Loading...
HomeMy WebLinkAbout1999-02-15-0900AM-Regulari 99 FFR I Pig 4o 21 • AGENDA BRAZOS COUNTY COMMISSIONERS COURT THE COMMISSIONERS COURT WILL MEET IN REGULAR SESSION ON MONDAY, FEBRUARY 15,1999 AT 9:00 A.M. IN THE COMMISSIONERS COURTROOM OF THE BRAZOS COUNTY COURTHOUSE, 300 EAST 26TH STREET, SUITE 115, BRYAN, TEXAS. 1. Invocation - Commissioner Cauley. 2. Pledge of Allegiance - Commissioner Cauley. • BR.AZOS COUNTY 4rruT*r BRYAN. TEXAS By 3. Citizens input and/or concerns. At this time, the Judge will open the floor to citizens wishing to address the Court on county-related issues not scheduled on the agenda. Please limit subject matter to five minutes. The Commissioners will receive the information, conduct research into the matter, and/or place the matter on a future agenda for discussion. (A recording is made of the meeting; therefore, please give your name and address for the record.) Consider and take action on agenda items 4 - 29: 4. Budget Amendment 98/99-12. 5. Personnel Change of Status. 6. Payment of Claims. 7. Formation of a committee to oversee distribution of tobacco litigation funds. 8. Contract with W. M. Klunkert, Inc. for construction of the Brazos County Detention Center, Maximum Security Wing. 9. Tax Resale Deed and authorization for County Judge to execute tax resale deed for Tract #2: Lot 17, Block 9, Castle Heights Addition, City of Bryan, to Thomas Richardson and Jennie Richardson. 10. Letter of Agreement with Mike Mead for a "Strategies for Juvenile Supervision" refresher course for the Juvenile Services probation officers. • 11. The Application and Agreement for Receipt of USDA Donated Food Commodities for Juvenile Services. 12. Request by Constable, Precinct 5, to add a non-paid reserve deputy. 13. Request by Juvenile Referee for connection to Internet. ao~.1__JPAGE -7 Commissioners Court Meeting Agenda February 15,1999 Page Two 14. Conducting Commissioners Court meetings on the second, fourth and fifth Mondays during the legislative session and on the second, fourth and fifth Tuesdays during the remainder of the year. 15. Termination of Lease Agreement with the Brazos Valley Art League for office space at the Brazos Center. 16. Appointment of a member to the Board of Trustees for the Mental Health Mental Retardation Authority of Brazos Valley. 17. Request authorization to advertise for proposals for County Health Insurance. 18. Request by Personnel to hire a consultant to assist with preparing specifications for County Health Insurance and analyzing the proposals. 19. Request for out-0f--state travel by County Judge to Washington, D.C., March 1-2, 1999, with representatives from the Council of Urban Counties to meet with members of Congress relative to tobacco settlement monies. 20. Request for out-of-state travel by County Judge to Washington, D.C, March 19-23,1999, with the Brazos Valley Council of Governments to meet with congressional delegates (at no expense to Brazos County). 21. A travel reimbursement requisition for a county extension agent. 22. A payment authorization to Wolf Creek Oil & Lube Center for expenses incurred by the Sheriff s Office. 23. Exemption from competitive bidding for: a. U.S. Foods b. Office Depot c. Engineering and Office Supply d. Brazos Office Supply e. Quill Corporation f. Office Max g. Office Express h. Sav-On 24. Rejection of the following bids: a. Bid No. 99-023, 8 Passenger Mini-van for Juvenile Services b. Bid No. 99-024, 15 Passenger Van for Juvenile Services 25. Approval to advertise Bid No. 99-043, HVAC Replacement for the Health Department building. 26. Blanket Purchase Orders: a. $2,000.00 to the Eagle for advertising for the Purchasing Department b. $4,000.00 to B.I.S.D. for meals for Juvenile Services Boot Camp 27. Request from Wickson Creek Special Utility District to construct a road bore for water line installation in the right-of-way of Old Reliance Road Site is located in Precinct 3. 28. Establishing a date and time to conduct a public hearing for the purpose of establishing speed limits for the Enchanted Oaks Subdivision located in Precinct 3. 10 1 -t Commissioners Court Meeting Agenda All February 15, 1999 Page Three • 29. Approval of Commissioners Court minutes for the following meetings: a. Regular Meetings: November 3,1998; November 10, 1998; November 17,1998; November 24, 1998; December 1, 1998; December 8, 1998; December 15, 1998 and December 22, 1998. b. Special Meetings: November 6, 1998 and December 30,•1998. c. Workshop: November 10, 1998. d. Public Hearing: December 22, 1998. e. Join Meeting/City Councils: November 16, 1998. 30. Announcement of interest items and possible future agenda topics. 31. Call for citizen input and/or concerns. 32. Adjourn. • The Courthouse is wheelchair accessible. Handicap parking spaces are available. Any request for sign interpretive services must be made two business days before the meeting. To make arrangements, call (409) 3614102. 1 S 0 COMMISSIONERS' COURT REGULAR MEETING FEBRUARY 15, 1999 A regular meeting of the Commissioners' Court of Brazos County, Texas was held in the Commissioners' Courtroom in the Courthouse in Bryan, Brazos County, Texas, beginning at 9:00 a.m. on Monday, February 15, 1999, with the following members of the Court present: Alvin W. Jones, County Judge, Presiding; Tony Jones, Commissioner of Precinct 1; Wm. S. Thornton, Commissioner of Precinct 2; Randy Sims, Commissioner of Precinct 3; Carey Cauley, Jr., Commissioner of Precinct 4; Mary Ann Ward, County Clerk. Attached is a list of the citizens and officials in attendance. Commissioner Cauley gave the invocation and led the pledge of allegiance. There was no citizen input and/or concerns. The Court next considered Budget Amendment #98/99-12.1 through 12.3, which would recognize the donation of property to the Sheriff's department, and reallocate funds for the Auditor's office and Treasure's office. On motion by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to approve the budget amendment as submitted, a copy of which is attached hereto. The Court proceeded to consider the change of status of the following employees. NAME DEPARTMENT EA Pepper, Teresa Computer Network Ser Resignation Bonacquisti,R. III District Attorney New Emp Temp Nolen, Latoya Juvenile Serv. New Emp Temp Carter, Tommy Juvenile Serv. New Emp Temp Parks, Sheryl S. Tx Ag Extension Ser New Emp P/T Ayers, E. Lisa Treasurer New Employee On motion by Commissioner Sims, seconded by Commissioner Cauley, the Court voted unanimously to approve the changes as submitted. 4 1 I - " , ~J • t i s r Commissioners Court meeting `it 2 The Court next considered the following Claims as submitted by the County Treasurer for payment: 99-003844 through 99-004079 On motion by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to approve the Claims as submitted. The Court next considered the formation of a committee to oversee distribution of tobacco litigation funds. The County Judge nominated Ann Anderson to be on the committee. Commissioner Thornton nominated Ann Fancher and Commissioner Sims nominated Bob Fleisher. On motion by Commissioner Sims, seconded by Commissioner Thornton, the Court voted unanimously to table consideration until a later date. The next matter before the Court was approval of a Contractual Agreement between Brazos County and W. M. Klunkert, Inc. for the construction of the Brazos County Detention Center, Maximum Security Wing. The total cost to Brazos County will be $4,457,000.00. On motion by Commissioner Jones, seconded by Commissioner Thornton, the Court voted unanimously to enter into contractual agreement with W. M. Klunkert, Inc. for the construction of the Brazos County Detention Center, Maximum Security Wing. A copy of the contractual agreement is attached hereto. On motion by Commissioner Sims, seconded by Commissioner Thornton, the Court voted unanimously to authorize the County Judge to execute a Tax Resale Deed to the following individual: Thomas Richardson and Jennie Richardson - Tract #2, Lot 7, Block 9, Castle Heights Addition, City of Bryan, Brazos County, Texas The next matter for consideration was a Letter of Agreement with Mike Mead for a "Strategies for Juvenile Supervision" refresher course for the Juvenile Services probation officers. On motion by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to approve the Letter of Agreement and authorized the payment of I~ c ' Commissioners Court meeting 3 $102.11 as reimbursement for training. A copy of the Letter of Agreement is attached hereto. The Court next considered the Application and Agreement for Receipt of USDA donated food commodities for Juvenile Services. Term of the Agreement is from July 1, 1999 to June 30, 2000. On motion by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to enter into Agreement with the Texas Department of Human Services for receipt of USDA donated commodities. A copy of the Application and Agreement is attached. The Court next considered a request from Constable Precinct 5, Isaac Butler, to appoint Aubrey David Ellison as an unpaid Reserve Deputy Constable. On motion by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to approve the request from Constable Butler to appoint Aubrey David Ellison as unpaid Reserve Deputy Constable subject to appointment being within the allotted number of deputies. The next matter for consideration was a request by the Juvenile Referee for Internet access for her department. On motion by Commissioner Sims, seconded by Commissioner Cauley, the Court voted unanimously to authorize Internet access for the Juvenile Referee's office. The next matter for consideration was the conducting of Commissioners Court meetings on the second, fourth and fifth Mondays during the legislative session and on the second, fourth and fifth Tuesdays during the remainder of the year. The County Judge moved to change the meetings. Commissioner 'Thornton seconded the motion. After some discussion, the 'County Judge and Commissioner Thornton withdrew their motion and second. Then on motion by the County Judge, seconded by Commissioner Sims, the Court voted unanimously to table consideration until a later date. The Court next considered the termination of the Lease Agreement with the Brazos Valley Art League for lease of Y 1 a •1! 4 I office space at the Brazos Center. On motion by the County Judge, seconded by Commissioner Sims, the Court voted • unanimously to terminate the lease with the Brazos Valley Art League. The next item for consideration was the appointment of a member to the Board of Trustees for the Mental Health Mental Retardation Authority of Brazos Valley. On motion by the County Judge, seconded by Commissioner Cauley, the Court voted unanimously to appoint Linda Goolsby to the Board of Trustees for the Mental Health Mental Retardation Authority of Brazos Valley effective March 1, 1999 through February 28, 2001. The next matter for consideration was approval for the Purchasing Agent to advertise for proposals for County Health Insurance. On motion by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to authorize the Purchasing Agent to advertise for proposals for County • Health Insurance. The next matter for consideration was a request by the Personnel Department to hire a consultant to assist with preparing specifications for county health insurance and analyzing the proposals. On motion by Commissioner Sims , seconded by Commissioner Cauley, the Court voted unanimously to authorize the Personnel Department to hire a consultant. The next matter for consideration by the Court was a request submitted by the County Judge seeking approval for F out of state travel for himself. He will be traveling to Washington D.C. on March 1 through March 2, 1999, to meet with members of Congress concerning tobacco settlement monies. On motion by Commissioner Sims, seconded by Commissioner Cauley, the Court voted unanimously to grant the request from the • k{ County Judge and approved payment of out of state travel ` expense for him. 1 The next matter for consideration by the Court was a request submitted by the County Judge seeking approval for out of state travel for himself. He will be traveling to VOL- 11,3 ~A r Commissioners Court meeting 5 Washington D.C. to meet with congressional delegates March 19 through the 23, 1999. On motion by Commissioners Sims, seconded by Commissioner Cauley, the Court voted unanimously to grant the request from the County Judge and approved payment of out of state travel expense for him. The Court next considered a travel reimbursement requisition for a county extension agent. Due to being on sick leave, Lupe Landeros failed to turn in her July travel reimbursement request until recently. The Auditors office refused to pay it because it was submitted more than 60 days after completion of the travel. On motion by Commissioner Thornton, seconded by Commissioner Sims, the Court voted unanimously to authorize payment of the travel reimbursement requisition. The Court next considered payment authorization to Wolf Creek Oil & Lube Center for expenses incurred by the Sheriff's office. These charges exceeded the purchase order. On motion by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to authorize the payment of the requisitions. The Court next considered Exemptions from Competitive Bidding Requirements for the following of Local Government Codes: 1. 2. 3. 4. 5. 6. 