shall provide or accept responsibility for the provision of organized, non- residential child day care and will immediately report to the Texas Department of Family and Protective Services (DFPS) Licensing or Child Protective Services staff, any suspected violations of DFPS Licensing standards or suspected abuse of children in sponsored centers or day homes. F. Contractor understands that acceptance of funds under this Contract acts as acceptance of the authority of the State Auditor's Office (SAO), or any successor agency, to conduct an investigation in connection with those. finds. Contractor further agrees to cooperate fully with the SAO or its successor in the conduct of the audit or investigation, including providing all records requested. Contractor will ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through Contractor and the requirement to cooperate is included in any subcontract it awards. G. Notification of Change of Information. Contractor agrees to submit to TDA's Food and Nutrition Division an amendment to its application or management plan, on TDA's form, when any change occurs from information that was originally submitted in Contractor's application. III. RECORD KEEPING A. Contractor will keep financial and supporting documents, statistical records, and any other records pertinent to the services for which a claim was submitted in the manner and detail prescribed by TDA. Unless otherwise provided by state or federal law, the records and documents will be kept for a minimum of 3 years and 90 days after the termination of the federal fiscal year for the relevant program. If any litigation, claim, or audit involving these records begins before such period expires, Contractor will keep the records and documents for not less than 3 years and 90 days and until all litigation, claims or audit findings are resolved. The case is considered resolved when there is a final order issued in litigation, or a written agreement is entered into between TDA and the Contractor. Contractor will keep records of non-expendable property acquired under the contract for 3 years and 90 days after final disposition of the property. B. Contractor and its subcontractors will allow -IDA and USDA officials and other appropriate officials determined by TDA to inspect facilities and records and to audit, examine, and copy records at any reasonable time. This includes access to all records of costs paid, even in part, by TDA. C. Contractor and its subcontractors will establish a method to secure the confidentiality of records and other information relating to clients in accordance with the applicable federal law, rules, and regulations, as well as the applicable state law and regulations. The provision shall not be construed as limiting TDA's right of access to recipient case records or other information relating to clients served under this contract. d . , ~ ~4 1 IV. CIVIL RIGHTS POLICY COMPLIANCE A. Contractor agrees to comply with Title VI of the Civil Rights Act of 1964 (Public Law 88-352) and all requirements imposed by the regulations of the Department of Agriculture (7 CFR Part 15), Department of Justice (28 CFR Parts 42 and 50) and FNS directives or regulations issued pursuant to that act and the regulations. Section 504 of the Rehabilitation Act of 1973 (public Law 93-112), the Americans with Disabilities Act of 1990 (Public Law 101-336), Title IX of the Education Amendments of 1972 (Title 20 U.S.C. Sections 1681-1688) and USDA regulations at 7 CFR. Part 15a, the Age Discrimination Act of 1975 (Public Law 94-135), and all amendments to each, and all requirements imposed by the regulations issued pursuant to these acts. These provide in part that no person in the United States shall, on the ground of race, color, national origin, age, sex, or disability be excluded from participation in, or denied any aid, care, service or other benefits provided by federal and/or state funding, or otherwise be subjected to discrimination. The contractor also agrees to comply with Health and Safety Code Section 85.113 (relating to workplace and confidentiality guidelines regarding AIDS and HIV). Additionally, Title VI of the Civil Rights Act of 1964, and its implementing regulations at 7 CFR, Part 15, prohibit Contractor from adopting and implementing policies and procedures that exclude or have the effect of excluding or limiting the participation of clients in its programs, benefits, or activities, on the basis of national origin. Contractor agrees to ensure that its policies do not have the effect of excluding or limiting the participation of persons in its programs and activities, on the basis of national origin. The contractor also agrees to take reasonable steps to provide services and information, both orally and in writing, in appropriate languages other than English, in order to ensure that persons with limited English proficiency are effectively informed and can effectively participate in and benefit from its programs. Contractor accepts final administrative responsibility for ensuring that its subcontractors take reasonable steps to provide services and information, both orally and inwriting, in appropriate languages other than English, in order to ensure that persons with limited English proficiency are effectively informed and can effectively participate in and benefit from that subcontractor's programs and services. B. Contractor hereby gives assurance that it will immediately take any measures necessary to comply with this section. This assurance is given in consideration of and for the purpose of obtaining any and all federal financial assistance, grants and loans of federal funds, reimbursable expenditures, grant or donation of federal property and interest in property, the detail of federal personnel, the sale and lease of, and the permission to use, federal property or interest in such property or the furnishing of services without consideration or at a nominal consideration, or at a consideration which is reduced for the purpose of assisting the recipient, or in recognition of the public interest to be served by such sale, lease or furnishing of services to the recipient, or any improvements made with federal financial assistance extended to the program applicant by the TDA. This includes any federal agreement, arrangement, or other contract that has as one of its purposes the provision of cash assistance for the purchase of food, and cash assistance for purchase or rental of food service equipment or any other financial assistance extended in reliance on the representation and agreements made in this assurance. C. Contractor agrees to compile data, maintain records, and submit reports as required, to permit effective enforcement of the above Acts and permit authorized TDA, USDA and FNS personnel during normal working hours to review such records, books, and accounts as needed to ascertain compliance with the above Acts. If there are any violations of this assurance, TDA, USDA and FNS have the right to seek judicial enforcement of this assurance. This assurance is binding on the Contractor, its successors, transferees, and assignees as long as it receives assistance or retains possession of any assistance from the department. The person whose signature appears on this Agreement is authorized to sign this assurance on the behalf of the Contractor. D. A religious or charitable organization is eligible to be a Contractor on the same basis as any other private organization. The Contractor retains its independence from State and local governments, including the Contractor's control over the definition, development, practice, and expression of its charitable or religious beliefs. Except as provided by federal law, TDA shall not interpret this Agreement to require a charitable or religious organization to alter its form of internal governance or remove religious art, icons, scripture, or other symbols. Furthermore, if a religious or charitable organization segregates the government funds provided under this Agreement, then only the financial assistance provided by these funds will be subject to audit. However, neither TDA's selection of a charitable or faith-based Contractor of services nor the expenditure of funds under this Agreement is an endorsement of the Contractor's charitable or religious character, practices, or expression. The purpose of this Agreement is the provision of services; no State expenditures have as their objective the funding of sectarian worship, instructions, or proselytization. Its a0 A charitable or faith-based provider of services under this Agreement shall reasonably apprise all assisted individuals of the following: 'Neither TDA's selection of a charitable or faith-based provider of services nor the expenditure of funds under this contract is an endorsement of the provider's charitable or religious character, practices, or expression. No provider of services may discriminate against you on the basis of religion, a religious belief, or your refusal to participate in a religious practice. If you object to a particular provider because of its religious character, you may request assignment to a different provider. If you believe that your rights have been violated, please discuss the complaint with your provider or notify TDA's Food and Nutrition Division. " Section 104 of The Personal Responsibility and Work Opportunity Reconciliation Act of 1996, 42 U.S.C. § 604x, sets forth certain additional rights and responsibilities for charitable and faith-based providers of services, certain additional rights of assisted individuals, and certain additional responsibilities of TDA to these providers and assisted individuals. This Agreement is subject to those additional rights and responsibilities. V. TDA CLAIMS PAYMENT A. TDA will, subject to the federal appropriation and availability to TDA of sufficient funds for the applicable program, make program payment to Contractor in accordance with the terms of this Agreement. No reimbursement shall be made for performance under this Agreement occurring prior to (a) the beginning effective date of this Agreement or (b) a later date established by TDA based on the date of receipt of a fully executed copy of this Agreement. B. This paragraph is pursuant to §2252.903 of the Texas Government Code. Any payments owing to Contractor under this Agreement will be applied toward elimination of Contractor's indebtedness to the state, delinquency in payment of taxes to the state, or delinquency in payment of taxes that the comptroller administers or collects until the indebtedness or delinquency is paid in full. VI. I1MMGRATION Contractor agrees to comply with the requirements of the Immigration Reform and Control Act of 1986 regarding employment verification and retention of verification forms for any individuals hired after November 6, 1986, who will perform any labor or services under this Agreement. VII. CERTIFICATION A. Debarment, Suspension, Ineligibility, or Voluntary Exclusion For Covered Contracts. Contractor certifies, by execution of this Agreement, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in this contract by any federal department or agency or by the State of Texas. By making this certification Contractor agrees to the following terms: 1. The above certification is a material representation of fact upon which reliance was based when this Agreement was entered into. If it is later determined that the Contractor knowingly rendered an erroneous certification, in addition to other remedies available to the federal government, the United States Department of Agriculture or other federal department of agency, or the Texas Department of Agriculture may pursue available remedies, including suspension and/or debarment. 2. Contractor shall provide immediate written notice to the person to which this certification is submitted if at any time Contractor learns that the certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 3. The words "covered contract," "debarred," suspended," "ineligible," "participant," "person," "principal," "proposal," and voluntarily excluded," as used in this certification have meanings based upon materials in the Definitions and overage sections of federal rules implementing Executive Order 12549. Usage is defined in the attachment. lad ~~1.3 4. Contractor agrees by submitting this certification that, should the proposed covered contract be entered into, it shall not knowingly enter into any subcontract with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the United States Department of Agriculture or other federal department or agency, and/or the Texas Department of Agriculture, as applicable. 5. Contractor further agrees by submitting this certification that it will include TDA's Form titled "Certification Regarding. Debarment, Suspension, Ineligibility, and Voluntary Exclusion for Covered Contracts" without modification, in all covered subcontracts and in all solicitation for all covered subcontracts. 6. Contractor may rely upon a certification of a subcontractor that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered contract, unless it knows that the certification is erroneous. Contractor must, at a minimum, obtain certificates from its covered subcontractor upon each subcontractor's initiation and upon each renewal. Nothing contained in all the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this certification document. The knowledge and information of Contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 7. Except for contracts authorized under paragraph 4 of these terms, if Contractor in a covered contract knowingly enters into a covered subcontract with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the federal government, the United States Department of Agriculture, or other federal department or agency, as applicable, and/or the Texas Department of Agriculture may pursue available remedies, including suspension and/or debarment. B. Federal Lobbying. This certification applies only to this Agreement and is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Contractor certifies, to the best of his or her knowledge and belief, that: No federally appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, or the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. If any funds other than federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this federally funded contract, subcontract, sub grant, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. Contractor shall require that the language of this certification be included in the award documents for all covered sub awards at all tiers (including subcontracts, sub grants, and contracts under grants, loans, and cooperative agreements) and that all covered sub recipients shall certify and disclose accordingly. C. Conflicts of Interest. Contractor agrees to comply with applicable state and federal laws, rules and regulations regarding conflicts of interest in the performance of its duties under this Agreement. Contractor warrants that it has no interest and will not acquire any direct or indirect interest that would conflict in any manner or degree with its performance under this Agreement. Contractor will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. Contractor will operate with complete independence and objectivity without actual, potential or apparent conflict of interest with respect to the activities conducted under this Agreement with the State of Texas. 109 04 An organizational conflict of interest is a set of facts or circumstances, a relationship, or other situation under which a contractor, or a subcontractor has past, present, or currently planned personal or financial activities or interests that either directly or indirectly: 1. Impairs or diminishes the offeror's, contractor's, or subcontractor's ability to render impartial or objective assistance or advice to TDA; or 2. Provides the contractor or subcontractor an unfair competitive advantage in future TDA procurements. Except as otherwise disclosed and approved by TDA prior to the Effective Date of this Agreement, Contractor. warrants that, as of the Effective Date and to the best of its knowledge and belief, there are no relevant facts or circumstances that could give rise to organizational conflict of interest affecting this Agreement: Contractor affirms that it has neither given, nor intends to give, at any time hereafter, any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant or any employee or representative of same, at any time during the procurement process or in connection with the procurement process except as allowed under relevant state and federal law. Contractor agrees that, if after the Effective Date, Contractor discovers or is made aware of an organizational conflict of interest, Contractor will immediately and fully disclose such interest in writing to TDA's Food and Nutrition Division. In addition, Contractor must promptly disclose any relationship that might be perceived or represented as a conflict after its discovery by Contractor or by TDA as a potential conflict. TDA reserves the right to make a final determination regarding the existence of conflicts of interest, and Contractor agrees to abide by TDA's decision. The disclosure will include a description of the action(s) that Contractor has taken or proposes to take to avoid or mitigate such conflicts. If TDA determines that an organizational conflict of interest exists, TDA may, at its discretion, terminate this Agreement. If TDA determines that Contractor was aware of an organizational conflict of interest before the award of this Agreement and did not disclose the conflict to the contracting officer, such nondisclosure will be considered a material breach of the Agreement. Furthermore, such breach may be submitted to the Office of the Attorney General, Texas Ethics Commission, or appropriate State or Federal law enforcement officials for further action. Contractor must include the provisions of this Section C in all subcontracts for work to be performed similar to the service provided by Contractor and the terms "Agreement," with the terms "Contractor" and "TDA" modified appropriately to preserve the State's rights. Contractor must not retain or promise to retain any person or company, or utilize or promise to utilize a consultant that participated in TDA's development of specific criteria of this Agreement or who participated in the approval of the Contractor for this Agreement. Contractor will not recruit or employ any TDA professional or technical personnel who has worked on projects relating to the subject matter of this Agreement, or who has had any influence on decisions affecting the subject matter of this Agreement, for two (2) years following the completion of this Agreement. Contractor certifies to its understanding and agreement regarding Conflicts of Interest. D. Franchise Taxes. Contractor certifies that if it is a corporation, it is either a for-profit corporation that is not delinquent in its franchise tax payments to the State of Texas, or is a non-profit corporation or is otherwise not subject to payment of franchise taxes to the State of Texas. E. Contractor certifies that all information submitted pursuant to this agreement is true and correct. Contractor understands that the deliberate misrepresentation or withholding of information is a violation of this Agreement and may result in prosecution under applicable state and federal statutes. F. Family Code. Under Section 231.006, Texas Family Code, the vendor or applicant certifies that the individual or business entity named in this Agreement, bid, or application, and any individual who is a partner, shareholder, or owner with at least 25% interest in the business entity, is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Agreement may be terminated and payment may be withheld if this certification is inaccurate. log a15 TERM AND TERNUNATION In addition to other provisions of this article allowing termination, this Agreement will terminate upon the Expiration Date unless extended in accordance with the terms of this Agreement, or terminated sooner under the terms of this Agreement. Prior to completion of the Initial Term and any extensions or renewal thereof, all or a part of this Agreement may be terminated for any of the following reasons: A. Termination by mutual agreement of the Parties. This Agreement may be terminated by mutual agreement of the Parties. Such agreement must be in writing. B. Termination in the best interest of the State. TDA may terminate this Agreement at any time when, in its sole discretion, TDA determines that termination is in the best interest of the State of Texas. The termination will be effective on the date specified in TDA's Notice of Termination. C. Termination for cause. TDA reserves the right to terminate this Agreement, in whole or in part, upon the following conditions: 1. Assignment for the benefit of creditors, appointment of receiver, or inability to pay debts. TDA may terminate this Agreement if Contractor: a) Makes an assignment for the benefit of its creditors; b) Admits in writing its inability to pay its debts generally as they become due; or c) Consents to the appointment of a receiver, trustee, or liquidator of Contractor or of all or any part of its property. 2. Failure to adhere to laws, rules, ordinances, or orders. TDA may terminate this Contract if a court of competent jurisdiction finds Contractor failed to adhere to any laws, ordinances, rules, regulations or orders of any public authority having jurisdiction and such violation prevents or substantially impairs performance of Contractor's duties under this Agreement. 3. Breach of confidentiality. TDA may terminate this Agreement if Contractor breaches confidentiality laws with respect to the Services and Deliverables provided under this Agreement. 4. Failure to maintain adequate personnel or resources. TDA may terminate this Agreement if, after providing notice and an opportunity to correct, TDA determines that Contractor has failed to supply personnel or resources and such failure results in Contractor's inability to fulfill its duties under this Agreement. 5. Termination for gifts and gratuities. a) TDA may terminate this Agreement following the determination by a competent judicial or quasi-judicial authority and Contractor's exhaustion of all legal remedies that Contractor, its employees, agents or representatives have either offered or given any thing of value an officer or employee of TDA or the State of Texas in violation of state law. b) Contractor must include a similar provision in each of its subcontracts and shall enforce this provision against a subcontractor who has offered or given any thing of value to any of the persons or entities described in this Section, whether or not the offer or gift was in Contractor's behalf c) Termination of a subcontract by Contractor pursuant to this provision will not be a cause for termination of this Agreement unless: (1) Contractor fails to replace such terminated subcontractor within a reasonable time; and (2) Such failure constitutes Cause as described in this Section. (d) For purposes of this Section, a "thing of value" means any item of tangible or intangible property that has a monetary value of more than $50.00 and includes, but is not limited to, cash, food, lodging, entertainment, and charitable contributions. The term does not include contributions to holders of public office or candidates for public office that are paid and reported in accordance with State and/or Federal law. 1 A Dff 6. Termination for non-appropriation of funds. Notwithstanding any other provision of this Agreement, if funds for the continued fulfillment of this Agreement by TDA are at any time not forthcoming or are insufficient, through failure of any entity to appropriate funds or otherwise, then TDA will have the right to terminate this Agreement at no additional cost and with no penalty whatsoever by giving prior written notice documenting the lack of funding. 7. Judgment and execution. a) TDA may terminate this Agreement if judgment for the payment of money in excess of $500,000.00 that is not covered by insurance, is rendered by any court or governmental body against Contractor, and Contractor does not. (1) Discharge the judgment or provide for its discharge in accordance with the terms of the judgment; (2) Procure a stay of execution of the judgment within 30 days from the date of entry thereof, or (3) Perfect an appeal of such judgment and cause the execution of such judgment to be stayed during the appeal., providing such financial reserves as may be required under generally accepted accounting principles. b) If a writ or warrant of attachment or any similar process is issued by any court against all or any material portion of the property of Contractor, and such writ or warrant of attachment or any similar process is not released or bonded within 30 days after its entry, TDA may terminate this Agreement in accordance with this Section. 8. Termination for insolvency. a) TDA may terminate this Agreement if Contractor: (1) Files for bankruptcy; (2) Becomes or is declared insolvent, or is the subject of any proceedings related to its liquidation, insolvency, or the appointment of a receiver or similar officer for it; (3) Makes an assignment for the benefit of all or substantially all of its creditors; or (4) Enters into an Agreement for the composition, extension, or readjustment of substantially all of its obligations. b) Contractor agrees to pay for all reasonable expenses of TDA including the cost of counsel, incident to: (1) The enforcement of payment of all obligations of the Contractor by any action or participation in, or in connection with a case or proceeding under Chapters 7, 11, or 13 of the United States Bankruptcy Code, or any successor statute; (2) A case or proceeding involving a receiver or other similar officer duly appointed to handle the Contractor's business; or (3) A case or proceeding in a State court initiated by TDA when previous collection attempts have been unsuccessful. 9. Termination for Contractor's material breach of the Contract. TDA will have the right to terminate this Agreement, in whole or in part, if TDA determines, at its sole discretion, that Contractor has materially breached this Agreement. 10. Termination for Change in Ownership of Institution. Contractor understands and agrees that this Contract is not transferable. IV a[7 ix EFFECTIVE DATE AND SIGNATURES This Agreement shall take effect on. July 1 , 200 8 , or upon signature by appropriately authorized representatives of both parties, whichever is later. The parties hereto in their capacities stated, affix their signatures and bind themselves for the faithful performance of the terms of this Agreement pursuant to participation in the following program or programs: • National School Lunch Program % School Breakfast Program Special Milk Program CONTRACTOR Brazos County Juvenile Services Name of Contracting Organization (Please print or type) Randy Sims Name of Official Signing (Please print or type) Child and Adult Care Food Program Summer Food Service Program By:--'. Signature of cha' an of the board of directors or other offic' ho has been authorized to sign contracts on behalf of the contracting organization. County Judge Title of Official (Please print or type) TEXAS DEPARTMENT OF AGRICULTURE By: TDA Representative Date: Revised January 2008 l0$ it&- Texas Department of Food and Nutrition Division Form Hi Agriculture Single Audit Identification Data December 2' For Program Year 2009 (FND Use Only) in Name of Contracting Organization Contact Person/Title Brazos Count Juvenile Services Patrick Munoz/ Address (Street or P.O. Box, City, State, ZIP Code) 1904 SH 21 West, Bryan, TX 77803 Area Code and Telephone No. Texas ID No. Contract No. (979 )823 - 3544 17460004330000 75-61001 Contractor Fiscal Year End (mm/dd/yyyy) Type of Contract 09/30/2008 ❑ For Profit ❑ Nonprofit ❑ State Agency E] Other Part 11 Check the appropriate box(es) to indicate the type(s) of program(s) in which you currently participate or for which you are applyir Commodity Assistance Programs Program Nos. Cash Reimbursement Programs Program No: ® A - National School Lunch/Breakfast 021187A ❑ AD - CACFP Adult Day Care TX - ❑ B - Charitable Institutions ® BL- National School Lunch/Breakfast TX - 021-20( ❑ C - Area Agency on Aging ❑ CC - CACFP Child Care Centers TX - . ❑ G - Summer Camps ❑ DH - CACFP Day Care Homes TX - ❑ H - Summer Food Service Program ❑ SF - Summer Food Service Program TX - ❑ J - Jails ❑ SM - Special Milk Program TX - ❑ I - TEXCAP ❑ TE - TEXCAP TX - ❑ CS - Commodity Supplemental Food Prog. ❑ CS - Commodity Supplemental Food Prog. TX - in 111 A. Does your organization expend federal funds from programs other than those listed above? ❑ Yes ® No If yes, complete Part III, B. B. Give the source and amount of any federal funds that your organization projects to expend during the current fiscal year. Source Amount Brazos County Juvenile Services Annual Budget 2007-2008 expenditures 3,821,234.00 Part IV Single Audit Exemption - I certify that I am not required to submit an audit under the Single Audit Act for the following reason. Check only one choice. ❑ I am a for-profit organization. ❑ I am a military base.- ® I am a nonprofit organization and expend less than $500,000 annually in total federal funding. ❑ I am an Indian Reservation. I understand that if I meet the requirements of the Single Audit Act, now or in the future, I must submit an audit as a condition of eligibility to participate in the Food and Nutrition Division, and that failure to do so as required could result in adverse action, including the withholding of my claim for reimbursement payments and termination of my contract. 1 also understand that if I am a private non- profit organization subject to the requirements of the Single Audit Act and have a financial audit performed annually, I must also obtain a single audit on an annual basis. C41L %\b_X Al o Date 1 itle Name (please type or print) iSuperintendent Patrick Munoz _ I~ alb T exas Department of National School Lunch Program and School Breakfast Program Agriculture Individual Site Information Name of School/RCCVAfterschool Care Feeding Site Brazos County Juvenile Detention Center Form HIS09 December 2007 Telephone Number (979 ) 823-3544 Jdress (Street or P_O. Box, City, State, Zip) 1904 SH 21 Safest, Bryan, T% 77803 Name of Person in Charge of Food Service Program Name of School Food Authority . Patrick Munoz Brazos County Juvenile Detention Center Type of Feeding Site (check all that apply) ® Day School ❑ Boarding School ❑ Combination Day School ❑ Residential Child ❑ Combination Day School and and Boarding School . Care Institution Residential Child Care Institution ❑ Special Education School ❑ Afterschool Care Snack Site ❑ Other (specify): 1. Is the above schooVresidenbal child care institution licensed? (If yes, attach copy of license.) ❑ Yes ® No 2. Program(s) that you are applying for. ® National School Lunch Program ❑ Afterschod Care Snack program (SFA must be participating in National School Lunch Program) ® School Breakfast Program ® Severe Need School Breakfast Program Rates' Available to schools/residential child care institutions meeting the following eligibility criteria: 1. 40% or more total lunches served in second preceding year were free or reduced price; and 2. Breakfast costs exceed the regular reimbursement rates available under the School Breakfast Program. Number of Months Beginning Date of Operation Ending Date of Operation 3. Number of months the school will be operating a food service program:.................. . 