7. On moti Section 262.024(a)(8) U.S. Food Service, Inc. for the purchase of food items in order to conduct normal jail operations as required by law. Section 262.023(c) Office Depot for the purchase of office supplies Engineering and Office Supply for the purchase of office supplies Brazos Office Supply for the purchase of office supplies Quill Corporation for the purchase of office supplies Office Max for the purchase of office supplies Office Express for the purchase of office supplies Sav-On for the purchase of office supplies. ,on by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to approve the Exemptions of r 1 VOL S ' Commissioners'Court meeting It! 6 Competitive Bidding Requirements and authorized the payment for said costs. • The Court next considered rejecting the following bids: a. Bid No. 99-023, 8 Passenger Mini-Van for Juvenile Services b. Bid No. 99-024, 15 passenger Van for Juvenile Services The Purchasing department requested rejection of the two bids because both bids exceeded the respective budget limitations. They feel they will be able to purchase the vehicles within those limitations from the state contract. On motion by commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to reject Bid No. 99-023 and Bid No. 99-024. The next matter for consideration was approval for the Purchasing Agent to advertise Bid 99-043, HVAC Replacement for the Health Department. On motion by Commissioner Sims, seconded by Commissioner Cauley, the Court voted unanimously is The Court proceeded to consider the following blanket Purchase Orders: • to authorize the Purchasing Agent to advertise for bids for HVAC Replacement. Eagle Purchasing $2,000 B.I.S.D. Juvenile Services $4,000 On motion by Commissioner Cauley, seconded by Commissioner Sims, the Court voted unanimously to approve the Blanket Purchase Orders as submitted. The Court next considered the request from Wickson Creek Special Utility District to construct a road bore for water line installation in the right-of-way of Old Reliance Road. The site is located in Precinct 3. The County Engineer stated that all appeared to be in order and recommended approval. On motion by Commissioner Sims, seconded by Commissioner Cauley, the Court voted unanimously to approve the request from Wickson Creek Special Utility District and authorized the installation. A copy of the request is attached hereto. On motion by Commissioner Sims, seconded by Commissioner Cauley, the Court voted unanimously to set March 1, 1999, at r VOA. law L 11, I L` Commissioners Court meeting 7 10:30 a.m. as the date and time for the Public Hearing to consider setting speed limits in Enchanted Oaks Subdivision. The Court next considered approval of the minutes of the Commissioners' Court meetings held in November, 1998 on the following dates: 3, 10, 17, 24, and Workshop held on November 10, 1998; Joint meeting 16, 1998 and meeting held in December 1998 on the following dates: 1, 8, 15, 22; Special Meeting on the 30; and Public Hearing on the 22. On motion by Commissioner Sims, seconded by Commissioner Cauley, the Court voted unanimously to approve the minutes as submitted. The County Judge made the following comment: 1) He received a copy of a bill by Representative Janell concerning the tobacco settlement. Commissioner Cauley made the following comment: 1) He asked if the energy study had reduced the cost of utilities. Under citizen input and/or concerns, Demetrios Basdekas asked about the County Judge traveling to Washington, D. C. to meet with members of congress concerning tobacco settlement money. He wanted to know if the CUC will address health problems for rural counties. He was told that the CUC will address problems for all counties. He then asked if the County had distributed any tobacco funds for rural health problems such as septic tank problems. He was informed that the County had not. There being no further business to come before the Court, the meeting was adjourned. L 16 1 Z-~, . - • *I- • F i The foregoing minutes of the Commissioners Court meeting held February 15, 1999 have been examined and are approved in open Court this the a4 19, day of 19 49, in Bryan, Brazos County, Texas. Alvi W.-Jonqff County Judge m. S. Thornton Commissioner, Precinct No. 2 Carey Cali e Jr. Commiss ner, Pr o ecinc No. 4 Ton Jon Commissi ner, Precinct No.-~ CommiXsioner, Precinct No. 3 ary An W rd County Clerk V IVIN kad coll att-" cc I-P ur, Jl:~ ks~ , BRAZOS COUNTY COMMISSIONERS/ MEETING ON AT A.H./int. nn ~.nn .~vv ADP_AMT7ATTnM / PAMDANV / rTTT7FN 't► • ,I i BRAZOS COUNTY, TEXAS BUDGET AMENDMENT(S) FOR THE 1998-1999 BUDGET YEAR NO. 98/99 12.1 through 12.3 On this the 16th day of February 1999 at a regular meeting of the Commissioners' Court, the following members were present: Alvin W. Jones, County Judge, Presiding Tony Jones, Commissioner, Precinct 1; Wm. S. Thornton, Commissioner, Precinct 2; Randy Sims, Commissioner, Precinct 3; Carey Cauley, Commissioner, Precinct 4; Mary Ann Ward, County Clerk. The following proceedings were held: THAT WHEREAS, on February 16, 1999 the Court heard and approved a budget amendment for the 1998-1999 budget year for Brazos County, Texas. 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 September 1, 1998 the following amendment(s) to the original are hereby authorized, as described on the attached page(s). ADOPTED AND APPROVED this the 16th day of February 1999. THE COMMISSIONERS' COURT OF BRAZOS COUNTY, TEXAS. By; a-. Alvin W. Jones, County Judge r • Original: County Clerk's office and attached to the original budget Copies: County Auditor County Treasurer Commissioners' Court Minutes VQ ,AG -k BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS 98/99-12.1 2/15/99 FD • DIV ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 01 280001 612350 Dr. Donations-Expendable 880.00 01 460230 Cr. Donations 880.00 Sheriff's Office i I I I I Donated Property accepted by Commissioners Court 2/2/99. To increase expenditures for the value of Polaroid film for Project KidCare Id's donated and accepted at Commissioners Court 2/2/99 and to recognize the revenue for the same. ■1* 1 I , ,1 r S BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS 98/99-12.2 2/15/99 FD DIV ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 01 160001 521000 Dr. Employment Services 1,800.00 01 160001 516400 Cr. Hourly - Temporary 1,800.00 Auditor's Office To reallocate budget to allow for temporary help of an Employment Service until a permanent emplovee can be hired. 1 t • , ~parQr ~ ~ prnv i I i'~ BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS 98/99-12.3 2/15/99 FD DIV ACCT PROD DR/CR ACCOUNT NAME Increase Decrease 01 120001 516100 Dr. Hourly- Staff 2,500.00 01 120001 521000 Cr. Employment Services 2,500.00 Treasurer's Department To reallocate budget for a new employee hired in a permanent position. The temporary services was not needed as long as anticipated. Yom.. u 'ilff: ~ Z I f' - 0 • . r_14 A A,.M E R I C A N I N S T I T U T E 0 P A R C H I T E C T AIA Document A101 Standard Form of Agreement Between Owner and Contractor ; uibere the basis of payment is a STIPULATED SUM 1987 EDITION THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. 7be 1987 Edition of AM Drrcument A201, General Conditions of the Contract for Construction, is adopted in this document by reference Do not use with other general conditions unless Ibis document is modified. This document has been approved and endorsed by The Associated General Contractors of America AGREEMENT made as of the third day of February in the year of Nineteen Hundred and ninety-nine BETWEEN the Owner: Comnisioners Court (Name ardaddrrss) Brazos County. Texas I r and the Contractor: N. M. Klunkert. Inc. of Bryan. Texas (Name arid aadrmt) The Project Is: Brazos Count Detention Center (Name and k"tton) (Maximum Security Wing) Bryan. Texas The Architect is: Ravey and Associates of Bryan. Texas (Nana and aQdrrss) VOL J -6 .PACaft, / ~2,3 I& The Owner and Contractor agree as set forth below. GZt6 • i Copyright 1915, 1918. 1925, 1937, 1951, 1958, 1961, 1963. 1967, 1974, 1977, 01987 by The Amcrkan Institute or Arch4 sects, 1735 New York Avenue, N.W., Washington, D.C. 20006. Reproduction of the material herein or substantial quotation of Its provisions without written permission of the AIA violates the copyright laws of the United states and will be subject to legal prosecution AIA DDCUYDff AM • OWNER-CONTRACTOR AGREEMENT • TWELFTH EDITION • AIAO • 01987 THE AMEiuCA l mTrru E OF ARCHITECTS, 1735 NEW YORK AVENUE. N W . WASHINGTON, DC. 20006 A101-1987 1 WARN NM Udo«wa l ltoloooprkt0 vtow. LL& oopyrgfr tww turtd wtt>Met b Mgsl proMeuMaw. 1 l ARTICLE 1 THE CONTRACT DOCUMENTS The contnt i D ctlnwrItsccimist of thI%Agnrnrcnt. Cnmditi ms of the Con[nct (Gcncnl. tiupplenlcnary and Uther inditk)ms). I)ru%%Inns. Slxti likatiom. adtkylda ksucd prior to execution of this Agrrenent. other clocunents listed In this Agrccmrnt and 141 xNficatiom is.tled after execllth in of this Agrecin nt: these fomt the Contnct, and are as fully a port Uf the Contnct i+if attaclnd it) this Agrcement or rclxated 1wrcin The Contnct reprcwnts the entire and Incgntcd agreement lx•Iwren the panks hereto and~ulxrxck~l)rklrlx},~Hfatrlns nprc~anutMlllslxaKrecnxnts ritlurwnncnorunl Anenunmrnkmuftlxtamtrx•tl)txvrncrlt% other than IUlxhlk•atlons. allpcars in Anlck• 9 ARTICLE 2 THE WORK OF THIS CONTRACT The Omtracttx shall execute 1bc entire Work &%crihcd In tllc Clntrxt IAxurtlenta, except to the extent specilkAlly Indicated in the Gmtract Documents to he the resrxmsihility of others, vwwrFeAlr+w* ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 3.1 The date of axnrncrwe rent b the date front which the Qmtract Time of Pangnph i 2 Is nxzwrcd. atxl 4=11 ht- the date of this Agreement. as first written above. unims a diffcrcnl date is stated below or provision is muck for the thte it) he fixal in a rxxire to pnx W ksm-d by the Owner !/n.rrr ffw ride ry r..rwtwr+er rwww/ t/ n dr//rn /now Ow .Anr I y this AXnV"h•u1 nr y r/lildh aNt, drrM t ru IAr /heir all/ hr 10%.11 /N It nrMN r b.Inla n\/ ) The date of commencement shall be the later of (1)the date established in the Architect's written notice to proceed, or (2) the date the Contractor recieves the building permit. 3.2 11)c (lmtrx•tor shall achicve Subaanibl 0mtpktkm of the entire Work rxx bier than (/Ira•,Illw/rdrurhrr rhrtr rr wrrnrlrrry/rtlrlldrrr du la colter lhr r/ulrry/ru./rwrlu l+wrwf A/Ll le/fl+7 unreR(tllrrwrrrlh/rrryrr/hr \ed../ulehrd faww/tlrrpNlryrrr. leftre /•.rtr../rt .y 11w R nrk q row ctdn/ r %rri lvrr In dw I rurtr.N 1 /)Vr trrn.wt. I Four hundred fifty-five (455) calendar days from date of receipt by the Contractor of the Architect's written notice to proceed or the date the Contractor receives the building permit; whichever is the later date. %uh)tcl to ./diumoitelts 1)f Ihia omtr.lo lime :t\ pr %kkd in the contrxi DIKUnxl11N /lI/at+n /.nM Iab4N 1J rI1r1 /rM l/I(NNhetrr/ IhIMIrx,Y n~ /IIIIx fn /r/flllrr h. / nwrplrtr rMr Itrwr J lin the event the Contractor does not achieve Substantial Completion within (the Contract Time, including approved extensions, the Contractor shall pay .the owner, as liquidated damages and not as a penalty, the sum of $500.00 ( five hundred dollars) per each day the actual time performance to achieve Substantial Completion exceeds the authorized Contract Time AM DOCUMENT A101 r 011NFRCON1RACIOR M.RFFMFNI r TWUMI F.nilll)N r AIAO r 4)11147 111F. AMERK"IN\111 I'TF1)FAR(7111 H'T%.04%NFW YORK AVFNItF_ N V. WA%IIIN(:T<N. 1) 1 ZINSM. A101-1987 2 W AMUML- Unkermwd pleat-p- sm v1018 M Uli. OOprrlall Iran and b tl~sei b MQY p10MCYU011. 10, • ARTICLE 4 CONTRACT SUM 4.1 The owner shall pay the Contractor in current funds for the Contractor's performance of the Contract the Contract Sum of Four million four hundred fifty-seven thousand-------------------------------Dollars is 4 457.000.00--------------------------- sub)eet to additions and deductions as provided in the Con- tract bocvments. 4.2 The Contract Sum is based upon the following alternates, U any, which are described in the Contract Documents and are hereby accepted by the Owner (Starr the numbers or otbrr identification of as ceptrd atrernates !f dectskou ion ofber alternans are to br made by for Owen subrpue es to for dxft-utlon of ibis Ag rmrnt. altacb a scbedWr of sucb other alternates sb xinA the amount for a wb and for date until **kb &b at amount is twtid Base Bid: $4,315,000.00 Alternate One: 124,000.00 Alternate Two: 18,000.00 Total Contract Sum $4,457.000.00 4.3 Unit prices, if any, are as follows: Additional unit price per cubic foot for deeper foundation piers complete (with provision that for a lesser depth, a unit price of 60% of the price shall be deducted), the sum of Eight dollars and thirty-seven cents ($8.37). Y+j 01 AIA DOCUMENT A101 • OWNER-CONTRACTOR AGREEMENT • TWELFTH EDITION' AIA* • 01987 THE AMERICAN VWITUTE OF ARCHITECTS. 1735 NEW YORK AVENUE. N W.. WASHINGTON. D.C. 211006 A101-1987 3 WAR O M tArftyttMd phoboopwsp vlolrtba IL8. OOpyrlaM bw ltd b *4*Ct b b0f1 pr0$*CUdWL i it ARTICLE 5 PROGRESS PAYMENTS 5.1 Based upon Appficatkxn fix Payment suhmilted to the Architect by the Contractor and Certificates for Payment Issued by the Architect, the Owner shall nuke progress payments on account of the Contract Sum to the Contractor as provided below and elsewhere In the Conran Documents 5.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month, or as follow-. 3 ProvidcYd an ppor Payment I% received by the Architect not later than the last Vf"kY* 11 1o+ day of a month, the Owner shall make payment to the Contractor rxx later than the day of the fol 1 owi ng month If an Application for Payment is received by the Architect after the application date fixed above, payment shall be made by the Owner not later than thirty (30) days after the Architect otmiverthe lieata9e*r+for Payment 5.4 Each Application for Paymeni~h.Wgk!tAx'(tUp~l!ctscffgdute elf values aubmuted by the (Contractor in accordance with the Contract Document, The schedule of values shall allocate the entire Contract Sum among the various portions of the Work and be prepared in sue h form and sclprx )rtcd by sue h data to substantiate its accuracy as the Architect may require Tim schedule, unless objected it) by the Archltc•cl/shOall fk u%cd :LS a basis for reviewing the Contractors Applications for Payment 5.5 Apploc•ltklns for Payment sR.511 lnuiic2tc the percentage of complctkn of each portion of the Work as of the end of the period covered by the Application for Payment 5.6 Subject uo the provLSRlrLS of the Contract Documents, the amount of each progress payment shall he computed as follows: 5.6.1. lake that port ion of the (Contract Sum properly allocable to completed Work as determined by multiplying the percentage completion of rat. h portion of the Work by the share oft he total Contract Sum allocated to that portion of the Work in the schedule of values, less rcunage of f i ve percent ( 5 Pending final determination ofcost it) the Owner of changes In the Work, amounts not in the dispute may be included as provsdcd to Subparagraph 7 3 7 oft he General Conditions even though the Contract Sum has not yet been adjusted by Change Order, 5.6.2 Add chat rionnn of the Contract Sum property alkrrahlc it) materials and equipment delivered and suitably stored at the site for subscqucnr Incorporation in the completed conurucUun (tar, if approved in advance by the Owner, suitably stored off the site at a location agreed upon in writing). Ices rctanage of five pcrccnl ( 5 5.6.3 Subtract tic aggregate of prevkcLS payments made by the Owner, and 5.6.4 Subtract amounts, if any, for which the Architect has withheld or nullified a Certificate for Payment as provided in Para- graph 9 5 of the General Condimms 5.7 The protgrcm. payment amount determined in accordance with Paragraph 5.6 shall be funher modified under the following c ircumstance% 5.7.1 Add, upon Substantial Comelctkxt of the Work, a sum sufficient to Increase the total payments to ninety-five percent( 95 %)of the Contract tium, less such amounts as the Architect shall determine for incomplete Work and unsettled claims; and 5.7.2 Add, of final co mplot n of the Work Ls thcreiftcr matcrully delayed through no fault of the (Contractor, any additional amounts payable in accordance with Subparagraph 9 10 3 of the General Conditions 5.8 gccluctkn olr limltatkn of retaimge, If any, shall be as follows- None (q it t. #111emArl 1--r t.. %uda/.nrna/ f.wn/druuu q f 0N. rnrrrr 91-k Its rrdmr tar limit IM' rrrauutltr rrsullNry(/nrw tbrPrrtenfa)Irs Irurrtrd In Wdprtra- l "qd.. S r. I ..rut S A l ad.yr aml tbra is not rrplennd dseui.rre in llr• Cunirtat lhnuments, ultra boor /mnt•ultrv/fr stab rrdtatitri w limitation ! AIA 000OMEI0 A101 - OWNER-CONTRACTOR AGREEMENT - TWELFTH EDITION - AIAO - 01987 T11E AMERICAN INSTITIME of ARCHITECTS, 1715 NEW YORK AVENUE. N V. WASHINGTON. D.4 20006 A101-1887 4 tMAfwtta Unrotailwd phowcap ft trloraas tL& CM to tow sod is am m b b" procltrotAloa y .I - r - K • r~ u • ARTICLE 8 FINAL PAYMENT Final payment, constituting the entire unpaid balance of the Contract Sum, shall he made by the Owner to the Contractor when (1) the Contract his been fully performed by the Contractor except for the Contractor's responsibility to correct nonconforming Work 1s provided in Subparagraph 12 2.2 of the General Conditions and to satisfy other requirements, if any, which neccssanly survive final payment, and (2) a final Certificate for Payment has been issued by the Architect; such mad payment shall be made by the Owner not more than 30 days after the issuance of the Architect's Mal Certificate for P2yment,-,r-Gq-1tA6WW and approved by Owner. I ARTICLE 7 MISCELLANEOUS PROVISIONS 7.1 vt'hcrc reference Is made in this Agreement to a provision of the General Conditions or another Contract Document, the ref- crence refers to that provision at amended or supplemented by other provisions of the Contract Documents --7.X-flay Frwm-w deeranLlwglwidK)rtdrrtite F,wwaoc~rfw8 bvasrwtwrstjroa>ttladate{~ayeucru x c1LU~t.tdleutestated brJuwrurJu -+►x►at>Frrxeii►c~rwtirat~barNg►lratopreva+ba~fuxa~:.•,- •trtaFat~i~ploco-witert+uar-Freievt~k~catotoi~ tinsrrt rate . f interest agreed npL.n, if anv ) 7.2 Payments due and unpaid by the Owner to the Contractor pursuant to this Contract shall bear interest at the rate of one percent (1%) per month. (f'sury laws and requirements underlbw Frderal Trulb in Lending.4q. similar state and h.ral aatswrmv►credit lams and rdbsr rrgulatuuu at for feu urr sand Cr.ntrin we s pronL ipal places (if business, the Imanun uJ for Prrgett and elsewhere may aLfrrl the i aliduy a/ tbu prsn•uarm Legal adrrce sbtaild br tAilained a rib respect ru drlerrmu ur mrdof eeahums, and also regardutg rrqurrrmrents sutb as wYraen dtschuurrs or umnen ) 7.3 Other provisions: All of the sections in Article 4.5 of the General Conditions are hereby deleted. See Addendum attached hereto and made a part hereof for all purposes. ARTICLE 8 ~lt TERMINATION OR SUSPENSION as amynded. 8.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of the General Conditions, C~ 8.2 The Work may be suspended by the Owner as provided in Article 14 of the General Conditions. ALA DOCUMENT A101 - OWNER CONTRAL_`rOR AGREEMENT - TWELFTH EDITION - AIAa - 01987 THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVENUE, N W. WASHINGTON, D C 201106 A101-1987 5 WARHINQ thwlrmwd photocopying vlotatt7 U.& copyright two and to III to *W P-1110016 V~ (10 Y r~ ARTICLE 9 ENUMERATION OF CONTRACT DOCUMENTS 9.1 The Contract Documents, except for ModiticaWm issued after awcutbn of this Agreement, are enumerated as fonows. 9.1.1 The Agreement Is this executed Standard Form of Agreement Between Owner and Contr2ctor, ALA Document A101, 1987 Edition., as ammended. as ammended, 9.1.2 The General Conditions arc the General Conditions of the Contrict for Construction, AIA Document A201.1987 Edition. . 9.1.3 The Supplementary and Other Conditions of the Contract arc those contained in the Project Manual dated November 1998 . and yas-"9w& entitled: -5oemrrenr -Ykk-- -rag"- Brazos Count Detention Center. aximum Security wing) Bryan. Texas 9.1.4 The Sp TIft2tlors are those contained In the Protect Manual dated as In Subparagraph 9.1.3. and are as Mows: (Finer list rAr 9wificatroas 6rrr rsr ryR or, an rmwhit atimmwd M tbis Agrrrwrar ) Section- - wide- Page~- as per Table of Contents bound therein. 1 . y. AIA 000USUMT A101 • OWNER-CONTRACTOR AGREEMENT • TWELFTH EDITION • A1A9 • CIW? WE AMERICAN INSTMITE OFARCHITECT4. 1775 NEW YORK AVENUE. NW. WASIIINGTON. DC. 2011116 A101-1987 8 WrAF M010: UnliceroW ptlobcopyklp vblst" LL& ooppt~A MrR a1d !a tu0pet b bpd prosseu0on. F 1 r P . 1,--~ u • 0 9.1.5 The Drawings arc as follows, and are dated and sealed 11/15/98 (Faber fist t1w bract mgs here or refer to an exhibit attached to tbb Agrement ) -Ntunber- -!td$C Brazos County Detention Center General Construction Structural Drawings Mechanical and Electrical Site Plan Plumbing Drawings Mechanical Drawings Electrical Drawings Control Drawings Landscape Drawings pages 1 through 22 pages S-1 through S- page ME-1 pages P-1 through P- pages M-1 through M- pages E-1 through E- pages G-1 through G- pages LS-1 through L 9.1.6 The addenda, if any, arc 25 follows: Number Date Pages ONE December 9. 1998 seventeen (17) TWO December 22. 1998 twenty-eight (28) THREE January 5. 1999 four (4) FOUR January 6. 1999 ' one (1) Portions of Addenda relating to bidding requirements are not fnn of the Contract Docvmcnts unless the bidding rcqulrenicnts arc i i also enumerated in thlc Anlck 9. • r v 24 AIA DOCUMENT A101 - OWNER-CONTRACTOR AGREEMENT - TWELFTH EDITION - AIA* - 0P.M7 THE AMERICAN INSTITUTE OFAROUTEL-13. 1755 NEW YORK AVENUE, N W. WASHINGTON. D C 201x* A101-1987 7 VNUI 04M. IJ1faoMlMd pt10b00pF1f10 dOttlM u>Z OOprlOht IM Htld y wAMet b Mpd ptoNCLtlo11 -1_< documents, if any. forming part of the contract Documents are as follows: None rave r v o r~wrm /mnualom egoBar em semppk far w, and rye. ardor i aam nwpwf 0/9W Cbn&00a CNmMb wGsr aftm n wr Tb" ,board rfr timed bay oWy y ixfm&d ro br pmr V /&W cbMraa Dack~ v: J +a Performable and enforceable in Brazos County. Texas i Thi+ ARrctimcni is entcrcd into as of the day and year Orst written ahove and is executed in at least three original cupics of whk-h I i one k; to he deiivcrcd to the Conirartor. (xw to the Architect for use to the administration of the contract. and the remainder to the Owner OWNER Commissioners Court co O(TR W. M. Klunkert. Inc. Brazos Co y• Texas ryan. Texas zr fs,x,urh,n• (,►wPiaturt J Alvin W. Jones. County Judge M. M. Klunkert, president 04nuod namn• and r,tlr)•t (PnrrrrtJ reams ur+d rule) JUA DOCUMENT A101 • u6•Nt:R (t,, IA• B • 19n7 TIM AMERICAN INtiIMMEOFAR(.111TE(7C,I7iSNEWYORKAVF1ilIE,N~t', A I(molft, AIOI•1987 s M/A tHMO: UnticeneW pt -prleq d, I I utll ooprrll*R 1l tared In ae I m - to bpd panecutkm L f i t • ADDENDUM TO AIA DOCUMENT A101 (1987 EDITION) Article 7.3.1. Contractor to Provide Performance and Payment Bonds. WITHIN FIVE (5) DAYS AFTER EXECUTION OF THE CONTRACT DOCUMENTS AND PRIOR TO THE COMMENCEMENT OF ANY OF THE WORK, Contractor shall furnish to Owner and keep in force throughout the effectiveness of this Contract a statutory performance bond and a statutory payment bond in the amount of the Contract Sum set forth in Article 4 hereof, covering faithful performance of this Contract and the payment of all obligations arising in connection therewith. The bonds shall name Owner as obligee and shall be in such form and with such sureties as Owner may reasonably approve. Should the surety on such bonds become insolvent or be put into receivership during the term of this Contract, Contractor shall promptly notify Owner thereof and shall be obligated to obtain replacement bonds within ten (10) days after receiving notice of such event, at Contractor's cost. Article 7.3.2. Notices. Any notice provided or permitted to be given under the Contract Documents must be in writing and may be served by depositing same in the United States mail, addressed to the party to be notified at the address set forth on page one (1) hereof, postage prepaid, registered or certified, return receipt requested, or by delivering the same in person to such party, or by private receipted courier guaranteeing same-day or next-day delivery. Notice given by mail as herein provided shall be deemed given and received on the earlier to occur of (i) actual delivery at the address of the named • addressee, whether or not refused or receipted for, or (ii) the third (3rd) day following deposit with the United States Postal Service, postage prepaid, packaged and properly addressed as herein provided. Article 7.3.3. Texas Law. This Agreement shall be governed by the laws of the State of Texas. Gay flo l - r t e F West American Insurance Company 136 North third Street, Hamilton, Ohio 45025 Bond No. 3-499-878 STATUTORY PERFORMANCE BOND PURSUANT TO CHAPTER 2253 of the Texas Govemment Code KNOW ALL MEN BY THESE PRESENTS: That ...........W~~:iw..iM114~) J...~N.MA..M~..MFLiMAA..A.titSlfM (hereinafter called the Principal), as Principal, and WEST AMERICAN INSURANCE COMPANY a corporation organized and existing under the laws of the State of Indiana, with its principal office in the City of Hamilton, Ohio, licensed to do business in the State of Texas and admitted to write bonds, (hereinafter called the Surety), as Surety, are held and firmly bound unto 1 $ QNFRS 00(1RTr..... BSdZO.... ~~..YX.. (hereinafter called the Obligee), as Obligee, in the amount of ...F=..M=CV ...F.!QS. IRII ?ID. FIFTY.... SEVEN THOUSAND AND 00/100 Dollars(5.4,457,000.00.... ) for the payment whereof, the said Principal and Surety bind themselves, and their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has entered into a certain contract with the Obligee, dated the tx1JUGd ................................day of....................... Febrtsary,r................................19 99 for BRAZOS COUNTY DETENTION CENTER Maximum Security Wing) Bryan, Texas which contract is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall faithfully perform the work in accordance with the plans, specifications and contract documents, then this obligation shall be null and void; otherwise to remain in full force and effect; PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Chapter 2253 of the Texas Government Code and all liabilities on this bond shall be determined in accordance with the provisions, conditions and limitations of said Chapter to the same extent as if it were copied at length herein. IN WITNESS WHEREOF, the said Principal and surety have signed and sealed this instrument this .......................................tlei.Ld day of @PrParXA............................ 1999..... Witness: TMr...ICL(JNFC RTC.. . ............................(Seal) (if Individual or Firm) Attest: (if Corpora ton 1722 Broadmoor~ Suite..222 (Seal) Bryan TX 4..702 ..........................(Seal) .......(Seal) irtcipa WEST 777 INS Y By 7-, Carol Goodenough Attorney4nd INC S4401 CWArrL 13 ) t~s Vii Ar ~,c/rrls«,z+exa• 16 1 'e . • l CERTIFIED COPY OF POWER OF ATI'ORNEY THE 01110 CASUALTY INSURANCE COMPANY AMERICAN FIRE & CASUALTY COMPANY WEST AMERICAN INSURANCE COMPANY No. 33-482 Know All Man by Those Presents: That THE 01110 CASUALTY INSURANCE COMPANY and AMERICAN FIRE A CASUALTY COMPANY, each an Ohio Corporation, and WEST AMERICAN INSURANCE COMPANY, an Indiana Corporation, in pursuance of authority granted by Article VI, Section 7 of the ay-Laws or The Ohio Casualty Insurance Company and American Fire ! Casualty Company and Article VI, Section I of West Amercan Insurance Company, do hereby nominate, constitute and appoint. Ray Watson or Carol Goodenough or Richardson, Telles Its true and lawful agent (s) and attorney (s)-in-fact, to make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all BONDS, UNDERTAKINGS, and RECOGNMANCES, not exceeding in any single instance TEN 511 LLION (S 10,000,000.00) DOLLARS, excluding, however, any bond(s) or undertaking(s) guaranteeing the payment of notes and interest thereon And the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the Companies at their administrative offices in llamillon, Ohio, in their own proper persons The authonq grantod hereunder supersedes any previous authority heretofore granted the above named attorney(s)-in-fact In WITNESS WHEREOF, the undersigned officer of the said The Ohio Casualty Insurance Company, American Fire & Casualty Company and West American Insurance Company has hereunto subscribed his name and affixed the Corporate Seal oreach Company this 25th day of September, 1998. C-0i.311 11 S11 11 v d r~ STATE OF OI IIO, COUNTY OF BUTLER Sam Lawrence, Assistant Secretary on this 25th day of September. 1998 before the subscriber, a Notary Public of the state of Ohio, in and for the County of Butler, duly commissioned and qualified, carte Sam Lawrence, Assistant Secretary of THE OHIO CASUALTY INSURANCE COMPANY, AMERICAN FIRE A CASUALTY COMPANY and WEST AMERICAN INSURANCE COMPANY, to me personally known to be the individual and officer described in. and who executed the preceding instrument. and he acknowledged the execution of the same, and being by me duly swam dcposeth and saith, that he is the officer of the Companies aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and the said Corporate Seats and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations IN TESTIMONY WI IEREOF,1 have hereunto set my hand and arrixed my Official Seal at the City of I lamillon• Stale of Ohio, to day and year first above written ~~o ~p~J'aM• 7~ ri,rn Notary Public in and for County of Butler. State of Ohio My Commission expires September 25, 2002. this power of attorney is granted under and by authority of Article V1, Section 7 of the By-Laws of 1 he Ohio Casualty Insurance Company and American hire A Casualty Company and Article VI, Section 1 of West American Insurance Company, extracts from which read Article VI. Section 7 APPOINTMENT OF ATTORNEYS-IN•FACT, LTC "The chairman of the board, the president, any vice-president, the secretary or any assistant secretary of each of these Companies shall be and is hereby vested with full power and authority to appoint attorneys-in-fad for the purpose of signing the name of the Companies as surety to, and to execute, attach the corporate seal, acknowledge and deliver any and all bonds, recognizances, stipulations, undertakings or other instruments of sundyship and policies of insurance to be given in favor of any individual, firm, corporation, or the official representative thacof, or to any county or state, or any official board or boards of county or state, or the United States of America, or to any other political subdivision " Article VI, Section 1 APPOINTMENT OF RESIDENT OFFICERS "The Chairman of the Board. the President, any Vice President, a Secretary or any Assistant Secretary shall be and is hereby vested with full power aryl authority to appoint attorneys in fact for the purpose of signing the name of the corporation as surety or guarantor, and to execute, attach the corporate seal, acknowledge and deliver any and all bonds, rccognnrances, stipulations, undertakings or other instruments of surety-ship or guarantee, and policies of insurance to be given in favor of an individual, firm, corporation, or the official representative thereof, or to any county or state, or any official board or boards of any county or stale, or the United States of America, or to any other political subdivision " This instrument is signed and scaled by facsimile as authorized by the following Resolution adopted by the respective directors of the Companies (adopted May 27, 1970-The Ohio Casualty Insurance Company, adopted April 24.1990-West American Insurance Company, adopted May 21, 1998-American Fire A Casualty Company) "RESOLVED that the signature of any officer of the Company authorized by the By-Laws to appoint attorneys in fac4 the signature of the Secretary or any Assistant Secretary certifying to the correctness of any copy of a power of attorney and the seal of the Company may be affixed by facsimile to any power of attorney or copy thereof issued on behalf of the Company. Such signatures and seal we hereby adopted by the Company as original signatures and seal, to be valid and binding upon the Company with the same force and effect as trough manually axed " CL•R71FICATE 1, the undersigned Assistant Soactary of The Ohio Casualty Insurance Company, American Fate A. Casualty Company and West American Insurance Company, do hereby cenify that the foregoing power orattomry, the referenced By-laws of the Companies and the above Resolution of their Boards of Directors arc true and correct copies and are in full force and effect on this date. IN WITNESS WHEREOF. I have hereunto sd my land and the Seals of the companies this third day or flebruary. 