12 07/01/2008 0.6/30/2009 4. Number of children enrolled at school/residential child care institution: 78 A. Age Range of Children Enrolled B. Grade Levels Taught (schools only) 10 To: 16 From: 5 To: 12 From: 5. AVERAGE DAILY PA RTICIPATION OF CHIL DREN IN PROGRAM TIMES OF FOOD SERVICE Food Service: Free Reduced Price Paid Beginning Ending Breakfast 48 7 a. m. 8 a. m. Lunch 4 12 13.m. 1 P.M. Area Eligible Afterschool Care Snack Not Area Eligible Afterschool Care Snack 6. Attendance (for residential child care institutions only) A. Are all of the children at the institution all day? K] Yes ❑ No If no, do all or some of the children attend public school? ❑ All ❑ Some If only some attend public school, how many? If some or all attend public school, which meals do these student eat at the institution? ❑ Breakfast ❑ Lunch B. Check if the children attend the institution on holidays andlor weekends ® Holidays ® Weekends 7. Type of Meal Service A. Meal Preparation ® On-Site Kitchen ❑ Central Kitchen ❑ Food Service Management Company ❑ Vended Meals (submit copy of contract and checklist) (submit copy of agreement) ❑ Other (explain: B. Meal Planning System ❑ Enhanced Food Based Traditional Food Based ❑ Nutrient Standard Menu ❑ Assisted Nutrient Standard Menu Planning Planning (NSMP or NuMenus) (ANSMP or Assisted NuMenus) (See instructions for documents to submit.) ❑ Other (explain: NOTE: Snacks served in the Afterschool Cane Snack program must follow the food based supplement pattern regardless of your menu planning method for breakfast and/or lunch. 8. Type of Program ❑ Separate Charges ® No Separate Charge; Cost of Meals is Included ❑ Combination of Separate Charges and Made for Meals in Required Payment Plan/Fee No Separate Charges I Form M609 Page 2/12-2007 9. Daily Price Charged for Each Meal (for programs that will charge separately CHILDREN ADULTS only): Reduced Price Paid Breakfast Lunch Not Area Eligible Aterschool Care Snack NOTE: Area Eligible Afterschool Care Snack program sites must provide snacks free of charge to all students participating in the afterschool pre program. 10. A. High School (optional) Junior High (optional) Elementary (optional) Preschool (optional) Residential Child Care Institution (optional) ❑ Yes ® No ❑ Yes ® No E] Yes No E] Yes El No E] Yes ® No 11. Will supplemental (a la carte or snack bar) food service be available in addition to the school lunch? El Yes 5j No Questions 12 through 15 apply only to the AfterschooI Care Snack program. 12. Is attendance in afterschool care program limited to students enrolled in your schooVRCCI? If no: In which individual public school attendance area (not district) is the site located? NOTE: You must attach an information statement from the ISD (see instructions). 13. Indicate your school/RCCI or the public school free or reduced price enrollment percentage: Free or Reduced Price: % 14. Which required activities are included in your after school program? ❑ Educational Activities El Enrichment Activities Licensing (for schools only) A. Is a Texas Child Care License required for your after school care program? ❑ Yes E] No If yes, attach copy of license. If no, attach written confirmation from TDPRS that your facility is not subject to lioensure. B. If after school care site is not on a school campus and is exempt from licensure, are all state and local health and safety standards met? Attach co of most recent inspections.) El Yes El No I CERTIFY that the information on this form is true and correct to the best of my knowledge. I understand that deliberate misrepresentation or withholding inform . n may res in prosecution under applicable state and federal statutes. _ Title County Judge Signature-Official Da iA Staff: Effective Date 1 ......t. M---- inrlina4o -hnthur Mar vomm SANp Wlti hp imnlemented: High School (mandatory) Junior High (optional) Elementary (optional) Preschool (optional) Residential Child Care Institution (optional) ® Yes ® Yes El No E] Yes [I No [:1 Yes El No ❑ Yes ® No B. If ap plying forth e S c hool Breakfast Program indicate whether Offer versus Serve will be implemented: ❑ Yes ❑ No TDA Staff Signature Date 1a~ Okol l Texas Department of National School Lunch Program and School Breakfast Program Agriculture Individual Site Information Form H1609 December 2007 Name of SchoollRCCI/Afterschool Care Feeding Site Telephone Number Brazos County Juvenile Detention Center ( 979 ) 823-3544 Address (Street or P.O. Box, City, State, Zip) 1904 SH 21 West Bryan, Tx. 77803 Name of Person in Charge of Food Service Program Name of School Food Authority Patrick Munoz Brazos County Juvenile Detention Center Type of Feeding Site (check all that apply) X Day School ❑ Boarding School ❑ Combination Day School ❑ Residential Child ❑ Combination Day School and and Boarding School Care Institution Residential Child Care Institution ❑ Special Education School ❑ Afterschool Care Snack Site ❑ Other (specify): 1. Is the above school/residential child care institution licensed? (If yes, attach copy of license.) ❑ Yes x No 2. Program(s) that you are applying for: X National School Lunch Program ❑ Afterschool Care Snack program (SFA must be participating in National School Lunch Program) X School Breakfast Program X Severe Need School Breakfast Program Rates' t Available to schools/residential child care institutions meeting the following eligibility criteria: 1. 40% or more total lunches served in second preceding year were free or reduced price; and 2. Breakfast costs exceed the regular reimbursement rates available under the School Breakfast Program. Number of Months Beginning Date of Operation Ending Date of Operation 3. Number of months the school will be operating a food service program: 12 07/0112008 0613012009 4. Number of children enrolled at school/residential child care institution: 48 A. Age Range of Children Enrolled Fmm• 10 5. B. Grade Levels Taught (schools only) To: 16 From: 5 To: 12 AVERAGE DAILY PARTICIPATION OF CHIL DREN IN PROGRAM TIMES OF FOOD SERVICE Food Service: Free Reduced Price Paid Beginning Ending Breakfast 48 7 am 8 am Lunch 48 12 pm 1 pm Area Eligible Afterschool Care Snack Not Area Eligible Afterschool Care Snack 6. Attendance (for residential child care institutions only) A. Are all of the children at the institution all day? X Yes ❑ No If no, do all or some of the children attend public school? ❑ All ❑ Some If only some attend public school, how many. If some or all attend public school, which meals do these student eat at the institution? ❑ Breakfast ❑ Lunch B. Check if the children attend the institution on holidays and/or weekends X Holidays X Weekends 7. Type of Meal Service A. Meal Preparation X On-Site Kitchen ❑ Other (explain: ❑ Central Kitchen ❑ Food Service Management Company ❑ Vended Meals (submit copy of contract and checklist) (submit copy of agreement) B. Meal Planning System ❑ Enhanced Food Based X Traditional Food Based ❑ Nutrient Standard Menu ❑ Assisted Nutrient Standard Menu Planning Planning (NSMP or NuMenus) (ANSMP or Assisted NuMenus) (See instructions for documents to submit.) ❑ Other (explain: NOTE: Snacks served in the Afterschool Care Snack program must follow the food based supplement pattern regardless of your menu planning method for breakfast and/or lunch. 8. Type of Program ❑ Separate Charges X No Separate Charge; Cost of Meals is Included ❑ Combination of Separate Charges and Made for Meals in Required Payment Plan/Fee No Separate Charges 109 go-Q- Form H1609 Page 2/12-2007 9 Daily Price Charged for Each Meal (for programs that will charge separately CHILDREN ADULTS only): Reduced Price Paid Breakfast Lunch Not Area Eligible Afterschool Care Snack NOTE: Area Eligible.Afterschool Care Snack program sites must provide snacks free of charge to all students participating in the afterschool care program. 10. A. High School (mandatory) Junior High (optional) Elementary (optional) Preschool (optional) Residential Child Care Institution (optional) X Yes X Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes X No B. If applying for the School Breakfast Program indicate whether Offer versus Serve will be implemented: High School (optional) Junior High (optional) Elementary (optional) Preschool (optional) RCare Institution (optional) E] Yes X No ❑ Yes X No El Yes ❑ No ❑ Yes ❑ No ❑ Yes X No 11. Will supplemental (a la carte or snack bar) food service be available in addition to the school lunch? ❑ Yes X No Questions 12 through 15 apply only to the Afterschool Care Snack program. 12. Is attendance in afterschool care program limited to students enrolled in your school/RCCI? ❑ Yes ❑ No If no: In which individual public school attendance area (not district) is the site located? NOTE: You must attach an information statement from the ISD (see instructions). 13. Indicate your school/RCCI or the public school free or reduced price enrollment percentage Free or Reduced Price: % 14. Which required activities are included in your after school program? ❑ Educational Activities ❑ Enrichment Activities 15. Licensing (for schools only) A. Is a Texas Child Care License required for your after school care program? ❑ Yes ❑ No If yes, attach copy of license. If no, attach written confirmation from TDPRS that your facility is not subject to licensure. B. If after school care site is not on a school campus and is exempt from licensure, are all state and local health and safety standards met? (Attach copy of most recent inspections.) ❑ Yes ❑ No I CERTIFY that the information on this form is true and correct to the best of my knowledge. I understand that deliberate misrepresentation or withholdingjof infor 'on may re ult in prosecution under applicable state and federal statutes. ~ Title 6Z9&& m County Judge Signature-Official 7--De Effective TDA Staff Signature Date 16~ Texas Department of National School Lunch Program and School Breakfast Program Agriculture Individual Site Information Name of School/RCCI/Afterschool Care Feeding Site Brazos County Academy Address (Street or P.O. Box, City, State, Zip) 623 Mary Lake, Bryan, Tx. 77803 Name of Person in Charge of Food Service Program Patrick Munoz Type of Feeding Site (check all that apply) Form H1609 December 2007 Telephone Number ( 979 ) 846-4842 Name of School Food Authority Brazos County Juvenile Detention Center X Day School ❑ Boarding School ❑ Combination Day School ❑ Residential Child and Boarding School Care Institution ❑ Special Education School ❑ Afterschool Care Snack Site ❑ Other (specify): ❑ Combination Day School and Residential Child Care Institution 1. Is the above schoollresidential child care institution licensed? (If yes, attach copy of license.) X Yes ❑ No 2. Program(s) that you are applying for: X National School Lunch Program ❑ Afterschool Care Snack program (SFA must be participating in National School Lunch Program) X School Breakfast Program X Severe Need School Breakfast Program Rates` `Available to schools/residential child care institutions meeting the following eligibility criteria: 1. 40% or more total lunches served in second preceding year were free or reduced price; and 2. Breakfast costs exceed the regular reimbursement rates available under the School Breakfast Program. Number of Months Beginning Date of Operation Ending Date of Operation 3. Number of months the school will be operating a food service program: 9 08/14/2008 05/30/2009 4. Number of children enrolled at school/residential child care institution: 30 A. Age Range of Children Enrolled B. Grade Levels Taught (schools only) From: 10 To: 16 From: 5 To: 5. 12 AVERAGE DAILY PA RTICIPATION OF CHIL DREN IN PROGRAM TIMES OF FOOD SERVICE Food Service: Free Reduced Price Paid Beginning Ending Breakfast 30 7 a.m. 8 a.m. Lunch 30 12 p.m. 1 P.M. Area Eligible Afterschool Care Snack Not Area Eligible Afterschool Care Snack 6. Attendance (for residential child care institutions only) A. Are all of the children at the institution all day? If no, do all or some of the children attend public school? If only some attend public school, how many? X Yes ❑ No ❑ All ❑ Some if some or all attend public school, which meals do these student eat at the institution? ❑ Breakfast ❑ Lunch B. Check if the children attend the institution on holidays and/or weekends ❑ Holidays ❑ Weekends r. ,yam,,, A. Meal Preparation X On-Site Kitchen X Central Kitchen ❑ Food Service Management Company ❑ Vended Meals (submit copy of contract and checklist) (submit copy of agreement) B. Meal Planning System ❑ Enhanced Food Based X Traditional Food Based ❑ Nutrient Standard Menu ❑ Assisted Nutrient Standard Menu Planning Planning (NSMP or NuMenus) (ANSMP or Assisted NuMenus) (See instructions for documents to submit.) ❑ Other (explain: NOTE: Snacks served in the Afterschool Care Snack program must follow the food based supplement pattern regardless of your menu planning method for breakfast and/or lunch. ❑ Other (explain: 8. Type of Program F ❑ Separate Charges Made for Meals X No Separate Charge; Cost of Meals is Included in Required Payment Plan/Fee 10 ~ ❑ Combination of Separate Charges and No Separate Charges av Form H1609 Page 2/12-2007 9. Daily Price Charged for Each Meal (for programs that will charge separately CHILDREN ADULTS only): Reduced Price Paid Breakfast Lunch Not Area Eligible Afterschool Care Snack NOTE: Area Eligible Afterschool Care Snack program sites must provide snacks free of charge to all students participating in the afterschool care program. 10. A. If applying for the National School Lunch Program, indicate whether Offer versus Serve will be implemented: High School (mandatory) Junior High (optional) Elementary (optional) Preschool (optional) Residential Child Care Institution (optional) X Yes X Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes X No B. If applying for the School Breakfast Program, indicate whether Offer versus Serve will be implemented: High School (optional) Junior High (optional) Elementary (optional) Preschool (optional) Residential Child Care Institution (optional) ❑ Yes X No ❑ Yes X No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes X No 11. Will supplemental (a la carte or snack bar) food service be available in addition to the school lunch? ❑ Yes X No Questions 12 through 15 apply only to the Afterschool Care Snack program. 12. Is attendance in afterschool care program limited to students enrolled in your school/RCCI? If no: In which individual public school attendance area (not district) is the site located? NOTE: You must attach an information statement from the ISD (see instructions). 13. Indicate your school/RCCI or the public school free or reduced price enrollment percentage: Free or Reduced Price: % 14. Which required activities are included in your after school program? ❑ Educational Activities ❑ Enrichment Activities 15. Licensing (for schools only) A. Is a Texas Child Care License required for your after school care program? If yes, attach copy of license. If no, attach written confirmation from TDPRS that your facility is not subject to licensure. B. If after school care site is not on a school campus and is exempt from licensure, are all state and local health and safety standards met? (Attach copy of most recent inspections.) ❑ Yes ❑ No ❑ Yes ❑ No I CERTIFY that the information on this form is true and correct to the best of my knowledge. I understand that deliberate misrepresentation or withholdi of informal may res in prosecution under applicable state and federal statutes. Title ?Q~ County Judge Sinn;;Mre-Official to TDA Staff: Effective Date ❑ Yes ❑ No TDA Staff Signature /~Q~ ~C Date Form H1610 Texas Department of National School Lunch Program and School Breakfast Program December 2007 Agriculture Application for Participation and Policy Statement -art I - Application Name of School Food Authority School Program Year: July 1, 2008 through June 30, 2009 Texas ID No. T75 tract No. Program No. 17460004330000 61001 TX 21 - 201 Contact Person Patrick Munoz Address (Street or P.O. Box, City, State, ZIP) 1904 SH 21;West, Bryan, TX 77803 Telephone Number Fax Number Email Address 979 ) 823-4211 pmunoz@co.brazos.tx.us ( 979 ) 823-3544 Name of School/Residential Child Care Institution (RCCI) (If more than one site, complete TDA Form H1609 for each site.) School/RCCI Address (if different from School Food Authority address) Type of School/RCCI (check all that apply) ® Day School ❑ Boarding School ❑ Combination Day School ® Residential Child B r4; Q Care Institution ❑ Special Education School School/ RCCI is: ® Public ❑ Private ❑ No If "Yes," attach copy of letter from the IRS. b and oa inu c ❑ Afterschool Care Snack Site ❑ Other (specify): r* If 'Private,' is the school/RCCI nonprofit and tax exempt ❑ Yes under the Internal Revenue Code of 1954? All Total Enrollment for All Schools/RCCIS r-> r Total Number of ols Auth Administered by Food Authority: Administered by School ol Food d Authority: Type of Contracting Organization ❑ Government Agency ❑ Educational Institution ❑ Nonprofit Organization/Faith Based ❑ Other Daily Participation Current Prior Year Average Daily Attendance 68 30 Average Daily Enrollment 32 Percentage 1. Is the above schoollRCCI licensed? (If yes, attach copy of license.) ❑ Yes FK] No 2. Program(s) that you are applying for. ® National School Lunch Program ❑ Afterschool Care Snack program (must be participating in National School Lunch Program) ® School Breakfast Program ® Severe Need School Breakfast Program Rates` *Available to schools1RCCls meeting the following eligibility criteria: 1. 