1999 aiws ~u ~RaAL~ SEAL, SAM (SIM Assistant Secretary 101 VOL -PAGE r, o West American Insurance Company 136 North third Street, Hamikn Ohio 4502S Bond No. 3-499-878 STATUTORY PAYMENT BOND PURSUANT TO CHAPTER 2253 of the Texas Govemrent Code KNOW ALL MEN BY THESE PRESENTS: That............ WtM. ICLIII~li 7YI'►...M. -v.....4?f..RrY.FIfA~...A.ma (hereinafter called the Principal), as Principal, and WEST AMERICAN INSURANCE COMPANY a corporation organized and existing under the laws of the State of Indiana, with its principal office in the City of Hamilton, Ohio, licensed to do business in the State of Texas and admitted to write bonds, (hereinafter called the Surety), as Surety, are held and firmly bound unto C)ONA4ISSIONIR.S Tr.....Brazos..Cbeutt.... ~?.?1.. .n (hereinafter called the Obligee), as Obligee, in the amount of .k!QSht.'9~fd•..k!QS1~i.kA..~ ) „ SEVEN IMMSAND AND 00/100 --------------'.......Dollars (S. 4,t457r 99-0...................... for the paymen.. ......t whereof.. , the said Principal and Surety bind themselves, and their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has entered into a certain contract with the Obligee, dated the t .........................day of ebrua!?Ys..................................1999 for ERZOS C>7JNrY DEI`FIMCN C32?M .JM.xmmiLn an, Texas Security Wingj which contract is hereby referred to and made apart hereof as fully and to the same extent as if copied at length herein. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall promptly make payments to all claimants as defined in Chapter 2253 of the Texas Government Code then, this obligation shall be null and void; otherwise to remain in full force and effect PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Chapter 2253 of the Texas Government Code and all liabilities on this bond shall be determined in accordance with the provisions, conditions and limitations of said Chapter to the same extent as if it were coped at length herein. 1 IN WITNESS WHEREOF, the said Principal and surety have signed and sealed this instrument this MIN..................................... day of MON=,............................ 1999..... I Witness: W.M. K.UJN)~.tT,..INC. ..................................(Sea!) 1722 Broac>zttoor, State 222.................... (Seal) i (If Individual or Firm) Bryan, TX 77802 A .............(Sea ) . . Q4...k~......A S1!...........W...A- (Seal) (If Corporation) Phi ci WEST AME~ INSURANCE Y Caro Goodenough Attomey-intact S-4400 (W.Am.) 69S WATSM//smim, IPIC. i l A~ /°1 ~ Ric;hardson, Texas CERTIHED COPY OP POWER OF A170INLY THE 01110 CASUALTY INSURANCE COMPANY AMERICAN FIRE & CASUALTY COMPANY WEST AMERICAN INSURANCE COMPANY No. 33-482 Know All Men by These Presents: That THE OluO CASUALTY INSURANCE COMPANY and AMERICAN FIRE & CASUALTY COMPANY, each an Ohio Corporation, and WEST AMERICAN INSURANCE COMPANY, an Indiana Corporation, in pursuance of authority granted by Article VI, Section 7 of the By-Laws of The Ohio Casualty Insurance Company and American Fire @ Casualty Company and Article VI, Soo n I of West Amenun Insurance Company, do hereby nominate, constitute and appoint Ray Watson or Carol Goodenough or Richardson, Texas Its true and lawful agent (s) and attorney (s}m-fact, w make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all BONDS. UNDERTAKINGS, and RECOGNI2ANCES, not exceeding in any tingle Instance TEN MI LLION ($10,000,000.00) DOLLARS, excluding, however, any bond(s) or undertaking(s) guaranteeing the payment of motes and interest thereon And the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, soif thq had been duly executed and acknowledged by the regularly elected officers of too companies at their administrative offices in Ilamilteirh. Ohio, in their own proper persons The authority granted hereunder supersedes any previous authority herebfone granted the above named attorney(s)-in-fact In WITNESS WHEREOF, the undersigned officer of the said The Ohio Casualty Insurance Company, American Fire A Casualty Company and West American Insurance Company has hereunto subscribed his name and afrixod the Corporate Sal of each Company this 25th day of September, 1998. .ii e sa,ts,~ SEAL a a,, a.P. Sam Lawrence, Assistant Secretary STATE OF 01110. COUNTY OF BUTLER On this 25th day of September, 1998 before the subscriber, a Notary'Publec of the state of Ohio, in and for the county or Butler, duly commissioned and qualified, came Sam Lawrence, Assistant Secretary of THE 01110 CASUALTY INSURANCE COMPANY, AMERICAN FIRE & CASUALTY COMPANY and WEST AMERICAN INSURANCE COMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn deposelh and swd%. That he is the officer of the Companies aforesaid, and that the seals affixed to the preceding instrument weft corporate seats of said Com canes, and the said Corporate Seals and his signature as officer were duly affixed and subscribed to the said mstrumerit by the audwnty and direction of the said Corporations IN TESTIMONY WHEREOF. I have hereunto set my hand and afrixed my Official Seal as the City of I lamilton, State of Ohio, the day and yew rust above written ~QJW i;4 tl~ , tiro", • Notary Public in and for County of Butler, State of Ohio My Commission expires September 2S, 2002. This power of attorney is granted under and by authority of Article VI, Section 7 of the By-Laws of The Ohio Casualty Insurance Company and American Fire & Casualty Company and Article Vt. Section I of West American Insurance Company, extracts from which read Article VI, Section 7 APPOINTMENT OF ATTORNEYS-IN-FACT, ETC "The chairman of the board, the president, any vice-president, the secretary or any assistant secretary of each of these Companies shall be and is hereby vested with full power and authority to appoint attorneys-in-fact for the purpose of signing the name of the Companies as surety to, and to execute, attach the corporate seal, acknowledge and deliver any and all bonds, recognhzancces, stipulations, undertakings or other instruments of suretyship and policies of insurance to be given in favor of any individual, firm, corporation, or the official representative thereof, or to any county or state, or any official board or boards of county or state, or the United States of America, or to any other political subdivision " Article VI, Section 1 APPOINTMENT OF RESIDI.NT OFFICERS "The Chairman of the Board, the President, any Vice President, a Secretary or any Assistant Swctary shall be and is hereby vested with full power and authority to appoint attorneys in fact for the purpose of signing the name of the corporation as surety or guarantor, and to execute, attach the corporate seal, acknowledge and deliver any and all bonds, recogntzances, stipulations, undertakings or otter instruments of surety-ship or guarantee, and policies of insurance to be given in favor of an individual, firm, corporation, or the official representative thereof, or to any county or state, or any offhcul board or boards of any county or state, or the United States of America. or to any other political subdivision" This instrument is signed and sealed by fauhmile as authorized by the following Resolution adopted by the respective directors of the Companies (adopted May 27, 1970-The Ohio Casualty Insurance Company, adopted April 21, 198 -West American Insurance Company, adopted May 21, 1996-American Fire & Casualty Company) "RESOLVED that the signature of any officer of the Company authorized by the By-Laws to appoint attorneys in fact, the signature of the Secretary or any Assistant Secretary certifying to the correctness of any coq of & power of aaomey and the seal of the Company may be affixed by facsimile to any power of attorney or copy thereof tssuod on behalf of the Company Such signatures and sal are hereby adopted by the Company as anginal signatures and sal, to be valid and binding upon the Company with the same force and effect as though manually affixed " CERTIFICATE 1, the tmderstgned Assistant Secretary of The Ohio Casualty Insurance Company, American Fire A Casualty Company and Wet American Insurance Company, do hereby certify that the foregoing power of attorney, the referenced By-Laws of the Companies and the above Resolution of their Boards of Directors arc true and correct copies and are in full force and effect on this elate IN WITNESS WIIERCOF, I have hrraptto sec my ham and the waft of tile Companies this third day of February. 1999 SEAL 0S.-i TL j ,woo 011 Assistant secretary 0 rap 1.3 50 02/08/99 13:19 PAZ 409 849 8711 1218 mile Probation Q002 e:57 AN 1. C, JUT Svcs FAI KO. 409$234211 P. 2 &woB Cowny Jwwnr74► Sn Weas 1904 west SH 21 Bryan. TX 77603 E. took Jr. Olreotar Dan German. Deputy Director fRbryary 4.1999 AUke Mead Brazorla Cou" Juvenik probation 1804 CR 171 Angleton, TX 77315 Dear Mr. Meads This letter is to co"A" what we have agreed upon for the STS iaefmdw Course, Please sign below stating your agreanent to these terML four a e+oplr to Oftvia Be* at (409) 823.4211 as soon as posslble_ A Iso, please return the original by nail to Ms. "at the above address. You will provide a SJS (Stoat eglea for Juvenile 3upervlslon) Refresher course to than 8+azos County probation officers who hove had the initial 40 hour WS Training Course. You will provide this training on Friday. Febraory 26.1999. from 8:30 cuL to 5:00 pm. at the Brazos County Juvenilejustice Center. 1904 West Highway 21.8ryan, TX. As reimbursement for this training. Brazos County WIN pay you the anwunt of $102.11(whkh woe calculated by adding the cost of mileage (275.4 x $.281 and the tact of three nwals [breakfast. $6.00. karch. $7.00. and dinner. $12.00A Sincerely, E. A. WerNrcek. . Clrv~ • Jurenila Sertiicee ~Mant I. Mika Mead. a Certified STS Trainer, agree to the terms at stated in the above. letter. _ 2. ~.gq Cate Aft Maid I Phoot (408) 823.3641 f ac (40918214211 iLo Otj 1 ~ -36 1 r D • I 1 • Tons Departrnem Form 1502 o n 's"' -APPLICATION AND AGREEMENT FOR RECEIPT OF USDA-DONATED COMMODITIES sepumb. 1M Schools and Residential Child Care Institutions (National School Lunch Program) APPLICATION-SECTION 1: SCHOOL OR INSTITUTION Name of fruosroor' Brazos County, Brazos Count Juvenile Detention rt'eM Na 187AO F Emplger 10 No. Payee No. elepnorw No. o. (409) 823-3544 (409) 823-4211 aciny Address ( trooL CAy. State. P) 1904 West SH 21, Bryan, Texas 77803 Brazos i SECTION 2: TYPE OF SCHOOUINSTiTUTION AND PROGRAM INFORMATION A. Identify your school or institution type (check one): ❑ Public School ❑ Charter School ❑ Private School Q Residential Child Caro institution (RCCQ B. Average Daily Participation In the National School Lunch Program 28 65 C. Number of Operating Days per Year SECTION 3: CURRENT INVENTORY OF USDA-DONATED COMMODITIES Does your school or Institution currently have USDA-donated commodities in its possession? © Yes ❑ No If yes, please complete and return the Form 1526, Annual Inventory Report, which Is enclosed. • SECTION 4: COMMODITY DISTRIBUTION OPTION-DIRECT SHIPMENTS Except as provided In 'Commodity Distribution Option; a document which Is enclosed, applicants that quality for USDA commodities receive their shares through commercial distribution. To receive shipments of commodities directly from USDA, applicants must meet the requirements provided In 'Commodity Distribution Option; Including the ability to receive and handle a commodity In truckload quantities. Does the applicant wish to apply for direct delivery of USDA commodities? ® Yes ❑ No AGREEMENT- SECTION A: TERMS AND CONDITIONS-The undersigned Schoolllnstitutlon Official and the Authorized Representative(s): (1) are authorized to enter into written agreements with OHS, on behalf of the school or Institution. to operate a food program; to sign documents or reports about the agreement. and to present claims for reimbursement to DHS when appropriate and (2) agree to assume full responsibility for compliance with contract terms and conditions, as specified by: (a) Form 1502 (this document), 'Application and Agreement for Receipt of USDA-Donated Commodities; (b) Form 1499: Commodity Agreement. Terms and Condition; and (c) any amendment and/or addendum, as may be required by DHS and agreed to and signed by both parties. ; NOTE: In the space provided below and on Form 4508, Certificate of Authority, the School/Institution Official may designate himself or other person(s) as Authorized Representative(s), to act as provided In (1) and (2) above. SECTION B: AGREEMENT PERIOD-This agreement will remain in effect until R Is terminated by one or both parties. With 30 days written notice, either party may terminate the contract for cause. SECTION C: AGREEMENT COMPONENTS-For the faithful performance of the terms and conditions of this agreement. Including