40% or more total lunches served in second preceding year were free or reduced price. 2. Breakfast costs exceed the regular reimbursement rates available under the School Breakfast Program. ❑ Seamless Summer Program- Specify Program Year: May 1, through September 1, Note: Form H1612 must be completed for each Seamless Summer Site. Number of Months Beginning Date of Operation Ending Date of Operation 3. Number of months the school/RCCI will be operating a food service program:........ 12 107/01/2008 06/30/ 2009 4. Number of children enrolled at school/RCCI 78 A. Age Range of Children Enrolled B. Grade Levels Taught (schools only) From: 10 To: 16 From: S To: 12 ❑ For-Profit Organization ❑ Nonprofit Organization/Secular Telephone Number ❑ Combination Day School and Residential Child Care Institution n el (tS 00 Form H1610 Page 2112-2007 5. Average Daily Participation of Children in Program Times of Food Service Food Service: Free Reduced Price Paid Beginning Ending Breakfast 78 0 0 7 a.m. 8 a Lunch Area Eligible Afterschool Care Snack 78 0 - emu". w, Not Area Eligible Afterschool Care Snack 6. Attendance (for residential child care institutions (RCCIs) only) A. Are all of the children at the institution all day? ® Yes El No If no, do all or some of the children attend public school? ❑ All ❑ Some If only some attend public school, how many? If some or all attend public school, which meals do these student eat at the institution? ❑ Breakfast ❑ Lunch ❑ Afterschool Snack B. Check if the children attend the institution on holidays and/or weekends ® Holidays ® Weekends 7. Tvpe of Meal Service A. Meal Preparation ® On-Site IGtchen ® Central Kitchen ❑ Food Service Management Company ❑ Vended Meals (submit copy of contract and checklist) (submit copy of agreement) ❑ Other (explain): B. Meal Planning System ❑ Enhanced Food Based ® Traditional Food Based ❑ Nutrient Standard Menu ❑ Assisted Nutrient Standard Menu Planning Planning (NSMP or NuMenus) (ANSMP or Assisted NuMenus) (See instructions for documents to submit.) ❑ Other (explain): Note: Snacks served in the Afterschool Care Snack program must follow the food based supplement pattern regardless of your menu planning method for breakfast and/or lunch. 8. Type of Program ❑ Separate Charges ® No Separate Charge; Cost of Meals is Included ❑ Combination of Separate Charges and Made for Meals in Required Payment Plan/Fee No Separate r9 9. Daily Price Charged for Each Meal CHILDREN ADULTS (for programs that will charge separately only): Reduced Price Paid Breakfast Lunch Not Area Eligible Afterschool Care Snack _ _ . " . - I n_o _:4,... --f --",ae &-a of rhama to all students oarticioa tino in the after school care program" 10. A. If applying for the National School Lunch Program, indicate whether Offer versus Serve will be implemented: High School (mandatory) Junior High (optional) Elementary (optional) Preschool (optional) Residential Child Care Institution (optional) ® Yes ® Yes ❑ No ❑ Yes ❑ No Yes ❑ No ❑ Yes ® No B. If applying for the School Breakfast Program, indicate whether Offer versus Serve will be implemented: High School (option~J;uniorrHighh Elementary (optional) Preschool (optional) Residential Child Care Institution (optional) ❑ Yes ® o ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ® No 1 1. Describe your training in food service program requirements for personnel (use an attachment if necessary): Kitchen staff trained annually with NSLP and 1JSDA Civil Righ*•^ rnrriculim They are alSn _ provided food handlers training-t-hrQUgh he lnral health d pnr-t-meut Tharp is Also speei-f training CmmPlPt d in areas of sates} --QUi (rantinuerl_nn hark) 12. Will supplemental (a la carte or snack bar) food service be available in addition to the school lunch? ❑ Yes No ti fay' gall Form H1610 Page 3/12-2007 Questions 13 through 18 apply only to the Afterschool Care Snack program. If non-school/RCCI personnel, what organization is responsible for day-to-day .3. How will the school food authority operate the after school care program? operations? ❑ Will Use School/RCCI ❑ Will Use Non-school/RCCI Personnel Personnel: 14. Total number of sites administered by School Food Authority offering the Afterschool Care Snack program p 15. Is attendance in after school care program limited to students enrolled in your schoolfRCCI? ❑ Yes ❑ No If no: In which individual public school attendance area (not district) is the site located? Note: You must attach an information statement from the ISD (see instructions). 16. Indicate your school/RCCI or the public school free or reduced-price enrollment percentage: Free or Reduced Price: % 17. Which required activities are included in your after school care program? ❑ Educational Activities ❑ Enrichment Activities 16. Licensing (for schools only) A. Is a Texas Child Care License required for your after school care program? ❑ Yes ❑ No If yes, attach copy of license. If no, attach written confirmation from TDFPS that your facility is not subject to licensure. B. If after school care site is not on a school campus and is exempt from liicensure, are all state and local health and safety standards met? (Attach copy of most recent inspections.) ❑ Yes ❑ No Part II - Policy Statement for Free and Reduced-Price Meals If the school food authority operates a program that requires separate charges for meals, it must comply with Sections A and B. If the school food authority operates a program that does not require separate charges for meals, it must comply with Sections B and C. If the school food authority operates a program that requires both a separate charge and no separate charge for meals, it must comply with Sections A, and C. ,I Section A - Programs that Charge Separate ONLY . 1. The school food authority accepts responsibility for providing free and reduced-price meals to eligible children. 2. The school food authority assures TDA that it will uniformly implement the following policy to determine children's eligibility for free and reduced- price meals in the National School Lunch Program and School Breakfast Program. In fulfilling its responsibilities, the school authority agrees to: a. Serve free meals to children from households whose income is equal to or less than the income eligibility standard for free meals on Form H4504, Income Standards for Determining Free and Reduced-Price Eligibility, applicable to the contract period, or to children from food stamp households or TANF assistance units that provide a case number. b. Serve reduced-price meals to children from households whose income is above the income eligibility standard for free meals but equal to or less than the standard for reduced-price meals on Form H4504, Income Standards for Determining Free and Reduced-Price Eligibility, applicable to the contract period. C. Provide these benefits to children from families submitting completed applications whose incomes meet the criteria on Form H4504, and to foster children and children from families whose incomes meet the criteria on Form H4504 because of strikes, layoffs, or unemployment d. Designate to review applications and determine Name Title eligibility. This official must use the criteria in this policy to determine which children are eligible for free or reduced-price meals. e. Prohibit physical segregation of, or any other discrimination against, any child because of his eligibility for free or reduced-price meals. The names of these children must not be published, posted, or announced in any manner. They must not be overtly identified by special tokens or tickets or by any other means. They must not be required to (1) work for their meals; (2) use a separate lunchroom; (3) go through a separate serving line; (4) enter the lunchroom through a separate entrance; (5) eat a meal different from the one sold to children paying the full price; or (6) eat meals at a different time from the other children. f. Establish and use a fair hearing procedure for parents who appeal the school's/RCCI's decisions on applications and for officials of schools/RCCIs who dispute information in an application or the eligibility of children for free or reduced-price meals. During the appeals and hearing, the child must continue to receive free or reduced-price meals. Records must be kept according to record retention requirements in the National School Lunch/School Breakfast Program Handbook and agreement Before beginning the hearing procedure, the parent or local school/RCCI official may request a conference. The conference should provide an opportunity for the parent and school/RCCI official to discuss the situation, present information, and obtain an explanation of data submitted in the application and decisions made. A conference must not prejudice or diminish the right to a fair hearing. IOK a~ Form H1610 Page 4(12-2007 The hearing procedure must provide: (1) A simple, publiclyannounced method for making an oral or written request for a hearing. (2) An opportunity to be assisted or represented by an attorney or other person. (3) An opportunity to examine, before and during the hearing, the documents and records presented to support the decision being appealed. (4) Reasonable promptness and convenience in scheduling a hearing and adequate notice of the time and place of hearing. (5) An opportunity to present oral or documentary evidence and arguments supporting a position, without undue interference. (6) An opportunity to question or refute testimony and evidence and to confront and cross-examine adverse witnesses. (7) A decision made by a hearing official conducting the hearing who was not involved in the decision being appealed or in any previously held conference. (8) A decision by the hearing official based on oral and documentary evidence presented at the hearing that is made a part of the hearing record. (9) Written notfication of the hearing official's decision, including the household's right to reapply any time during the year, provided to the parties concerned and their designated representatives. (10) A written record that includes the decision being appealed, documentary evidence, and a summary of oral testimony presented at the hearing, the hearing official's decision and the reasons for the decision, and a copy of the notification of the hearing official's decision to the parties concerned. (11) Record retention of the hearing for three years and 90 days after the end of the fiscal year to which it pertains. If audit findings have not yet been resolved, the records must be kept until the audit issues are resolved. The record must be available for examination by the parties concerned; or their representatives, at any reasonable time and place during the retention period. g. Submit information for public release to the news media, local unemployment offices, and major employers contemplating large layoffs in the area served by the school RCCI. The school food authority must send the information for public release by letter at the beginning of each school year and when eligibility standards change. All changes in eligibility criteria must be publicly announced. The school food authority must keep a copy of the letter transmitting the public release information for three years and 90 days after the end of the fiscal year to which it pertains or until audit. issues ate resolved. The public release must include: (1) A sample of the letter to the parents (Form H4524). (2) Form H4504. The information for public release was or will be provided to the organizations on the dates that follow (attach a sheet if more space is needed): Public News Media Organization Organization Date Date Date -1 JOX ~ r I ;?j? q Form H1610 Page 5112-2007 h. Establish a procedure to collect money from children who pay for their meals and a procedure to accurately record the number of free, reduced-price, and full-price meals served. The procedure described in this item must be used so that children will not be aware of who is receiving free and reduced-price meals. Check the collection procedure the school food authority uses. ❑ Collection Procedure 9 - Each day children can buy tickets in the cafeteria manager's office but they do not receive the tickets. The cafeteria manager then sends the purchased tickets and the tickets for free or reduced-price meals to the classroom. The teacher distributes the tickets just before meal time. The tickets are coded for accounting purposes. ❑ Collection Procedure 2 - Each day children pay for their meals in the office. A list of all children who paid or are eligible for free or reduced-price meals is prepared and sent to the cafeteria. A cashier familiar with the children checks names as children pass through the line. After the meal service, the list is returned to the office for accounting purposes. This method works only in a small school/RCCI where the cashier knows all the children. ❑ Collection Procedure 3 - The homeroom teacher gives each child an envelope for daily, weekly, or monthly payments. Children return the envelopes with the payments enclosed or empty if eligible for free meals. The envelopes are collected in the office and coded tickets are issued to each child. ❑ Collection Procedure 4 - Parents pay in advance by the month. Each teacher receives a list of those children who have paid. Children who receive free meals are marked paid, so only the bookkeeper knows which children receive a free meal. Teachers keep daily records of each child served and send the records to the office for accounting purposes. ❑ Collection Procedure 5 - Meal payments are collected in the secretary's office. Payments can be made by children or parents daily, weekly, or monthly. The secretary records payments and knows which children qualify for free or reduced-price meals. In the classrooms, the secretary distributes identical tickets labeled only with the children's names. Since the parents may pay, even the children may not know whether their meals are free, full-priced, or reduced-price. ❑ Collection Procedure 6 - Parents are billed monthly for full-priced or reduced-price meals their children are served. All payments are mailed in. Al participating children receive a coded ticket each month, which is punched at each meal service. At the end of the month, the tickets are collected and a clerk calculates the amount to be billed. ❑ Collection Procedure 7 - Other. Explain in detail. (Use an attachment if necessary.) Describe how the daily numbers of free, reduced-price, and full-price meals are identified and counted, and the numbers recorded. (Use an attachment if necessary.) Describe how daily point-of-service counts are taken. The point-of-service in. the food service operation is the point at which it can be accurately determined that a meal is reimbursable. This is usually the end of the line. If tickets or tokens are collected at the beginning, explain how you assure that a reimbursable meal was taken. (Use an attachment if necessary.) to PUD Form H1610 Page 6/12-2007 ❑ Section B - Programs that Charge Separately AND Programs that DO NOT Charge Separately !n fulfilling its responsibilities, the school food authority agrees: In accordance with federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call 800-795-3272 or 202-720-6382 (TTY). USDA is an equal opportunity provider and employer. 2. (Applicable only if operating day schools and boarding schools) - Develop and distribute to each child's parent or guardian a letter, according to the sample attached, and an application form for free or reduced-price meals. These must be distributed at the beginning of each year and when eligibility criteria change. a. The school food authority must complete (1) or (2) as applicable: (1) Form H4524 is a sample of the letter to parents whose children are in a program that charges separately for meals. Is the school food authority using the attached sample? ❑ Yes ® No (2) Form H4524 is a sample of the letter to parents whose children are in a program that does not charge separately for meals. Is the school food authority using the attached sample? ❑ Yes ® No If the answer to either (1) or (2) is "No," the school food authority must submit to TDA, with this application form, a copy of the letter they send to parents. TDA must approve this letter before the school food authority sends it to parents. On approval, the school food authority must attach Form HI 625-A to the letter and send both documents to parents. b. Form H4524 is a sample of the application for free and reduced-price meals. Is the school food authority using the attached sample? ❑ Yes ® No The school food authority must ask parents to complete the application and return it to the determining official named in Section A of this form. Applications and documentation of action taken are kept for three years and 90. days after the end of the fiscal year to which they pertain. If audit findings are not resolved, the records are kept until the issues are resolved. Applications may be filed at any time during the year. The school food authority must supply an application to parents enrolling a child in a schooVRCCI for the first time (at any time during the year). If a child transfers from one schoollRCCI to another under the jurisdiction of the same school food authority, his/her eligibility for a free or reduced-price meal is also transferred. Note - Programs that Charge Separately ONLY: All children from the same family must receive the same benefits. Within 10 workdays of receiving applications, parents or guardians must be notified individually of the decision on their applications. Children are served meals as soon as they are determined eligible. Form H1623 is a sample of the notification letter to the parents about the application for free and reduced- price meals. Is the school food authority using the attached sample? ❑ Yes ❑ No If "No," the school food authority must attach a copy of the letter being sent to parents. When an application if denied, parents or guardians are informed in writing of the reason for denial and the hearing procedure. The designated hearing official is Title Name This person must be someone not involved in the original eligibility determination. It is suggested that the hearing official hold a higher position than the determining official. The hearing official and the determining official cannot be the same person. 3. Submit to TDA any proposed changes to this policy statement before it is implemented. Changes are effective only when they are approved by TDA. 4. Verify eligibility according to the National School Lunch/School Breakfast Program Handbook and program regulations. 105 X31 Form H1610 Page 7/12-2007 5. Indicate which of the provisions of this section, d any, the school food authority wants to participate in for free and reduced-price meals. Three special provisions are available to school food authorities that affect free and reduced-price meal policy and procedures. a. Provision 1- The annual certification of children eligible to receive FREE meals may be reduced to once every two years in schools/RCCIs. This period can be reduced if 80% of the children in attendance are eligible for free and/or reduced-price meals based on data from March of the previous year. Applications must still be sent annually to students who pay full-priced or reduced-price or who are newly enrolled. For claiming purposes, school staff must continue to keep a daily record of the number of paid, free, and reduced-price meals served to children. ® We choose NOT to participate in Provision 1. ❑ We will participate in Provision 1, and certify that the following schools had 80% or above free and/or reduced-price recipients participating: Our first year under Provision 1 will be school year Provision 2 -School food authorities may choose to serve all children at no charge. Any schooVRCCI that chooses to serve all children meals at no charge may reduce the frequency of certification for children eligible for free and/or reduced-price meals to once every four years. School food authorities must submit socioeconomic data from an approved source with their base year (first year) application to implement Provision 2, and socioeconomic data from the same source with their application for extension at the end of the four-year cycle. The base year, or first year, that a school is on Provision 2 is part of the four-year cycle. If TDA determines at the end of the four-year cycle that there has been negligible improvement (five percent or less improvement after adjusting for inflation) in the socioeconomic status of that school food authority's population, the Provision 2 period may be extended another four years. School food authorities choosing Provision 2 must use local sources other than federal reimbursement to absorb the cost of (1) meals served to children not eligible for free or reduced-price meals; and (2) the difference between the cost of the meal and the federal reimbursement received for each free or reduced-price meal served to children eligible for meals. School food authorities of schools/RCCIs using Provision 2 are required to send letters and applications to parents only at the beginning of the four-year period. School food authorities must maintain all approved applications and eligibility documentation from the designated base year at least three years and 90 days after the final Claim for Reimbursement of the final school year that employed base year data, or longer if required for audit resolution. Schools/RCCIs are required to determine daily during the first year of the four-year period the actual number of meals served to all attending children by type (free, reduced-price, and paid). In the second, third, and fourth years, monthly claims for meals served by type (free, reduced-price, and paid) are based on a percentage of the total number of meals served by type in the corresponding month of the first year. ® We choose NOT to participate in Provision 2. ❑ The following schools/RCCIs will participate in Provision 2: Our base year or first year under Provision 2 will be school year Provision 2 will be in effect for three successive school years after the base year, including school years , and The school year that we will be reconsidered for an extension for Provision 2 is in the fourth year or school year 1~ a3~ Form H1610 Page 8/12-2007 We will use and submit the following approved source of socioeconomic data with our application for our base year and when being considered for an extension (check source being used): ❑ Local data collected by the city or county zoning and-economic planning office. ❑ Unemployment data. ❑ Local Food Stamp Program.certification data. ❑ Temporary Assistance for Needy Families (TANF) data (provided that eligibility standards were the same or more restrictive in the base year as current year with allowance for inflation). Form H4524 is a sample of the letter to parents whose children are in programs with no separate charges for meals. It can be sent to parents for Provision 2 participants. If participating in Provision 2, you must answer the following question: Is the school food authority using the attached sample Form H4524? ❑ Yes ❑ No If "No," the school food authority must attach a copy of the letter being sent to parents. C. Provision 3 - School food authorities may choose to serve all children meals at no charge. Any school/RCCI which chooses to serve all children meats at no charge will conduct certification of children eligible for free and/or reduced-price meals during a designated base year and will not conduct eligibility certification during the successive four-year period following the base year. The school food authority must submit socioeconomic data from an approved source with their base year application, and from the same source with their application for extension at the end of the four-year cycle. If TDA determines after the initial four-year period of Provision 3 that there has been negligible change (five percent or less improvement after adjusting for inflation) in the socioeconomic status of that school food authority's population, the Provision 3 period may be extended an additional successive four years. School food authorities choosing Provision 3 must use local sources other than federal reimbursements to absorb the cost of (1) meals served to children not eligible for free or reduced-price meals; and (2) the difference between the cost of the meal and the federal reimbursement received for each free or reduced-price meal served to children eligible for meals. School food authorities of schools/RCCIs using Provision 3 are required to send letters and applications to parents only at the beginning of the designated base year. School food authorities must notify households of enrolled students that all meals will be available at no charge to students during the Provision 3 four-year period. School food authorities must maintain all approved applications, eligibility documentation, and enrollment data from the designated base year at least three years and 90 days after the final Claim for Reimbursement of the final school year that employed base year data, or longer if required for audit resolution. School food authorities must determine any increase or decrease in enrollment each year of Provision 3 based upon the school's enrollment on October 1 annually. Schools/RCCIs are required to determine daily during the designated base year for Provision 3 the actual number of meals served to all attending children by type (free, reduced-price, and paid). During the four successive years after the designated base year, schools will prepare monthly claims for meals served by type (free, reduced-price, and paid) based on the total meals claimed for the corresponding month of the designated base year and reflecting the percent increase or decrease of the school's/RCCI's enrollment on October 1 of the current school year, and must take total meal counts of reimbursable meals served to participating children at the point of service. ® We choose NOT to participate in Provision 3. ❑ The following schoolsIRCCis will participate in Provision 3: Our first year under Provision 3 will be school year Our designated base year will be school year Provision 3 will be in effect for four successive school years after the base year, including school years and The school year that we will be reconsidered for an extension for Provision 3 is in the fourth year or school year Form H1610 Page 9112-2007 We will use and submit the following approved source of socioeconomic data with our application for our base year and when being considered for an extension (check source being used): ❑ Local" data collected by the city or county zoning and economic planning office. ❑ Unemployment data. ❑ Local Food Stamp Program certification data. ❑ -Temporary Assistance for Needy Families (TANF) data (provided that eligibility standards were the same or more restrictive in the base year as current year with allowance for inflation). Form H4524 is a sample of the letter to parents whose children are in programs with no separate charges for meals. It can be sent to parents for Provision 3 participants. If participating in Provision 3, you must answer the following question: Is the school food authority using the attached sample Form H4524? ❑ Yes ® No If "No," the school food authority must attach a copy of the letter being sent to parents and describe how it will notify households that meals will be available free of charge to all enrolled students. ❑ Section C - Programs that DO NOT Charge Separately ONLY 1. The school food authority is responsible for providing program benefits to eligible children. 2. The school food authority assures TDA that although no identifiable charge is established for meals, it will uniformly implement the following policy. In fulfilling its responsibilities, the school food authority agrees to: a. Claim as free meals only those meals served to children from families whose income is equal to or less than the income eligibility standard for free meals on Form H4504, Standards for Determining Free and Reduced price Eligibility, applicable to the contract period, or to children from food stamp households or TANF assistance units that provide a case number. b. Claim as reduced-priced meals only those meals served to children from families whose income is above the income eligibility standard for free meals but equal to or less than the standard for reduced-price meals on Form H4504, Standard for Determining Free and Reduced- priced Eligibility, applicable to the contract period. C. Keep documentation to support individual eligibility decisions for three years and 90 days after the end of the fiscal year to which they pertain. If audit findings are not resolved, the records must be kept until audit issued are resolved. d. Prevent physical segregation of, or any other discrimination against, any child. The names of the children eligible for free or reduced-price meals may not be published, posted, or announced in any manner and children must not be overtly identified. Children must not be required to (1) work for their meals; (2) use a separate lunchroom; (3) go through a separate serving line; (4) enter the lunchroom through a separate entrance; (5) eat meals at a different time; or (6) eat a different meal. e. Designate Patrick Munoz- Superintendent - to determine eligibility for free and Name Title reduced-price meals. This official will use the criteria outlined in this policy to determine which individual children's claims may be made for free or reduced-price meals. f. Develop and keep a list with the following information about each child (for school food authorities operating RCCIs only): (1) name; (2) birth date; (3) dates of admission and release; (4) income; and (5) eligibility determination and data (initialed by official making determination). Note: Children at RCCIs are considered a family of one. Exceptions to this are children of house parents living at the institution. These children must have an application on file as described in Section B, number 2. g. Describe how daily point-of-service counts are taken. The point-of-service in the food service operation is the point at which it can be accurately determined that a meal is reimbursable. This is usually the end of the line. If tickets or tokens are collected at the beginning, explain how you assure that a reimbursable meal was taken (attach a sheet if needed). Residents are only served meals that are r -bl - by our ki rheas staff A final count is made by the child r art. staff memher when a residenr `exits the serving line an are seated. 