Form 1499 and any amendment and/or addendum as may be necessary, the parties hereto, In their capacities stated, affix their signatures and bind themselve& Nam of Schad Irut4or' Oftcw roe Alvin W. Jones Count Jud e S' nest wr" S od tru on oftw Dj" a /99 Name 01 AL00t ed Repr•'entatrve b 11, G Olivia M. Body Food So:vio~ Sgr+uwrJWtlscAtad laepnsentativ Ow , • V V f ~y PAGE- 1 r= 11*wo EFFECTIVE OA7E of ApewO•nr • TO BE COMPLETED BY OHS ' V FORM 1602 Instructions APPLICATION AND AGREEMENT FOR RECEIPT OF USDA-DONATED COMMODITIES I (Schools and Residential Child Care Institutions) PURPOSE To provide an application for USDA commodities to public and private schools and residential child care institutions (RCCI). PROCEDURE When to Prepare Form 1502 is available through the regional offices of the Texas Department of Human Services (DHS), Special Nutrition Programs (SNP). Filing an application for USDA-donated com- modities is a requirement for schools that participate in the National School Lunch Program (NSLP) and/or the School Breakfast Program (SBP). Number of Copies Two Forms 1502 are required. One may be photocopied; however, all signatures on both forms must be original. Transmittal Submit both Forms 1502 to: Texas Department of Human Services Special Nutrition Programs Food Distribution Program, Mail Code Y-906 P.O. Box 149030 , Austin, Texas 78714.9030 The Food Distribution Unit will return an approved Form 1502. Form Retention • Retain Form 1502 for three years and 90 days after the end of the last federal fiscal year in which the agreement was active. or until any audit findings. claims. or court proceedings are resolved. r! DETAILED INSTRUCTIONS APPLICATION Section 1 School or Institution - Ewa the name, telephone number, fax number, street address, county. mailing address, and payee identification number. Section 2 Type SchooWnstitudon and Program Information a. Check the appropriate box to identify if the applicant is a public, private, or charter school, or a residential child care institution. b. Enter the average daily participation in the National School Lunch Program (NSLP). c. Enter the number of operating days. Section 3 Current inventory of USDA-Donated Com- modities - Answer yes or no as to whether the applicant currently has a supply of USDA-donated commodities on hand. If yes, complete and return Form 1526. Annual Inventory Report. VC)L 16 Afj 1 1 • • 0 Instructions Form 1502 Page 2 . Section 4 Commodity Distdbution Option - Direct Shipments - USDA commodities are distn'buted through commercial distribution. On an exception basis. some applicants may apply and qualify to receive commodities directly from USDA. Refer to the document titled: "Commodity Distribution Option." included in the application packet, to determine if you meet the minimum requirements for direct shipments (including capability to receive, handle, and use a truckload of a single commodity). Answer yes. only if interested in receiving direct shipments and minimum requirements are met. AGREEMENT Section A Terms and Conditions Read the terms and conditions of receiving USDA-donated commodities. The signatures in this section establish that the persons named have the authority to: • enter into a written commodity agreement with DHS; • operate a nonprofit food program; • sign documents and reports about the agreement; and • when appropriate, present claims to DHS for reimbursement. Additionally, in this section, the official and authorized representative agree to assume full responsibility for compliance with contract terms and conditions. as specified on Form 1502. Form 1499, and any amendment and/or addendum that may later be agreed to by both the applicant school/institution and DHS. Section B Agreement Period - This section is completed by DHS and establishes that the commodity contract remains in effect until terminated by one or both parties. Section C Agreement Components -'t'his section provides a general statement of the agreement between the signing parties. The section that follows provides space for mineJsignature of the: • highest ranking official of the school or institution; • authorized representative (as named by the institution official); and • appropriate DHS official. Note: The highest ranking official may designate himself or another person as authorized repre- sentative in the space provided and, also, complete Form 4508, Certificate of Authority, according to the instrucdons for that form. 110 exact Depanmem HimmServton COMMODITY AGREEMENT: TERMS AND CONDITIONS Fenn 14" &qm 1998 he Texas Department of Human Services (DHS) administers and operates federal commodity programs by agreement with the United •tates Department of Agriculture (USDA). An agency or organization that Is Interested In receiving USDA-donated commodities must submit 3 DHS for approval a completed Application and Agreement for Receipt of USDA-Donated Commodities. Upon signing the agreement, an pplicant agency or organization agrees to comply with the following terms and conditions: ISE STORAGE, AND DISPOSITION OF USDA DONATED COMMODITIES 1. To abide by the Instructions and regulations Issued by DHS and USDA for receiving, handling. storing, and/or using USDA commodities. 2. To fairly and equitably distribute USDA commodities, as Ingredients of prepared meals or food packages, only to eliigble 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 property stored and fully utilized without waste. 4. Not to sell, trade, or dispose of commodities. Including commercial processing or repackaging into end products, without DHS approval. 5. Not to require commodity recipients or, h applicable, eligible agencies and organizations, to pay for USDA commodities in money, materials, or service. u applicable: 6. To abide by OHS 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 fatalities and personnel to handle, store. safeguard, and/or distribute USDA commodities. %CCOUNTABIUTY 0. To allow DHS and USDA to Inspect, at any reasonable time, the USDA commodities In storage and the facilities used for handling and storing USDA commodities. 1. To accurately maintain all necessary records. Including copies of the agreement and Form 1499. Additionally, to cooperate during the 'Annual Contract Update.' 2. 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, it 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 contractor and DHS.) 13. To comply with the requirements of the Immigration Reform and Control Act of 1986, regard.ng 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 maintain an on going perpetual Inventory of USDA commodities and, annually, do a physical Inventory and submit a report to DHS. 15. In conjunction with the annual physical inventory. or as otherwise required by DHS, to review storage facilities that house USDA commodities and to maintain a record of findings. 16. To comply with DHS 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 fiscal years In which single audit criteria applies. (b) To comply with Texas Revised Civil Statutes. Article 4419-b, Sections 5.03 and 5.04 (relating to work-place and confidentiality guidelines regarding AIDS and HIV). (c) To compile data, maintain records, and submit reports as required, to pemlit effective enforcement of the above Acts and permit authorized DHS and USDA 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. DHS and USDA 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 DHS. The person whose signature appears on the agreement Is authorized to sign this assurance on behalf of the Contractor. (d) To ensure that cavil rights training Is provided to subagencies axording to DHS guidelines. As applicable: 18. To maintain receipts, height bills, notices of arrfvat, availability, and Issuance of USDA commodities; Fors 506; 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. 19. To keep records of nonexpendable property acquired under the contract for three years and 90 days after the final disposition of the property. 20. To ensure that any food service management company (FSMC) or non- profit organization (NPO) employed to conduct food services operations does so according to DHS instructions. A contract or agreement with a FSMC or NPO must meet condibons outlined in the Food Service Management Company section of this form (see Page 2). MISUSE OF USDA COMMODITIES 21. To reimburse DHS, according to DHS procedures, 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. 22. That any misuse of USDA commodities may cause applicants to be disqualified from program participation, and that reinstatement is at DHS option. 23. 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: 24. Applicants and their subagencles, a any. have and . preserve a right to assert claims against other persons, agencies, and organizations to whom USDA commoditles 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. 25. To pay commercial storage and delivery costs Incurred for USDA commodities allocated. 17. Civil Rights The above assurances are given by the applicant agency or (a) To comply with Title VI of the Civil Rights Act of 1964 (Public Law organization to obtain: (a) federal financial assistance, grants and 88-352). Section 504 of the Rehabilitation Act of 1973 (Public Law loans, and/or reimbursable expenditures; (b) grants or donations of 93-112). The Americans with Disabilities Act of 1990 (Public Law federal property or an Interest In property; (c) for the use of and to 101-336), and all amendments to each, and all requirements assist the applicant, the sale or lease of federal property or an imposed by the regulations issued pursuant to these Acts. In Interest In such property, or the detall of federal personnel (for no or addition, the contractor agrees to comply with Title 40, Chapter reduced consideration); and/or, (d) for the purpose of serving the 73, of the Texas Administrative Code. These provide In part that public Interest, the selling, leasing, or furnishing of services, or the no persons In the United States shalt, on the grounds of race, extending of any Improvements made with federal financial color, national origin, sex, age, disability, political belief, or religion assistance, to the program applicant by DHS. As applicable, the be excluded from participation In, or denied, any aid, care, applicant's assurances also apply to any federal agreement. service, or other benefits provided by federal and/or state funding arrangement, or other contract which has as one of Its purposes the or otherwise be subjected to discrimination. / provision of cash assistance. 4"ems ~O s1 ~ (continued) 1* 1 • • =ODD SERVICE MANAGEMENT COMPANY 4s provided by federal regulations. DHS commodity contractors may enter into written agreements with food service management companies (FSMC) or non-profit organizations (NPO) to conduct the food service operations. Under such agreements: 1. the FSMC or NPO must provide the DHS commodity contractor with proof (to be available to DHS upon request) that the DHS contractor solely benefits from USDA commodities made available and used In the food service operation and that the DHS contractor receives the full value of all USDA commodities made available; 2. the FSMC or NPO will maintain and make available the books and records of the DHS contractor's USDA commodities used In the food service operation for a period of three years and 90 days after the end of the agreement period or, if the agreement is permanent the dose of the federal fiscal year to which the books and records pertain; 3. the agreement period (for DHS commodity contractors which are non- profitable summer camps for children, charitable Institutions, or nuintion programs for the elderly) shall not exceed one year, however, at the option of both parties and on the condition that the FSMC or NPO updates all pertinent Information and accounts for USDA commodities used during the previous agreement period, the agreement may be extended for four additional one-year periods; 4, either party may, with thirty (30) days written notice, terminate the agreement for cause, and 5. FSMCs and NPOs employed by non-profit summer camps for children, charitable Institutions, or nutritional programs for the elderly, which are also OHS contractors, must agree to allow DHS to review, as needed, its food service operations for the DHS contractor. CERTIFICATION Regarding Debarment. Suspension, Ineligibility, or Voluntary Exclusion for Covered Contracts-The contractor certifies, by execution of this agreement, that neither It nor 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 having 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 DHS may pursue available remedies, including suspension and/or debarment. The contractor shall provide Immediate written notice to the person to (b) 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. Should the proposed covered contract be entered Into, the contractor (c) 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 DHS, as applicable. The contractor, when submftting this certification, will Include DHS Form 2046 (Certification Regarding Debarment, Suspension, (d) Ineligibility, and Volunntary Exclusion for Covered Contracts) without modification. In all covered subcontracts and In Solicitations for all covered subcontracts. A contractor may rely upon certification of a subcontractor that Is not debarred, suspended, ineligible, or voluntarily excluded from the (e) 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. Form 1499 Papua Z 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 govemment. Department of Health and Human Services, USDA, or other federal department or agency, as applicable, and/or DHS may pursue available remedies. Including suspension and/or debarment. 2. 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 pad 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 shalt complete and subrut Standard Form-LLL (Disclosure Forth 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, bans, 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 n 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, OHS Forms 2064E (Certification Regarding Debarment, Suspension, Ineligibility, or Voluntary Exclusion for Covered Contracts) and 2047E (Certification Regarding Federal Lobbying); the forms are found in the contract application packet or can be obtained from OHS upon the contractors request These forms must be maintained for three years and 90 days after the end of the contracted period, or for twee 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 temunation of that Contract 4. Corporatlon-The contractor certifies that K It Is a corporation, ft Is either a non-profit corporation or Is otherwise not subject to payment of franchise taxes to the State of Texas. 5. 