19 OU4 Form H1610 Page 10/12-2007 SECTION D - The following attachments are a part of the policy statement for free and reduced-price meals: Form H1623, Notification Letter to Parents (regarding application for free and reduced-price meals) Form H1625A, Standards for Determining Free and Reduced-Price Eligibility, to be provided to parents (will be forwarded as soon as USDA publishes) Form H4524, Application for Free and Reduced-Price Meals and Letter to Parents Form H4504, Standards for Determining Free and Reduced-Price Eligibility (will be forwarded as soon as USDA publishes) A sample Press Release (see page 10 of this form) I CERTIFY that the information on this form is true and correct to the best of my knowledge. I understand that deliberate misrepresentation or withholding of information may result in prosecution under applicable state and federal statutes. If our school food authority has applied and is approved to participate in one of the Provisions, I certify that our school food authority will follow all rules and regulations for the Provision for which we have been approved. - Official Title - Official County Judge Da For TDA Use Only Effective Date: Signature -TDA Representative Title - TDA Representative Date l0& 0 Texas Department of Agriculture tiis is to certify that the following person(s): Food and Nutrition Division Certificate of Authority Form H4S01 December 200, .,,ame of Authorized Representative (type or print in the following order: prefix, first name, middle name or initial, last name and suffix.) E-mail Address Title erintendent Signature - Authorized Representative Area Code and Telephone Number Name of Authorized Representative (type or print in the following order: prefix, first name, middle name or initial, last name and suffer.) E-mail Address Assistant Director Area Code and Telephone Number (979) 823-3544 Signature - Authorized Representative an ate of ignature is (are) designated as an Authorized Representative of Name of Contracting Organization Program (TX) No. Brazos Count Ju TX- ;Z -';Z 00 Address (Street, City, State, ZIP Code) Contract No. 1904 SH 21 West, Bryan, TX 77803 75- 61 D The representative(s) designated above, and myself, acknowledge that each is individually authorized on behalf of the .ontracting organization to make written agreements with the Texas Department of Agriculture (TDA) to operate a food program, to sign documents or reports about the agreement and to present claims for reimbursement, when appropriate, to the agency. By signing this document, we certify individually and collectively that to the best or our knowledge and belief; all documents submitted physically or electronically on behalf of the above named contracting organization pursuant to our participation in any and all programs administered by Food and Nutrition Division, TDA, arelwill be true and correct in all respects, that they aretwill be completed according to the terms and conditions of existing agreements, including amendments, that records aretwill be available to support any and all claims and that we will not submit claims (excluding amended/adjusted claims) for goods or services for which we have already received payment. We recognize that we are fully responsible for any excess amounts which may result from errors made in relation to the completion and submission of claims. We are also aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable state and federal statutes. Name of Official of Contracting Organization (Type or print in the following order. Title prefix, first name, middle name or initial, last name and suffix.) Judge Rand Sims County Judge E-mail Address Area Code and Telephone Number rsims@co.brazos.tx.us /J 1 (979) 361-4102 - Official of Contracting Organization Date Signature Deleted Authorized Representatives: A contracting organization may not have more than three (3) authorized representatives, including the official of the contracting agency. If you are deleting an authorized representative, list the name(s) of the individual(s) to be removed as authorized representative(s) below: Name of Deleted Representative For TDA Use Received By Name of Deleted Representative ,,l1B? Date of Signature Name of Deleted Representative Date Received 108' 236 P. a Box 12847 Austin, Texas 78711 • Voice (800) 835-5832 • (512) 463-7476 • OFNearing impaired: (800) 735-2988 • www. agnstate. M us r 1 U, ~C Texas Department of Agriculture P•rAS•'~ Hazard Analysis Critical Control Points (,KACCP) Checklist FND_ 104 TODD STAPLES COIvAIISSIONER I APPLICANT INFORMATION d School Food Authority (SFA) Name (School District, County District/ Program Education Service Center (ESC) / Food Z 1 Private School or Residential Child Care Institution) No. and Nutrition Division (FND) Region 0 H Brazos County Juvenile Detention Ceute T% 021-2001 Austin FAN Food ' W Child Nutrition Program (CNP) Director / Authorized s Name ESC CNP Specialist / FND Field Operation Monitor v1 Representative Name Patrick Munoz Kitt Walch I BOLEMENTATION 1. SFA (School District, Private School or RCCI site) has submitted documentation to support a food safety program that complies with HACCP principles and indicates that implementation ® Yes ❑ No ❑ N/A was effective by the end of the 2005-2006 school year. 2. SFA (School District, Private School or RCCI site) has submitted documentation to support a ram that complies with HACCP principles and indicates that implementation ro f t d f ® Yes ❑ No ❑ N/A g sa e y p oo was effective within 12 months of approval of program application. 2 DEVELOPME NT OF FOOD SAFETY PROGRAM 1. Includes a process for preventing food-borne illness. ® Yes ❑ No ❑ N/A 2. Includes a plan for ensuring a clean and sanitary foodservice facility. ® Yes ❑ No ❑ N/A 3. Includes an employee personal hygiene plan. ® Yes ❑ No ❑ NIA 4. Includes documented Standard Operating Procedures (SOPs). ® Yes ❑ No ❑ N/A 5. Includes a written plan for applying the seven HACCP principles. ® Yes ❑ No ❑ N/A Z 6. Identifies and documents in writing all menu items according to the process approach to [fl Yes ❑ No ❑ N/A U HACCP. Identifies and documents monitoring procedures. 7 ® Yes ❑ No ❑ N/A . 8. Establishes a written corrective action plan whenever procedures are not followed. ® Yes ❑ No ❑ N/A 9. Allows for the review and revision of the food safety program periodically. ® Yes ❑ No ❑ N/A 10. Includes daily, weekly and monthly duties on a food safety checklist nR]Yes No ❑ N/A 11. Contains the proper kitchen equipment to ensure food safety and determine temperatures. No ❑ N/A 12. Outlines and documents the training of all employees that are part of the food safety program. ® Yes ❑ No ❑ N/A 13. Identifies and documents control measures. ® Yes ❑ No ❑ N/A 14. Establishes record-keeping requirements. ® Yes ❑ No ❑ N/A A box marked "No" or "N/A" requires an explanation in the Notes section. The "N/A" box can only be marked if the question is not applicable to pro regulations. This application becomes public record and is subject to disclosure. With few exceptions, you have the right to request and be informed about the information that the State of Texas collects about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. (Reference: Government Code, Sections 552.021, 552.023, and 559.004.) Food and Nutrition Division A 21 ~0 Fe Revised02/14108 177VD-104 Hazard Analysis Critical Control Points (HACCP) Checklist Page 2 of 3 Notes 'SIGNATURES Signature of CNP Director / Authorized Title Date (mm/dd/yy) U Z Representative ' Superintendent /1)007 Signature of ESC CNP Specialist / FND Field Operations Monitor Date (mm/dd/yy) Signature of TDA official Date (mm/dd/yy) Federal/State Policies and Procedures A ~O H U USDA Guidance/Requirements for Implementing a HACCP Food Safety Program: The food safety program must include a written plan for each individual school in the SFA (school district, private school or RCCI site) based on HACCP principles. Three main points are essential to developing this program: sanitation, temperature control, and Standard Operating Procedures (SOPS). A school food safety program must include documented SOPs and a written plan at each school food preparation and service site. The plan must provide for: documenting menu items in the appropriate HACCP process category; documenting critical control points of food production; monitoring; establishing and documenting corrective actions; recordkeeping; and reviewing and revising the overall food safety program periodically. The US Department of Agriculture's (USDA) Food and Nutrition Service Guidance for School Food Authorities: Developing a School Food Safety Program Based on the Process Approach to HACCP Principles - June 2005 provides detailed guidance and requirements. Responsibilities of Texas Department of Agriculture (TDA) Food and Nutrition Division (FND): The FND will provide technical assistance and required training to the local SFA (school district, private school or RCCI site) through the ESC CNP specialist or FND Field Operations Monitors in their region. The FND will supply training materials for the HACCP policy training sessions and offer resources for school districts through TDA's Square Meals Web site at www.squaremeals.org. Training materials for private schools and RCCIs will be provided through on-site NSL/SBP workshops. Resources are offered through the TDA website at www.spptexas.org. Completed checklists will be reviewed by the FND and placed in the SFA (school district, private school or RCCI site) file. Compliance for meeting this requirement will be conducted during the scheduled coordinated review effort and School Meal Initiative Review. TDA will distribute the HACCP checklist to SFAS (school district, private school or RCCI site), as needed, thru the ESC CNP Specialist and directly to private schools and RCCI sites for use as a self-evaluation tool. Food and Nutrition Division i ~g ,37 Revised 02114108 FND-104 Hazard Analysis Critical Control Points (HACCP) Checklist Page 3 of 3 Training sessions for HACCP implementation will be provided thru the ESC CNP Specialist and directly to private schools and RCCI sites. Training must assist the SFAS (school districts, private schools or RCCI site) in preparing documented standard operating procedures and a written plan for each school food preparation and service site for applying HACCP principles. The written plan must include methods for: (i) documenting menu items in the appropriate HACCP process category, (ii) documenting critical control points of food production, (iii) monitoring, (iv) establishing and documenting corrective actions, (v) record keeping and (vi) reviewing and revising the overall food safety program. The ESC CNP Specialist or FND Field Operation staff will review the SFA's (school districts, private schools or RCCI sites) documentation of the food safety program and use the checklist to verify that all HACCP principles and food safety guidelines meet the minimum requirements established by Section 111 of the Child Nutrition and WIC Reauthorization Act of 2004 (Public Law 108-265) and USDA. The ESC CNP Specialist or FND Field Operations staff will sign the checklist and provide a copy of the checklist to the FND. The ESC CNP Specialist or FND Field Operations staff will then submit the completed checklist to the FND for review and place it in TDA's SFA's (school district, private school or RCCI sites) file. A Responsibilities of the SFA Child Nutrition Program and Authorized Representative: 0 SFAs (school districts, private schools or RCCI sites), are required to participate in one regional training session ~ for HACCP implementation. Also, SFAs must submit to regional ESC CNP Specialist(s) or FND Field Operation U Staff documentation to support a food safety program that complies with HACCP principles and food safety guidelines outlined on the HACCP Checklist. The Food Safety Program must indicate the date the plan will be implemented and this date must be within 12 months of approval of program application. As of July 1, 2005, it is the responsibility of all SFAs that participate in the National School Lunch Program and/or the School Breakfast Program to implement a comprehensive food safety program for their jurisdiction, including a plan for every school food preparation and service site of school meals served to children in the school year. The program must be based on HACCP principles and conform to guidance issued by the USDA in the document Guidance for School Food Authorities: Developing a School Food Safety Program Based on the Process Approach to HACCP Principles - June 2005. As of the end of the 2005-2006 School Year, all SFAs (school district, private school or RCCI site), must have a fully implemented food safety program that complies with HACCP principles or with this optional guidance. X~ Revised 02114/08 Food and Nutrition Division ~ V TEXAS DEPARTMENT OF AGRCULTURE FOOD AND NUTRITION DIVISION COMMODITIY AGREEMENT The Texas Department of Agriculture (TDA) administers and operates federal commodity programs by agreement with the United States Department of Agriculture (USDA). An agency or organization that is interested in receiving USDA-donated commodities must submit to TDA for approval a completed a Form H1497, Agreement for Receipt of USDA-Donated Commodities (Expanded Nutrition Program), Form H1512, Application for Receipt of USDA- Donated Commodities (Schools and RCCls) or Form H1608, Application for Receipt of USDA-Donated Commodities (Non-schools - All Other Sponsors). Upon signing the agreement, an applicant agency or organization agrees to comply with the following terms and conditions: Use, Storage, and Disposition of USDA-Donated Commodities 15. Civil Rights 1. To abide by the instructions and regulations issued by TDA and USDA for receiving, handling, storing, and/or using USDA commodities. 2. To fairly and equitably distribute USDA commodities, as ingredients of prepared meats or food packages, only to eligible persons and households (or, if applicable, to qualified agencies and organizations), first come first served. 3. To request USDA commodities only in amounts that will be properly stored and fully utilized without waste. 4. Not to sell, trade, or dispose of commodities, including commercial processing or repackaging into end products, without TDA approval. . 5. Not to require commodity recipients or, if applicable, eligible agencies and organizations to pay for USDA commodities in money, materials, or service. As applicable 6. To abide by TDA requirements for receiving shipments of donated commodities directly from USDA. 7. To use USDA commodities in an established food service operation to benefit persons and households that are eligible. 8. Not to reduce the amount of food received from other sources as a result of receipt of USDA commodities. 9. To provide adequate facilities and personnel to handle, store, safeguard, and/or distribute USDA commodities. Accountability 10. To allow TDA and USDA to inspect, at any reasonable time, the USDA commodities in storage and the facilities used for handling and storing USDA commodities. 11. To accurately maintain all necessary records, including copies of the agreement and Form H1497, H1512 or H1608. Additionally, to cooperate during the "Annual Contract Update' 12. To maintain records for a minimum of three years and 90 days following either the end of the federal fiscal year in which services were provided or the expiration or termination date of a contract, or for a period greater than three years and 90 days, if necessary, to resolve any litigation, claims, or audit findings. (Note: Extensions to time-limited contracts are separate contracts; resolution of litigation, claims, or audit findings occurs upon the issuance of a final litigation order or by written agreement between the contactor and TDA.) 13. To comply with the requirements of the Immigration Reform and Control Act of 1986, regarding employment verification and retention of verification forms for any individuals hired after November 6, 1986, who will perform any labor or service under this contract 14. To comply with TDA policies and instructions for conducting financial and compliance audits. Additionally, to comply with the Single Audit Act by obtaining an organization-wide audit for those fiscals years in which single audit criteria apply. CONTRACTOR understands that acceptance of funds under this Contract acts as acceptance of the authority of the State Auditor's Office (SAO), or any successor agency, to conduct an investigation in connection with those funds. CONTRACTOR further agrees to cooperate fully with the SAO or its successor in the conduct of the audit or investigation, including providing all records requested. CONTRACTOR will ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through CONTRACTOR and the requirement to cooperate is included in any subcontract it awards. (a) The Contractor agrees to comply with Title VI of the Civil Rights Act of 1964 (Public law 88-352) and all requirements imposed by the regulations of the Department of Agriculture (7 CFR Part 15), Department of Justice (28 CFR Parts 42 and 50) and FNS directives or regulations issued pursuant to that act and the regulations. Section 504 of the Rehabilitation Act of 1973 (Public Law 93-112), the Americans with Disabilities Act of 1990 (Public Law 101-336), Title IX of the Education Amendments of 1972 (7 CFR Part 15a), the Age Discrimination Act of 1975 (Public law 94-135), and all amendments to each, and all requirements imposed by the regulations issued pursuant to these acts. In addition, the contractor agrees to comply with Title 4, Chapter 24, of the Texas Administrative Code. These provide in part that no person in the United States shall, on the ground of race, color, national origin, sex, age, disability, religion or political beliefs be excluded from participation in, or denied any aid, care, service or other benefits provided by federal and/or state funding, or otherwise be subjected to discrimination. The contractor also agrees to comply with Health and Safety Code Section 85.113 (relating to workplace and confidentiality guidelines regarding AIDS and HIV). The contractor hereby gives assurance that it will immediately take any measures necessary to effectuate this agreement (b) This assurance is given in consideration of and for the purpose of obtaining any and all federal financial assistance, grants and loans of federal funds, reimbursable expenditures, grant or donation of federal property and interest in property, the detail of federal personnel, the sale and lease of, and the permission to use, federal property or interest in such property or the furnishing of services without consideration or at a nominal consideration, or at a consideration which is reduced for the purpose of assisting the recipient, or in recognition of the public interest to be served by such sale, lease or furnishing of services to the recipient, or any improvements made with federal financial assistance extended to the program applicant by the TDA. This includes any federal agreement, arrangement, or other contract which has as one of its purposes the provision of cash assistance for the purchase of food, and cash assistance for purchase or rental of food service equipment or any other financial assistance extended in reliance on the representation and agreements made in this assurance. (c) The Contractor agrees to compile data, maintain records, and submit reports as required, to permit effective enforcement of the above Acts and permit authorized TDA, USDA and FNS personnel during normal working hours to review such records, books, and accounts as needed to ascertain compliance with the above Acts. If there are any violations of this assurance, TDA, USDA and FNS have the right to seek judicial enforcement of this assurance. This assurance is binding on the Contractor, its successors, transferees, and assignees as long as it receives assistance or retains possession of any assistance from TDA. The person whose signature appears on this contract is authorized to sign this assurance on the behalf of the Contractor. (d) To ensure that civil rights training is provided to sub-agencies according to TDA guidelines. As applicable 16. To maintain receipts, freight bills, notices of arrival, availability, and issuance of USDA commodities; inventory control sheets and storage facility review records (including inventory sheets and review records for leased storage space); and financial and supporting documents, statistical records, and other records pertinent to the services for which a claim was submitted. 17. To keep records of non-expendable property acquired under the contract for three years and 90 days after the final disposition of the property. Misuse of USDA Commodities 18. To reimburse TDA, according to TDA procedure, for any improper distribution or use of USDA commodities, or for any loss of, or damage to, USDA commodities caused by the applicant's fault or negligence. 19. That any misuse of USDA commodities may cause applicants to be disqualified from program participation, and that reinstatement is an TDA option. 20. That embezzlement, misuse, theft, or obtainment by fraud of USDA commodities or, as applicable, USDA commodity-related funds, assets, or property, shall cause the applicant to be subject to federal criminal prosecution. As applicable 21. Applicants and their sub-agencies, if any, have and preserve a right to assert claims against other persons, agencies, and organizations to whom USDA commodities are delivered for care, handling, or distribution; and, Furthermore, may take action to obtain restitution in connection with claims for improper distribution, use, or loss of or damage to USDA commodities. 22. To pay commercial storage and delivery costs incurred for USDA commodities allocated. The above assurances are given by the applicant agency or organization to obtain: (a) federal financial assistance, grants and loans, and/or reimbursable expenditures; (b) grants or donations of federal property or an interest in property; (c) for the use of and to assist the applicant, the sale or lease of federal property or an interest in such property, or the detail of federal personnel (for no or reduced consideration); and/or (d) for the purpose of serving the public interest, the selling, leasing, or furnishing of services, or the extending of any improvements made with federal financial assistance, to the program applicant by TDA. As applicable, the applicant's assurances also apply to any federal agreement, arrangement, or other contract which has as one of its purposes the provision of cash assistance. Certification 1. Regarding Debarment, Suspension, Ineligibility, or Voluntary Exclusion for Covered Contracts - The contractor certifies, by execution of this agreement, that neither it or its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in this contract by any federal department or agency or by the State of Texas. (The words "covered contract," "debarred; 'suspended," "participant,' 'persons,' 'principal," .proposal," and "voluntarily excluded," as used in this certification, have meanings based upon materials in the Definitions and Coverage sections of federal rules implementing Executive Order 12549.) By making this certification, the contractor agrees to the following terms: (a) The above certification is a material representation of fact upon which reliance was placed when this contract was entered into. If it is later determined that the contractor knowingly rendered an erroneous certification, in addition to other remedies available to the federal government, the Department of Health and Human Services, USDA or other federal department or agency, or TDA may pursue available remedies, including suspension and/or debarment. (b) The contractor shall provide immediate written notice to the person to which this certification is submitted if at any time the contractor learns that the certification was erroneous when submitted or has become erroneous by reason of changed circumstances. (c) Should the proposed covered contract be entered into, the contractor shall not knowingly enter into any subcontract with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the Department of Health and Human Services, USDA or other federal department or agency, and/or TDA, as applicable. (d) The contractor, when submitting this certification, will include TDA's form Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion for Covered Contracts, without modification, in all covered subcontracts and in solicitations for all covered subcontracts. (e) A contractor may rely upon certification of a subcontractor that is not debarred, suspended, ineligible, or voluntarily excluded from the covered contract, unless it knows that the certification is erroneous. A contractor must, at a minimum, obtain certifications from its covered subcontractor upon the initiation of each and upon each renewal. Nothing contained in all the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this certification document The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. Except for contractors authorized under paragraph (c) of these terms, if a contractor in a covered contract knowingly enters into a covered subcontract with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the federal government, Department of Health and Human Services, USDA, or other federal department or agency, as applicable, and/or TDA may pursue available remedies, including suspension and/or debarment. 1 Regarding Federal Lobbying - This certification applies only to this contract and is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The contractor certifies, that to the best of his or her knowledge or belief, that no federally appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, or the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. If any funds other than federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this federally funded contract, subcontract, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL (Disclosure Form to Report Lobbying), in accordance with its instructions. The contractor shall require that the language of this certification be included in the award documents for all covered sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all covered sub-recipients shall certify and disclose accordingly. 3. Regarding subcontracts for Goods and Services - The contractor certifies that if it currently contracts with any organization that provides goods and services connected to commodity use (e.g., auditor, office equipment), it will obtain, from the subcontractor, TDA Form H2048 Certification Regarding Debarment, Suspension, Ineligibility, or Voluntary Exclusion for Covered Contracts and Form H2049 Certification Regarding Federal Lobbying; the forms are found in the contract applixafon packet or can be obtained from TDA upon the contractor's request. These forms must Io& be maintained for three years and 90 days after the end of the contracted period, or for three years and 90 days after the close of the federal fiscal year to which the contract pertains. The contractor further certifies and understands that failure to comply with this requirement is a violation of the Food Distribution Program commodity contract and could result in termination of that contract. Corporation - The contractor certifies that if it is a corporation, it is either a nonprofit corporation or is otherwise not subject to payment of franchise taxes to the State of Texas. Information Certification - The contractor certifies that all information submitted pursuant to this agreement is true and correct. The contractor understands that deliberately misrepresenting or withholding information violates this contract and may result in prosecution under applicable state and federal statutes. The undersigned School/Residential Child Care Institution (RCCQ1 Non-School agrees to assume full responsibility for compliance with contract terms and conditions, as specified by, (a) Form H1497, Agreement for Receipt of USDA-Donated Commodities (Expanded Nutrition Program), Form H1512, Application for Receipt of USDA-Donated Commodities (Schools and RCCls) or Form H1608, Application for Receipt of USDA-Donated Commodities (Non-schools - All Other Sponsors), (b) Commodity Agreement Terms and Conditions (this document), (c) Terms and conditions of Direct Shipping Point Procedures, if authorized by TDA to receive commodity shipments directly from USDA; and (d) Any amendment and/or addendum, as may be required by TDA and agreed to and signed by both parties. This agreement will remain in effect until the date specified in this document or until terminated by one or both parties. With 30 days advance written notice, either party may terminate this agreement for cause. For the faithful performance of the terms and conditions of this agreement, including Form H1497, H1512 or H1608 if applicable, the terms and conditions of the Direct Shipping Point Procedures, and any amendment and/or addendum as may be necessary, the parties hereto, in their capacities stated, affix their signatures and bind themselves. Brazos County Juvenile Detention Name of School/RCCI/Non-School -AuthorizeZI Representative (Please print or type) Patrick Munoz r h/p 6 Name of Authorized Representative Date of Signature (Please print or type) For TDA Use Only Signature - TDA Representative Date of Signature Effective Date: Revised January 2008 ns a'f1 PLANNED ASSISTANCE LEVEL (PAL) CALCULATION SHEET Working Document Purpose: Use this document to help you commit your PAL dollars for School Year 2009 (July 2008 - June 2009). The document can also serve as a guide for completing the online PAL Worksheet in TCS. BEGINNING PAL $ 2.181.80 (Located in TCS) A. Processing PAL Commitment $ 2.220.71 B. Fresh Fruit & Vegetable PAL Commitment $ 0 (Estimate 5% of Beginning PAL. Actual amount to be listed in the TCS PAL Worksheet at a later date.) C. Farm to School PAL Commitment $ 0 TOTAL PAL COMMITMENT 0 (Add A, B and C) REMAINING PAL for A & B Commodity Requests $ -38.91 (Beginning PAL minus Total PAL commitment) Note: The remaining PAL for A & B Commodity Requests should be committed on various commodities in the TCS Commodity Request Module. ion atia Texas Department of Application for Receipt of USDA-Donated Agriculture Commodities Schools and Residential Child Care Institutions (National School Lunch Program and Summer Food Service Program) L CHILD CARE INSTITUTION INFORMATION Form H1512 January 2008 sECTIUN 1: bUNwL OR RESIDENTIA Name of School/RCCI Program (TX) No. Federal Tax ID No. Brazos County Juvenile Detention Center 021-2001 746000433 Telephone Number (incl. A/C) FAX Number (incl. A/C) E-mail Address (979) 823-3544 (979) 823-4211 pmunoz@co.brazos.tx.us Facility Address (Street, City, State, ZIP) County 1904 SH 21 West, Bryan, TX, 77803 Brazos Mailing Address (if different) C DIRECTOR SFSD INFORMATION SECTION 2: SCHOOL FOOD SERVI E SFSD E-mail Address Name of SFSD Patrick Munoz pmunoz@co.brazos.tx.us SFSD Telephone Number (incl. A/C) SFSD Fax Number (incl. A/C) (979) 823-3544 (979) 823-4211 SECTION 3: FOOD SERVICE MANAGEMENT COMPANIES Do you employ a Food Service Management Company? SECTION 4: TYPE OF SCHOOURCCI AND PROGRAM INFORMATION A. Identify your school or RCCI type (check one): ❑ Public School ❑ Charter School ❑ Private School ® Residential Child Care Institution (RCCI) ❑ Yes ® No B. Average daily participation in the National