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. vo PAU Texas Depsror-U of muff-an SerAces COMMODITY AGREEMENT: TERMS AND CONDITIONS Form we August 1998 The Texas Department of Human Services (DHS) 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 OHS for approval a completed Application and Agreement for Receipt of USDA-Donated Commodities. 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 1. To abide by the Instructions and regulations issued by DHS and USDA for receiving, handling, storing. and/or using USDA commodities. 2. To fairly and equitably distribute USDA commodities, as ingredients of hhousp eh~olds (me or food or.If applicable. to ggua ified daagencies gand organizations) first come first served. 3. To request USDA commodities only In amounts that will be property stored and fully utilized without waste. 4. Not to sell, trade, or dispose of commodities. Including commercial processing or repackaging into end products. without DHS 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 OHS 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 W. To allow DHS 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 1499. Additionally, to cooperate during the 'Annual Contract Update.' 12. To maintain records for a minimum of three years and 90 days following ether 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, N 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 contractor and DHS.) 13 To comply with the requirements of the Immigration Reform and Control Act of 1986, regarding employment venficabon 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 maintain an on going perpetual Inventory of USDA commodities and, annually, do a physical Inventory and submit a report to DHS. 15. In conjunction with the annual physical Inventory, or as otherwise required by DHS, to review storage faculties that house USDA commodities and to maintain a record of findings. 16. To comply with DHS 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 fiscal years in which single audit criteria applies. 17. Civil Rightsply (a) Be 352), Sect on 504 of the Rehabilitation RAAct of 1964 ct of 1973 (Public (Public Law 93.112), The Americans with Disabilities Act of 1990 (Public Law 101.336), 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 40, Chapter 73, of the Texas Administrative Code These provide In part that no persons In the United States shall, on the grounds of race, color, national origin, sex, age, disability. political belief, or religion 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. (b) To comply with Texas Revised Civil Statutes, Article 4419-b, Sections 5.03 and 5.04 (relating to work-place and confidentiality guidelines regarding AIDS and HIV). (c) To compile data, maintain records, and sutxnit reports as required, to permit effective enforcement of the above Acts and permit authorized DHS and USDA 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, DHS and USDA 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 DHS. The person whose signature appears on the agreement is authorized to sign this assurance on behalf of the Contractor. (d) To ensure that civil rights training is provided to subagencies according to DHS guidelines. As applicable: 18. To maintain receipts, freight bills, noires of arrival, availability, and Issuance of USDA commodities; Forms 506; 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. 19. To keep records of nonexpendable property acquired under the contract for three years and 90 days after the final disposition of the property. 20. To ensure that any, food service management company (FSMC) or non- profit organization (NPO) employed to conduct food services operations does so according to DHS Instructions. A contract or agreement with a FSMC or NPO must meet conditions outlined In the Food Seance Management Company section of this form (see Page 2). MISUSE OF USDA COMMODITIES 21. To reimburse DHS, according to DHS procedures, for any improper distribution or use of USDA commodities, or for any loss of, or damage to, USDA commodities caused by the applicants fault or negligence. 22. That any misuse of USDA commodities may cause applicants to be disqualified from program participation, and that reinstatement is at DHS option. 23. 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: 24. Applicants and their subagencles. N 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. 25. 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 DNS. As applicable, the applicant's assurances also apply to any federal agreement. arrangement, or other contract which has as one of Its purposes the rovislon of cosh assistance. (continued) a too* u • r~ u -OOD SERVICE MANAGEMENT COMPANY 4s provided by federal regulations, DHS commodity contractors may ?nter Into written agreements with food service management companies FSMC) or non-profit organizations (NPO) to conduct the food service 3perations Under such agreements: 1. the FSMC or NPO must provide the DHS commodity contractor with proof (to be available to OHS upon request) that the DHS contractor solely benefits from USDA commodities made available and used in the food service operation and that the OHS contractor receives the full value of all USDA commodities made available; 2. the FSMC or NPO will maintain and make available the books and records of the DHS contractor's USDA commodities used In the food service operation for a period of three years and 90 days after the end of the agreement period or, if the agreement Is permanent, the dose of the federal fiscal year to which the books and records pertain; 3 the agreement period (for DHS commodity contractors which are non- profitable summer camps for children, charitable Institutions, or nutrition programs for the elderly) shall not exceed one year, however, at the option of both parties and on the condition that the FSMC or NPO updates all pertinent information and accounts for USDA commodities used during the previous agreement period, the agreement may be extended for four additional one-year periods; 4. ether party may, with thirty (30) days written notice, terminate the agreement for cause, and 5. FSMCs and NPOs employed by non-profit summer camps for children, charitable Institutions, or nutritional programs for the elderly, which are also DHS contractors, must agree to allow DHS to review, as needed. Its food service operations for the DHS contractor. CERTIFICATION Regarding Debarment, Suspension, Ineligibility, or Voluntary Exclusion for Covered Contracts-The contractor certifies, by execution of this agreement. that neither it nor 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,* "pnncipal,' 'proposal,' and 'voluntarily excluded,' as used in this certification having 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 If 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 DHS may pursue available remedies, including suspension and/or debarment The contractor shall provide Immediate written notice to the person to (b) 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. Should the proposed covered contract be entered into. the contractor (c) 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 DHS, as applicable. The contractor, when submitting this oertificatlon, will Include OHS Form 2046 (Certification Regarding Debarment, Suspension, (d) Ineligibility, and Voluntary Exclusion for Covered Contracts) without modification. In an covered subcontracts and In solicitations for all covered subcontracts. A contractor may rely upon certification of a subcontractor that Is not debarred. suspended. inefigible. or voluntarily excluded from the (e) 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. Form 1499 Pag• 2 Nothing contained in all the foregoing shall be construed to require establishment of a system of records in order to render In good falth 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. Inehgible, 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 DHS may pursue available remedies, Including suspension and/or debarment. 2. 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 fads 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 certlfles, 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 extenslon, 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 oooperabve 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 Servlces-The contractor certifies that it 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, DHS Forms 2064E (Cerbficabon Regarding Debarment. Suspension, Ineligibility, or Voluntary Exclusion for Covered Contracts) and 2047E (Certification Regarding Federal Lobbying); the forms are found in the contract application packet or can be obtained from DHS upon the contractor's request. These forms must 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. 4. Corporation-The contractor certifies that 0 it Is a corporation, It Is either a non-profit corporation or Is otherwise not subject to payment of franchise taxes to the State of Texas. 5. Information Certiflcalton-The contractor certifies that an Information submitted pursuant to Otis agreement Is true and correct. The contractor understands Nat deliberately misrepresenting or wilfftlding Information violates this contract and may result in prosecution under applicable state and federal statutes. ADDENDUM NO. I TO THE NATIONAL SCHOOL LUNCH PROGRAM/COMMODITY PROGRAM CONTRACT CONTRACT NO. 021187A0 The Texas Department of Human Services, herinafler designated the Department, and BRAZOS COUNTY JUVENILE DETENTION CENTER (name of contractor) hereinafter designated the Contractor, entered into a contract effective; FROM 07-01-99 TO 06-30-00 under the above contract number. The Contractor and the Department hereby agree to the following addendum to such contract by adding the following statement; The Contractor certififes that the goods and/or service(s) covered by this contract are designated to be used prior to, during, and after calendar year 2000 A.D. The goods and/or service(s) will be operated during such time periods without error relating to date which represents different centuries or more than one century. The Addendum shall be effective on 07-01-99, TEXAS DEPARTMENT OF HUMAN SERVICES Brazos County, Brazos County Juvenile Det. (Name of Contractor) TDHS Representive Title Olivia M. Body Aul,,iorized Representative i Food Service Manager v " Tltk 3n im VO 1# 1 1 • • Commodity Distribution Option Under most circumstances, Recipient Agencies (RA), except for food banks, must receive USDA commodities through TDHS' commercial distribution system. However, some RAs, such as schools and cooperatives of schools, may apply and, if eligible, qualify to receive commodity shipments directly from USDA. At initial application for USDA commodities and annually thereafter, TDHS provides RAs an opportunity to apply for direct shipments of USDA commodities. , If interested in receiving direct shipments of USDA commodities, read the criteria provided on this page and, if applicable, on page 2. If you believe your RA or Coop meets requirements, check the appropriate space on the Application ChecklisL DHS will review your request and will provide either: (1) a direct shipping contract packet or (2) a letter explaining why your organization does not meet the eligibility requirements to receive direct shipments. Direct Shipment Criteria (1) sign a written agreement with DHS to receive direct shipments of donated food; (2) accept delivery of a single product in a quantity of no less than one truckload. DHS will allocate the food USDA makes available to Texas on a 'fair-share" basis; a fair share that is less than 1 /2 a truckload will be rounded to zero and a fair-share that is at least 1/2 of a truckload will be rounded to a truckload; (3) have storage facilities for dry, chilled, and frozen products; (4) meet USDA and DHS requirements for receiving and storing commodities, Including requirements for sanitation, odor control, and temperature; (5) ensure availability of storage facility staff to schedule appointments and receive shipments throughout the year, including summer and holidays; (6) . provide DHS with three months advance notice when ordering or changing orders for commodities; (7) provide DHS with four months advance notice before changing a direct shipment destination; (8) process and submit receiving orders (ONRRs) to DHS daily; (9) comply with the requirements of Food and Nutrition Services (FNS) Instruction 709- 5, titled "Shipment and Receipt of Food,' and comply with other requirements for receiving and storing commodities as specified by DHS; (10) allow USDA, DHS, and their representatives to inspect and monitor warehousing operations and to conduct inventories and audits; (11) provide to DHS, during the warehouse approval process, a copy of a current health inspection certificate for the warehouse facility; (12) maintain a physical and book inventory of all commodities; (13) maintain records for processed foods according to DHS specifications; (14) retain DHS-required records for three years and 90 days after the date the contract ends or, if applicable, until all litigation, claims, and audits are resolved; (15) submit all reports required by DHS; (16) accept all scheduled shipments, regardless of the shipment or loading method; (17) have sufficient warehouse space to accommodate all inbound freight; and (18) assume responsibility for all commodities In the recipient agency's care and control, including financial responsibility and bearing the risk of loss, damage, and theft. Commodity Distribution Option ' Page 2 t Additional Requirements for School Cooperatives Coo perativesof Schools must. ' i r (1) ~ provide to DHS a copy of a legal agreement, signed by representatives of each . recipient agency and meeting the requirements of state laws governing Interlocal cooperation contracts; . (2) agree to use DHS specifications to equitably allocate USDA-donated commodities to j each member of the school coop; i (3) follow DHS specifications for submitting worksheets for ordering commodities; (4) maintain for each recipient agency In the school coop an ongoing planned assistance level (PAU balance and to report it monthly, as specified by DHS; (5) provide proof of purchase of "all risk" escalating Insurance with coverage equal to or greater than the cost value of commodities on hand at any time or, as a condition of ongoing eligibility, provide proof that such insurance remains In effect; and (6) meet local, state, and federal requirements for temperature and sanitation when delivering commodities. Additional Requirements for Non-School Cooperatives a Cooperatives of N st: n-Schools m (1) u o agree to use DHS specifications to equitably allocate USDA-donated commodities to each member of the non-school coop; (2) follow DHS specifications for submitting worksheets for ordering commodities; (3) provide proof of purchase of "all risk" escalating Insurance with coverage equal to or greater than the cost value of commodities on hand at any time or, as a condition of ongoing eligibility. provide proof that such insurance remains in effect; and (4) meet local, state, and federal requirements for temperature and sanitation when ' delivering commodities. • 1I MU AQR, 14-Lmj • • • k ti I . . . . . a INFORMATION SHEET Food Service Management Company (FSMC) Non-Profit Organization (NPO) Commodity Contractor: Brazos County, Brazos County Juvenile Detention Center Address: 1904 West SH, Bryan, Texas 77803 FSMCINPO: NA i Address: NOTE: Federal regulations require a commodity contractor to have a written agreement with a FSMC or Non-Profit Organization (NPO) and the agreement must specify that: (a) any USDA donated foods made available to the FSMC/NPO must be used solely for benefit of the commodity contractor's . food service operation, and (b) the FSMC/NPO's books and records pertaining to the commodity contractor's food service operation must be available for audit for three years following the end of the fiscal year to which they pertain. INSTRUCTIONS: • FSMCs must answer questions in PART 1 and complete PART III. • NPOs must answer questions in PART 11 and complete PART III. FPART be completed by FSMCs) r company employ ed to prepare products or meals for two (2) or more commodity ctors (including the one named above)? ( ) Yes..... GO TO QUESTION 2 11 NO..... GO TO PART III 2. Does your company prepare products or meals for commodity contractors in a commercial facility (i.e. not on the premises of a commodity contractor)? 1 1 Yes..... GO TO QUESTION 3 11 NO..... GO TO PART III 3. On the lines provided below, list commodity contractors/addresses with whom your company has agreements. Attach an additional page if necessary. THEN GO TO PART 111. Commodity Contractor Address r t r i 4 1 • • PART II (to be completed by NPOs) 1. Is your company employed to prepare products or meals for two (2) or more commodity contractors under one agreement, in a central facility? [ I Yes..... GO TO QUESTION 3 NO..... GO TO QUESTION 2 2. Does your organization prepare products or meals for only one commodity contractor but use an off-site facility (i.e. not on the premises of the commodity contractor)? [ I Yes..... GO TO QUESTION 3 [ I NO..... GO TO PART III 3. On the lines provided below, list commodity contractors/addresses with whom your company has agreements. Attach an additional page if necessary. THEN GO TO PART 111. Commodity Contractor Address PART 111 (to be completed by FSMCs and NPOs • Ensure that your name and address are entered in the space provided at the top of Page 1 of this questionnaire and that you have answered the questions In either PART 1 (FSMC) *or PART 11(NPO) • Sign and date in the spaces below. • Complete/sign Forms 2046/2047 (provided by commodity contractor). • Return all documents to the commodity contractor whose name/address appears at the top of page 1 of this questionnaire. Signature Date F RMATION SHEET r Texas DepsrlnaM dHuman Samtes ANNUAL INVENTORY REPORT (DHS Commodity Contractor) NOW of OHS Commodity cordractor DI Brazos County, Brazos Counter Juvenile Detention Center 0 1 e CC-Camnodlry Contneta FSMC•Foof Service Mgml Compaq "ANtth m Form 1935 for each commodity Alueh o Corrective Action Pun for each commodity t CC-ComrmereW DIstrlbutor Fe•Food Bank Indicated In this column. with an excess supply of more than ch months. NProaeaor Form 1521 Deoemba 155? ids of Physical inventory 1/25/99 COMMOOfTY WHERE IS FOOD STOREDT' OLDEST DATE RECEIVED MOST CURRENT DATE RECEIVED PHYSICAL INVENTORY COUNT BOOK INVENTORY COUNT GAINS Physical Count f,EExxcAdding LOSSES aook Amount Exceeding Physic cal NUMBER MONTHS SUPPLY ONKANO MORETHAN SIX MONTHS SUPPLY?- (Yes of No) OPTIONS FOR DEPLETMO EXCESS SUPPLY (PNeaeprovide adepletion plan on a separate M04 Young Turkey CC 9/29/98 01 01 01 N 1. Transfere mmoddn by Roast Beef CC 6/17/98 01 01 01 N Ne end d the uxreld eanaadyou. L Inemese menu uuge fth d d d w a ue ate deple0m (Sthods) 3.0 epplhwble, change eses Form 50 neM y 6 oommodrywa3orde S II ,"--1 4':+DHS USE ONLY` •.,yr.: rC xgnaxuxo-DHS Flo awar De a approve • , r • , .;.~-Mrs' r f I { . I v • PURPOSE To tack the USDA-donated commodity inven- tories of agencies and organizations, such as schools. charitable organizations, and food banks. that contract with the Texas Department of Human Services (DHS) to receive the commodities. PROCEDURE When to Prepare At the request of DHS, submit a completed Form 1526 (by the due date specified) to the address provided below. Number of Copies Submit one Form 1526 which includes USDA- donated commodities stored at all storage sites used by the commodity contractor. See DETAILED INSTRUCTIONS. Transmittal Send completed Form 1526 to: Texas Department of Human Services Special Nutrition Program Food Distribution Unit. Mail Code Y-906 P.O. Box 149030 Austin. TX 78714-9030 Form Retention Retain a copy of Form 1526 for 3 years and 90 days or, if applicable, until all audit findings are resolved. DETAILED INSTRUCTIONS FORM 1526 Instructions ANNUAL INVENTORY REPORT DHS COMMODITY CONTRACTOR Name of DHS Commodity Contractor - Enter the name of your agency or organization, as it appears on your DHS commodity contract. DHS Commodity Contract Number - Enter your DHS commodity contract number. Date of Physical Inventory - Enter the date on which the physical inventory of USDA-donated commodities on hand is completed. Notes: • Storage sites to be inventoried for USDA- donated commodities include those located on your own premises and/or at off site, commercial facilities. Exception: A physical inventory of USDA commodities in "private storage" with a DHS Commercial Distributor (CD) is not required; instead, report the amount of USDA commodities reported by the CD in its latest weekly bulletin. • DHS recommends that commodity contractors, for their own records, complete Form 1526 for each storage site; however, contractors must submit a single Form 1526 to DHS that includes the total amount of USDA-donated commodities stored at all sites. DHS will return to the contractor any Form 1526 for separate storage sites. The information must be compiled and reported on one form. • Include the book inventory of the USDA- donated commodities (using the "perpetual inventory" and other available records) that are on the premises of processors and/or food service management companies on Form 1526. A book inventory, as required by your DHS commodity contract, is a daily accounting of USDA-donated commodities that are added to or removed from storage. In the spaces provided on Form 1526, please type or print the information requested. The completed form trust be signed by a representative of the commodity contractor. as authorized on Form 4508. Certificate of Authority (see explanation provided). VOL Texas Dept. of Human Services FDH 98-1 ' TEXCAP 98-0 . Instructions Form 1526 Page 2 ' Commodity - List each USDA-donated commodity on hand. Where Is Food Stored? CC, CD, P, FSMC, FS - Enter the applicable code or coda, such as: 'CC" for on-site premises of the commodity contractor; "CD" for a commercial distributor(s) or commercial warehouse(s); "P" for a processor(s); "FSMC" for a Food Service Management Company or, if applicable. a non- profit organization employed to provide a food service; and "FB" for food bank. Oldest Date Recd - Enter the earliest date on which a commodity, listed as on hand, was received. Most Current Date Recd - Enter the most recent date on which a commodity. listed as on hand, was received. Physical Inventory - Record the amount of each commodity on hand (such as, the number of cases, balers, and boxes). Include whole case, baler, or box amounts only. Book Inventory - Record the balance of each commodity. as established from book inventory records. Gains (Physical count exceeding book amount) - If applicable, enter the physical inventory commodity amount (in full cases, bales. and boxes) that exceeds the book inventory amount. A commodity amount, as determined by the physical inventory, minus the book inventory amount, is a commodity "gain." If the physical inventory amount does not exceed the book inventory amount, leave blank. Losses (Book amount exceeding physleai count) - If applicable, enter the physical inventory commodity amount (in full cases, bales, and boxes) that is less than the book inventory amount. When the book inventory amount of a commodity exceeds the amount determined by the % i physical inventory, the difference in amount is a commodity "loss." If the book inventory amount does not exceed the physical inventory amount, lave blank. Note: When a commodity "loss" is entered on the Annual Inventory Report. also complete and attach Form 1638. Report of Loss of Donated Foods, or attach a photocopy of a Form 1638 which was pre- viously submitted to report the loss. DHS will determine liability for the loss according to the Food Distribution Handbook. Chapter 9. An Annual Inventory Report reporting a com- modity loss, to which a new Form 1638 or photocopy of a previously submitted Form 1638 is not attached, will be returned to the commodity contractor. Number Months Supply On Hand - For each USDA-donated commodity on hand, as reported on Form 1526. enter the number of months the available supply is expected to meet the needs of the commodity contractor for that commodity. A contractor may use any reasonable method to determine the number of months for which a commodity supply will be sufficient, including historical and/or projected information. • More Than 6 Months Supply? (YIN) - Etter 'Y" (for yes) if the amours of a commodity exceeds a six-month supply. You must attach an explanation as to what corrective action you will take to reduce the excess inventory, including the date by which the excessive amount will be depleted. Additionally. you must justify any orders of the commodity during the current year. Please refer to the Food Distribution Handbook, Chapter 10, for additional information on reducing excessive inventories. Annual inventories reporting excess commodities, without attached plans to reduce the excess, will be returned to the contractor. Enter 'N" (for no) if the amount of a commodity on hand is less than a six-month supply. Options for Depleting Excess Supply - This column provides three example options for reducing an excessive supply of commodities. The contractor is not limited to these options. i 1 Texas Dept. of Human Services FnW QA.1 TCY!-AP OC.A r • • • Signature (DHS Commodity Contractor Representative) and Date Signed - An official of the commodity contractor, as authorized by Form 4508. Certificate of Authority, to act on behalf of the agency or organization must sign and date Form 1526. Telephone Number/Fax Number - Enter the telephone number and the telephone fax number of the commodity contractor. DHS Use Only -'Ibis section is completed by DHS. Instructions Form 1526 Page 3 W ~3~, Taxes Dept. of Human Services FDH 98.1 TEXCAP 98-0 Tsaa Dspsrtrn fd or Human Ssrvkss SPECIAL NUTRMON PROGRAMS 'SINGLE AUDIT IDENTIFICATION DATA (For Contract Yean aQg-9nnn ) ram Ing Septwrtw 1w m Brazos County, Brazos County Juvenile 10livia M. Body Address (Snet of PAY W QW. SUM ) 1904 West SH 21, Bryan , Texas 77803 s honeNo* s (409 ) 823-3544 17460004330000 TX•021-2001 contractor Mew ear Type contract 1093098 For Profit Non-ProtR X Cavemmentel Chaeir the aneronriata hayfesl to Indtmta tha tvnefsl of nroaramfsl in which van eurrontiv nsrtieb,ntn nr t.r a hi.1. COMMODrTYASSMTANCEPROGRAMS AGREEMENTNOS. © A - National School Lunch ❑ B - Chwftable Institutions . C -Area Agency on Aging - ❑ O - Summer Cam ❑ H -Summer Food Service M J -Jabs I - TEXCAP CASH REIMBURSEMENT PROGRAMS TX NOS. AD -Adult Day Caro TX- MV National School Lunch/Brealdast TX-021-2001 CC -CACFP Center TX- DH -CACFP Day Home TX- SF-Summer Food TX- SM-Special Milk TX- TE-TEXCAP TX- Give the source and amount of an federal tunas that our agency expends other than from those programs listed above: SOURCE AMOUNT Criminal justice $300-400,000. ❑ SINGLE AUDIT EXEMPTiO44 certify that 1 am not required to submit an audit under the Single Audit Act for the following I ❑ I am a tor--profit organizatlon. ❑ 1 expend less than $300,000 annually In total federal funding. SINGLE AUDIT ASSURANCE-4 understand that It 1 meet the requirements of the Single Audit Act. I will agree to submit an audit as a condition of eligibIDty to participate in the Special Nutrition Programs, and that failure to do so as required could result in adverse action, including the withholding of my Claim for reimbursement payments and tremination of my contract. I 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. - - -Rep " nusvra cats • Nam! (p~eass tyFs or pArw '.7 A ~ sts .k.vin W. ty Judge I I i + I 1 E C: C7 Cj FORM 1569 Instructions SPECIAL NUTRITION PROGRAMS SINGLE AUDIT IDENTIFICATION DATA PURPOSE To comply with federal single audit identification requirements, DHS collects source of funds infor- mation from each contractor participating in the Special Nutrition Programs (SNP). PROCEDURE When to Complete DHS trails Form 1569 to contractors/applicants with the application to participate in the Special Nutrition Programs. Contractors/applicants trust complete a Form 1569 for each SNP program • in which they currently participate, or • for which they are making application to participate. Number of Copies Complete an original and two copies. Transmittal Send the original and one copy to your contract manager with your completed application packet. Keep one copy for your files. How to Obtain Forms Contact your contract manager to request additional forms. Form Retention Keep Form 1569 for three years and 90 days from the end of the contract period. Exception: If audit findings, claims, or litigation have not been resolved by the end of the retention period, all forms and records trust be retained until all issues are resolved. DETAILED INSTRUCTIONS Contractor Name - Enter your agency name as it appears on the agreement and/or policy statement form for the SNP in which you are participating. Contact Person - Enter the name and title of a person in your agency who can answer any and all questions about your revenue sources and the information provided on this form. Address - Enter your agency address as it appears on the agreement and/or policy statement form for the SNP in which you are participating. Telephone No. - Enter the office telephone number of the contact person identified above. Payee ID No. - Enter this 14-digit number as assigned by the comptroller of public accounts for the Stite of Texas. The payee ID number (14 digits) appears on the face or on the stub of any check your agency has received from the comptroller. If you do not know your agency's payee ID number, please contact the comptroller at (512) 463-3660. Exception: If your agency is not required to obtain a payee ID number to participate in the SNP, • enter your tax number or tax-exempt number in this space, and • indicate which type of number you are entering for your agency. Contract No. - If you are • a current contractor, enter your agreement number for the SNP program in which you are participating. • an applicant, leave this item blank. You do not have an agreement/contract number at this time. Texas Dept. of Human Services FDH 98-3 CACFP-ADC 98-4 SFSP 98-4 CACFP-CCC 98-3 wo SMP 98-3 CACFP-DCH 98-3 cs NSLP/SBP 98-4 TEXCAP 98-0 Instructions Form 1569 Page 2 . Note: The TX number assigned to your contract is used interchangeably as your agreement number or contract number when completing Form 1569. Contractor Rsca/ Year End (mm/dd/yyyy) - Enter the last month, day, and year of your agency's most recently completed fiscal year for accounting purposes. lEx=ple: If your agency's most recently completed fiscal year ended on November 30. 