School Lunch Program (NSLP) - Applies to NSLP Contractors Only C. Number of operating days per year 55 365 SECTION 5: CURRENT PARTICIPATION STATUS - Applies to NSLP Contractors Only Fresh Fruits and Vegetable Program ❑ Yes ® No Farm to School Program ❑ Yes ® No SECTION 6: TYPE OF ORGANIZATION (OPTIONAL) ❑ Government Agency ❑ Educational Institution ❑ Nonprofit Organization/Secular ❑ Nonprofit Organization/Faith-Based ❑ Other CERTIFICATION I certify that the information on this form is true and correct to the best of my knowledge, and that I will immediately report to the Texas Department of Agriculture any changes that occur to information submitted in my application. I understand that deliberate misrepresentation or withholding of information may result in prosecution under applicable state and federal statutes. Lm_ j Signature - *AHzed Representative Patrick Munoz Printed Name - Authorized Representative as 1190 Date Superintendent Title - Authorized Representative Form H1512 Page 2/01-2008 .th a few exceptions, you' have the right to request and be informed about the information that the Texas Department of Agriculture (TDA) obtains about you. You are entitled to receive and review the information upon request. You also have the right to ask TDA to correct information that is determined to be incorrect (Government Code, Sections 552.021, 552.023, 559.004). To find out about your information and your right to request corrections, please contact the Food Distribution Program. FOR TDA USE ONLY Signature - TDA Representative Date lag ~ +4 Texas Department of Agriculture Food and Nutrition Division Certificate of Authority This is to certify that the following person(s): Name of Authorized Representative (Type or print in the following order prefix, Title first name, middle name or initial, last name and suffix.) Patrick Munoz Superintendent E-mail Address pmunoz@co.brazos.tg_us Area Code and Telephone Number (979) 823-3544 Signature - Authorized Representative Name of Authorized Representative (Type or print in the following order: prefix, Title first name, middle name or initial, last name and suffix.) Collin Coker Assistant Director E-mail Address ccoker@co.brazos.tx.us Area Code and Telephone Number (979) 823-3544 - Authorized Representative is (are) designated as an Authorized Representative of Name of Contracting Organization Brazos County Juvenile Detention Center Address (Street, City, State, ZIP Code) 1904 SH 21 West, Bryan, T% 77803 Form H4508 December 2007 Date of Signature 2a LE~z ate of S gnature Program (TX) No. TX- 021-2001 Contract No. 75- 61001 The representative(s) designated above, and myself, acknowledge that each is individually authorized on behalf of the contracting organization to make written agreements with the Texas Department of Agriculture (TDA) to operate a food program, to sign documents or reports about the agreement and to present claims for reimbursement, when appropriate, to the agency. By signing this document, we certify individually and collectively that to the best or our knowledge and belief, all documents submitted physically or electronically on behalf of the above named contracting organization pursuant to our participation in any and all programs administered by Food and Nutrition Division, TDA, are/will be true and correct in all respects, that they are/will be completed according to the terms and conditions of existing agreements, including amendments, that records are/will be available to support any and all claims and that we will not submit claims (excluding amendedladjusted claims) for goods or services for which we have already received payment We recognize that we are fully responsible for any excess amounts which may result from errors made in relation to the completion and submission of claims. We are also aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable state and federal statutes. Name of Official of Contracting Organization (Type or print in the following order: Title prefix, first name, middle name or initial, last name and suffix.) Judge Randy Sims County Judge E-mail Address ^ Area Code and Telephone Number Organization 51Z; Date of Deleted Authorized Representatives: A contracting organization may not have more than three (3) authorized representatives, including the official of the contracting agency. If you are deleting an authorized representative, list the name(s) of the individual(s) to be removed as authorized representative(s) below: Name of Deleted Representative For TDA Use Only Received By Name of Deleted Representative Name of Deleted Representative Date Received STATE OF TEXAS COUNTY OF TRAVIS AMENDMENT NO. 1 Agreement for Commodities (National School Lunch Program) School Year 2008-2009 The Texas Department of Agriculture (TDA), hereinafter referred to as the Distribution Agency (DA) and Brazos County Juvenile Detention Center , hereinafter referred to as the Recipient Agency (RA) entered in an agreement effective July 1, 2008, for the purpose of receiving United States Department of Agriculture donated commodities for use in the National School Lunch Program. 1. In order'to test the feasibility of using the Department of Defense, Defense Supply Center Philadelphia (DSCP), to purchase and deliver the best quality of fresh fruits and vegetables (fresh product) to shipping points designated by RAs, both parties mutually agree to amend this agreement by adding the following requirements for participation in the Fresh Fruits and Vegetables Project: ORDERING SYSTEM a. The RA shall place orders for fresh product directly with Department of Defense, Defense Supply Center Philadelphia by using a Web Based online ordering system called FFAVORS WEB Ordering at https://www.ffavorsweb.dscp.dla.mil. This web site includes a complete catalog of items available; b. When ordering fresh product, the RA shall include the quantity and requested delivery date (consistent with lead times established by the Defense Supply Office (DSO); c. When ordering fresh product, the RA shall identify any unique ordering requirements (e.g. count, size or grade) for DSO to ensure that accurate quality and quantity of fresh product is purchased; and d. Notwithstanding normal ordering schedules and lead times, the RA may contact DSCP Customer Service Representative to order from DSCP in cases of an emergency. II. SHIPMENT AND DELIVERY a. When the fresh product is shipped to the RA, the RA shall be responsible for off-loading the fresh product from the tailgate within a reasonable time. Often times the vendor will do this for you, but it may not be required for them to do so; b. Unless otherwise directed by DSCP, the RA shall exchange any pallets received from prior shipments or from pallets on hand; c. If the shipment has not arrived within one hour of the scheduled delivery time, the RA shall notify the DSCP Customer Service Representative and take any corrective action requested by DSCP; d. Prior to accepting any shipment, the RA shall count and verify the shipment and annotate any overages or shortages on the vendor's ticket or government bill of lading; e. Prior to accepting any shipment, the RA shall inspect the fresh product and call the DSCP if there is any non-conformance, such as product quality or product damaged during shipment, to determine disposition of the product. DSCP shall evaluate any non-conforming fresh product, utilizing Customer Service Representatives, DSCP Product Specialists or FNS or AMS representatives, and advise the RA as to whether to accept or reject the product and what actions to take if the fresh product that has been accepted is later determined to be non-conforming; ~U0 L I L12 f. Acceptance of a shipment shall be made by signing and dating the delivery ticket or government bill of lading; g. Using the FFAVORS WEB Ordering system, the RA shall enter any quantity discrepancies discovered prior to acceptance or any rejected product within 24 hours of delivery, if any; i. Within 24 hours of delivery, the RA shall notify DSCP Customer Service Representative of any quality or condition defect of the fresh product discovered after acceptance of the fresh product; and J. The RA shall complete any evaluation form that solicits information on the quality, condition, timeliness, delivery and cost of the fresh produce and quality of DSCP service. Title to the fresh product shall pass to the RA upon acceptance of the fresh product at the time and place of delivery. III. All terms and conditions of the original agreement not in conflict with this amendment, are continued in full force and effect. This amendment is effective upon signature by both parties. Name of School: Texas Department of Agriculture Brazos County Juvenile Detention Center Sig e of Representative: Signature of Representative: ' Date: Y IN 104 Date: d$ o14-1 STATE OF TEXAS COUNTY OF TRAVIS AMENDMENT NO.2 Agreement for Commodities (National School Lunch Program) School Year 2008-2009 The Texas Department of Agriculture (TDA), hereinafter referred to as the Distributing Agency (DA), and Brazos County Juvenile Detention Center hereinafter referred to as the Recipient Agency (RA) entered into an agreement effective July 1, 2008 for the purpose of receiving United States Department of Agriculture donated commodities for use in the National School Lunch Program (NSLP). 1. In order to test the feasibility of using NSLP Section 4 and 11 funds to purchase fresh fruits and vegetables through the Department of Defense (DOD), Defense Supply Center Philadelphia (DSCP), both parties mutually agree to amend this agreement. The DSCP will purchase and deliver fresh produce to shipping points designated by RAs. The agreement will be amended to include the following requirements for participating in the Section 4 and 11 portion of the Fresh Fruit and Vegetable Project: H. ORDERING SYSTEM a. When orders are placed with the DSCP, the RA will identify if the order is to be paid for by the RA with NSLP Section 4 and 1 l funds. b. Orders will only be placed for items in accordance with the Berry amendment (10 U.S.C. 2241 note). The Berry amendment provides that DOD may purchase only domestic food products unless DOD makes a formal finding that the product cannot be acquired as and when needed in a satisfactory quality and sufficient quantity at U.S. market prices. In addition, the DPSC shall ensure that purchases of fresh product are in accordance with the Buy American requirements of Section 3 (h) of Pub. L.100-237 (U.S.C. 612c note) and 7 C.F.R. 250.23. SHIPMENT AND DELIVERY a. The RA will check all deliveries against invoices to ensure proper receipt of fresh products. BILLINGS a. The RA shall pay DPSC for all fresh product ordered and delivered. The amount owed shall be the actual case price plus a DPSC surcharge. The surcharge includes all DPSC expenses related to orders, acquisition, vendor invoicing, customer assistance, transportation and cold storage costs. b. All billings are to be paid by the RA to the address specified by the DPSC within 30 days using Section 4 and 11 funds from the NSLP reimbursements received by the RA. III. All terms and conditions of the original agreement as amended not in conflict with this amendment, are continued in full force and effect. 10~ 349' This amendment is effective upon signature by both parties. Name of School: Texas Department of Agriculture Brazos Count Juvenile Detention Center Signature of Representative: ^ Signature of Representative: rj & Date: 4 Date: 109 aw TI Group A Planned Assistance Level (PAL) Commodities Available For School Year 2008-09 This worksheet is to record the commodities you wish to request via the online commodity request module. DO. NOT RETURN this worksheet. Be sure that the total dollars committed do not exceed the 'Remaining PAL" figure recorded on the PAL Calculation Worksheet. This amount includes your commitments for Processing, Fresh Fruits and Vegetables, Farm to School and Group B PAL as ap livable). Code Name Pack Size Net Wt Est Cost/Case Amount Requested Est Total Cost A608 A627 Beef, Ground, Frz Beef, Patties, Lean 40 lb Ctn 40 lb Ctn 40.00 40.00 $56.10 $66.50 $ $D - eS $ 16 -3 A717 Beef, Crumble, S 4110 lb 40.00 $60.33 $ - A672 A693 Pork Roast, Frz Ham Frz Wateradd 32-40 lb Ctn 4/10 lb 32-40 40.00 $54.30 $54.30 4 $ - $ ! A742 Tuna 6/66.5 oz Can 24.94 $56.13 $ - A752 A726 A727 Catfish Strips Ham, Frz, Ckd, Sliced Ham, Frz, Cubed 4/10 lb 8/5 lb Ctn 815 lb Ctn 40.00 40.00 40.00 $126.72 $89.10 $91.94 I Zf $ l - $ 3 S6 -Ya $ 3 Total Meat $ m - S A507 A515 Chicken, Canned 50 Chicken, Cut-up Frz 12/50 oz Can 40 lb Ctn 37.50 0.00 $78.62 $26.48 $ - $ -4p A517 Chicken, Diced Frz 40 lb Ctn 0.00 $88.80 $ - A526 A563 Chicken, Breaded 7 Pc Chicken Fa-ita 30 lb Ctn 30 lb Ctn 0.00 r30-00 $46.40 $64.79 $ $ A528 Chicken, Patties, Frz 30 Ib Ctn 0.00 $48.72 $ - A565 Turkey Taco Filling, Frz 30 lb Ctn 30.00 $38.89 $ - A549 Turkey Brst Deli 40 lb Ctn 40.00 $124.65 2L $ A548 A529 Turkey Hams Turkey Whole, Frz 40 lb Ctn 30-60 lb Ctn 40.00 30-60 $55.31 $57.50 $ - $ 'Z - X537 A568 Turkey Roasts, Frz Eggs, Whole Frz 32-48 lb Ctn 6/5 lb Ctn 32-48 30.00 $89.22 $26.26 5 $ - $ 131 - z, Total Poultry & Eggs $ A061 Beans, Green Cnd 6/#10 Can 38.00 $13.62 $ - A070 Beans, Green Frz 30 lb Ctn 30.00 $15.43 $ - A079 Beans, Pinto Cnd 6/#10 Can 40.50 $13.95 $ - A084 Beans, Blke a Cnd 6/#10 Can 40.50 $12.08 $ - A085 Beans, Refried Cnd 61#10 Can 42.00 $14.66 $ - A942 Beans, Pinto Dry 25 lb Bag 25.00 $9.63 $ - A100 Carrots, Cnd 6/#10 Can 39.50 $14.61 $ - A099 Carrots, Frz 30 lb Ctn 30.00 $11.56 $ - A129 Corn Cob, Frz 96 Ear/Case 30.00 $16.18 $ - A110 Corn, Cnd 6/#10 Can 39.75 $14.51 $ - A130 Corn, Frz 30 lb Ctn 30.00 $18.02 $ - A140 Peas, Cnd 6/#10 Can 39.50 $16.51 $ - A160 Peas, Frz 30 lb Ctn 30.00 $20.48 $ - A204 Potato Rounds, Frz 6/5 lb Pkg 30.00 $13.63 $ - A210 Potatoes Oven, Frz 6/5 lb Pk 30.00 $14.79 $ - A173 Potatoes Wedges, Fat Free 6/5 lb Pk 30.00 $13.67 $ - A174 Potato Wedges, Frz 6/5 lb Pk 30.00 $13.67 $ - A220 Sweet Potatoes, Cnd 6/#10 Can 40.50 $18.96 $ - A224 Sweet Potatoes, Frz 6/5 lb Pkg 30.00 $20.43 $ - A237 Salsa, Cnd 6/#10 Can 39.75 $15.34 $ - A239 Tomato Sauce, Cnd 6/#10 Can 39.75 $11.09 $ - A241 Tomato, Diced, Cnd 6410 Can 38.25 $12.95 $ - A243 Spaghetti Sauce, Cnd 6/#10 Can 39.75 $10.91 $ - A247 Tomato, Cnd 6/#10 Can 38.25 $12.61 $ - A252 Tomato Paste, Cnd 6/#10 Can 41.62 $20.09 $ - 14 SY 09 Avail ~t~le Comm~it~~ 1 of 3 ,1 Group A Planned Assistance Level (PAL) Commodities Available For School Year 2008-09 Code Name Pack Size Net Wt Est Cost/Case l Amount Requested Est Total Cost Total Ve etables $ 0- 14 SY 09 Available Commodities.xis 2 of 3 10s, X51 Group A Planned Assistance Level (PAL) Commodities Available For School Year 2008-09 me N C d P Net Wt Est Cost/Case Amount Requested Est Total Cost e o a 24 $ ' A345 A346 A350 A le Slcs, Cnd Apple Slc, Frz Applesauce, Cnd 6/#10 Can 30 lb Ctn 6/#10 Can 39.00 30.00 40.50 $20. $12.73 $14.54 8 $ ' $ ' $ A360 A382 A364 A365 A4 00 A299 A300 A301 Apricots, Cnd Apricots, Diced Cherries, IQF Cherries, Frz Fruit Mik, Cnd Orange Juice, Sin le Orange Juice, Cnd Orange Juice, Frz Conc 6/#10 Can 6/#10 Can 40 lb Ctn 30 lb Ctn 6/#10 Can 7014 oz Ctn 12146 oz Can 12132 oz Can 40.50 40.50 40.00 30.00 39.75 19.00 37.50 30.00 $19.8 $22.22 $34.23 $23.55 $20.05 $7.05 $16.34 $15.53 41 $ $ - $ ' $ - $ ' $ ' $ ' $ ' A408 Peaches, Cling Cnd 61#10 Can 39.75 $19. 25 $ - A409 Peaches, Diced, Cnd 6/#10 Can 39.75 $19. 66 $ ' A416 Peach Cup, Frz 96/4.4 oz Cup 26.40 $24. 14 98 $ ' hes Frz P 20 lb Ctn 20.00 . $ A424 , eac 1 05 $ ' 31 Cnd ars P 6/#10 Can 39.50 . $2 A4 , e 22 $ - A433 A434 A375 A380 Pears, Sic, Cnd Pears, Diced, Cnd Strawberries, Frz Strawberries, Sliced, Frz 6/#10 Can 6/#10 Can 30 lb Ctn 30 lb Ctn 39.50 39.50 30.00 30.00 $20. $18.89 $27.44 $24.99 $ ' $ - $ ' Total Fruit $ ' T c ..•c~~e..,e.,r rnmmitted to Grouo A Commodities $ "It 3 14 SY 09 Avail le Commodities.xls 3 of 3 109 a5~