1996. enter 11/3011996. Mark the appropriate space to identify which term correctly describes your agency (for-profit, non- profit, or governmental). Mark the appropriate box(es) in the column which describes the type(s) of SNP program(s) in which you currently participate or for which you are applying and enter the TX (or agreement) number for each program you mark. (See instructions on page 1 for contract number.) Federal Funding Assistance - Indicate every source of federal funding assistance and the amount your agency expends, other than from participation in the SNP. The term "expended" means any expense or obligation you insured in the operation of a program during your contractor fiscal year. Base the figures for this item on your agency's most recently completed fiscal year as identified in the top portion of this form. Single Audit Exemption - Place an "X" in the appropriate box indicating the reason for declaring exempt status from the Single Audit Act requirements. Single Audit Assurance - If you meet the following criteria, you must obtain and submit an audit according to the requirements of the Single Audit Act, in order to remain eligible to participate in the SNP. The scope and frequency of audits are determined by the amount of federal funds expended in any year. If yotw federal finding assistance in any year is... • 5300.000 or more. them you must have an organization-wide audit conducted for that year (see "Note" below). • less than 5300.000, then you are exempt from the single audit requirement but must comply with other audit requirements prescribed by state or local laws or regulations. Other audit require- ments of state or local authorities may include requirements imposed as a condition of contracts with local authorities and other state agencies, in addition to DHS. Note: If you are a private nonprofit organization subject to the audit requirements of OMB Circular A-133, you must obtain an organintion-wide audits; however, you may elect to have a program-specific audit instead of an organization- wide audit if 100% of your federal funding assistance is solely from participation in one or more of the following Child Nutrition programs: • National School Lunch Program; • School Breakfast Program; • Special Milk Program; • Child and Adult Care Food Program; • Summer Food Service Program; • commodities donated for use in the programs listed above; or • one or more of the following USDA-donated commodity programs: Food Distribution Program. I - Texas Commodity Assistance Program (TEXCAP). *If you have a financial audit performed annually. you must also obtain a single audit on an annual basis. W OL 1 ~ YAG° SG Texas Dept. of Human Services FDH 98-3 CACFP-ADC 98-4 SFSP 98-4 CACFP-CCC 98-3 SMP 98-3 CACFP-DCH 98-3 NSLP/SBP 98-4 TEXCAP 98-0 46 1 • _ Instructions Form 1569 Page 3 Upon approval of your application to participate, your contract manager will send you a contract application approval letter. The approval letter will contain the date by which you must submit the appropriate audit(s) for your contract and which contractor fiscal year(s) must be covered in the audit(s). Signature - A person authorized on Form 4508. Certificate of Authority. trust sign and date this form. Type or print the signer's name and title in the space provided. • t t i i Texas Dept. of Human Services FDH 98-3 CACFP-ADC 98-4 SFSP 98-4 CACFP-CCC 98-3 SMP 98-3 CACFP-DCH 98-3 NSLP/SBP 98-4 TEXCAP 98-0 Form 4M MA-ft ,seta Texas oepworwe or t UMM servim SPECIAL NUTRITION PROORM CERTIFICATE OF AUTHORITY This Is to certify that the following person(s): Name of AwV ntad Repres*rMb%v (phase type or tyttp ate E.A. Wentrcek, Jr. Director X sgnaare-~orfze0 Recrose Name of AutwaW Repment0m (please type Or prep Tale Olivia M. Bodv Food Service Manaaer • X sonanre-Authonzed Repnsentatw, is(are) designated as an Authorized Representative of Name Co wactwp 0munawn Brazos County, Brazos County Juvenile Detention Center Address (street. City. state. ZIP) 300 East 26th Street, Suite 314, Bryan, Texas 77803 The representative(s) designated above, and myself, are authorized on behalf of the contracting organization to make written agreements with the Texas Department of Human Services to operate a food program, to sign documents or reports about the agreement, ano to present ciatms Tor reimbursement, wnen appropriate, to the aepartment. Name d Meal of ConvacwV Agency (phase type or prop Tale Alvin W. Jones Count Judge X -1T- dal acDng Agerwy 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 replacing or deleting an Authorized Representative, list the name(s) of the Individual(s) to be removed as Authorized Representative(s) below: FOR OHS USE ONLY ®L W PAO Agteemart No. Reosivod By TX- •r FORM 4732 11"MI ectiorts • NONGOVERNMENTAL CONTRACTOR CERTIRCATION PURPOSE Texas Revised Civil Statutes. Article 6252-9b. provides standards of conduct for current board members and employees. The Department has adopted rules pertaining to contracting with organiations in which former employees, board members. or their relatives have ownership or control. This certification provides a meats for collecting and distributing information required to determine compliance with the rules. Incorrect or mcomrplete information may render a contract unpayable or cause termination. The information is utilized to determine whether the contra loontract renewal may be consummated. PROCEDURE Any nongovernmental entity councting with the department to provide goods. services (including any professional services) or products must com- plete the certification form and submit it to the department prior to contracting. If Form 2031. Corporate Board of Directors Resohnion, or for special nutrition programs Form 4508. Ce:tifiam of Authority, is prepared as pan of the contract. the person authorized on the form to sign the contract must also complete the certification. The person signing the contract for the potential contractor signs the certification. If `yes' is answered to any of the questions in the certification. the potential contractor waist also complete and attach to the certification Form 4732-A. Nongovanmeanl Contractor Catificatiam (Part in. If the contract is a new procurement, rather than a renewal. the certification is submitted according to instructions in the request for proposal.' Number of Copies Complete a certification for each copy of the con- tract offer/contract renewal submited to the department. Rif M•-SM-i Forward the appropriate number of certifications to the department's procurement officer (for new contracts) or contract manager (for contract m newals). The certification is submitted as part of the offeror's procurement package or as indicated in the instructions to the procurement package. In cases of contract renewals: the certification is submitted to the contract manager approximately 60 days prior to effective date of any proposed renewal. Consistent with 169.205 and Conrsaa Adminirrra- tion Handbook: Item 2100, the form retention ride and policies. the successful cromtractor's certify cation document must be kept for three years and 90 days after the contact period ends or until all litigation. claims. or audit findings are resolved. whichever is longer. Unsuccessful offerors' certifi- cation doctmueau must be kept a minimum: of six months after the effective date of the contract or until the resolution of arty appeal or litigation resulting horn due procurement. whichever b bagger. When Ito Prepare • The catifianon mast be prepared and submitted . . to the area purchasing the coatraa prior to row- Texas Dept. of Protective summating a new contras or a contract renewal. It and Regulatory Services mm be submitted early enough (usually 60 days APS 945 prior to the contract's effective date) so that the Texas Dept. of Human Services purchasing area can provide it to the department's AMH 9411 CAH 945 Office of the General Counsel 45 days prior to the CACFP,ADC 94-6 NSLP/S9P 945 contract's effective day If a "yes' is answered to CACFP-CCC 94-4 PHC 946 questim 1.2.3. or 4.~ CACFP-DCH 94-4 SFSP 945 AU S SMP 94-4 VO Instructions Form 4732 Pape 2 . DETAILED 00"WC'TIONS 1. Check Oyes" or •no. as =Wimbk.f 2. Check Oyeso or `n0; as sppluabk. _ 3. Check "yes' or `no." as spplimble. 14. Check `yes" or-,Do.' as applieabk: • . • Cerrd 7be"certificstiOn at the bottom of page 1 applies to all iaformation provided on the catification form. Name of Potentw Nongownunental Contractor - Give the emiry's official name. If the entity h registered with the Teas Serrerary of State, type or legibly print the name as regimr d with the Secretary of State. Contract No. - if the certification h prepared as put of a procurement package. lave this space blank. If the catif'atioa is prepared daring the renewal of a cons ut. Bata the casxract number. If avaWle, use the DRS uniform contract number. SSN or VIN - If the potential contractor bas a vendor idendfiation member (VIN) from the Sate Comptroller's Office, eater that number; other- win, the pcman authorized to sign the cmdfication eater's his Social Scwriry member (SSN). Signature of Authorirad Represerrtatiuie/ Date - Self-atplaaatory. Print or Type Name - Print or type the name of the signatory. r it 1 Texas Dept. of Protective and Repuiatory Services APS 84-5 ' Texas Dept. of Human Services AMH 84-11 CAH W CACFP-ADC 84.6 NSLPIS13P 94-i CACFP•CCC 84.4 PHC 84-6 I A ~0 D CACFP-DCH 84.4 SFSP 04-5 S MP 84-4 G ' 1 i • •I PURPOSE To identify the officials designated by the contracting organization staff to act on the organization's behalf and to record the representative's signature. PROCEDURE When to Prepare Complete Form 4508 when applying for participation in the • Child and Adult Care Food Program, • National School Lunch/School Breakfast Program, • Special Milk Program, • Summer Food Service Program, • Food Distribution Program, or • Texas Commodity Assistance Program. Also, complete Form 4508 when making a change to current authorized representatives. Number of Copies An original and two copies. Send the original and one copy to your contract management staff and retain the other copy for your contract files. Transmittal When approved, DHS staff will return one signed Copy- How to Obtain Forms Contact your contract management staff to request additional forms. FORM 4508 Instructions CERTIFICATE OF AUTHORITY Form Retention Keep Form 4508 for three years and 90 days from the end of the contract period. Exception: If audit findings, claims, or litigation have not been resolved by the end of the contract period, all forms and records must be retained until all issues are resolved. DETAILED INSTRUCTIONS Name of Authorized Offic/akIrit/e - Type or print the name of the officials, in the spaces provided, who will represent the contracting organization by signing correspondence and filing reports and claims for reimbursement with DHS. Type or print each person's title, such as executive director, principal. center director, or food director. Up to three officials, including the official of the contracting agency, may be authorized to represent the contracting organization. Signature - The person being authorized to represent the contracting organization must sign this form exactly as he will sign the documents and claims for reimbursement. Name of Contracting Organization/Address - Type or print the name of the contracting organization that has the ultimate legal responsibility for the agreement with DHS. Include the address (street, P.O. box, city, state, and ZIP code). This name and address must be identical to those on the application submitted for program participation. Texas Dept. of Human Services CACFP-ADC 98-2 CACFP-CCC 98-1 CACFP-DCH 98-1 FDH 98-2 NSLP/SBP 98-1 SFSP 98-1 SMP 98-1 TEXCAP 98-0 Instructions Form 4508 Page 2. Name of Offlclal of Contract Wg AgencylMe - Type or print the name and title of the official of the contracting agency in the spaces below the signature. This official must be a chief officer of the governing body. such as chairman of the board of directors, mayor, owner, pastor, etc. Signature - OfRclal of Contmcting Agency/TNIe The official of the contracting orgnniration must sign the form in the space provided, designating himself and up to two other persons as authorized representatives. Deleted Authorized Representatives - The contracting organization may have no more than three authorized representatives. including the official of the contracting agency. Enter the name(s) of authorized representatives that should be replaced or deleted. For Texas Department of Human Services Use Only - • Enter the agreement number (contract number) assigned to the contracting organization, and • Sign and date the form after reviewing the information. - 1 la ~rs~ 1 ~ 40 l Texas Dept. of Human Services CACFP-ADC 98-2 CACFP-CCC 98-1 CACFP-DCH 98-1 FDH 98-2 NSLP/SBP 98-1 SFSP 98-1 SMP 98-1 TEXCAP 98-0 •S r A A Texas Oepartment Form 4732E of Human Services September 1994 NONGOVERNMENTAL CONTRACTOR CERTIFICATION The Taws Department of Human Services (DNS) has adopted rules pertaining to contracting with organizations In which a former board member or employee (whose last day of duty was within the past two yeas) has any ownership or control. or who Is an employee or consultant of such organization. Also. Human Resources Code 122.0033 prohibits for one year after employment former DNS employees in pay grades equivalent to or above pay grade 17. Step 1. from helping (for pay) another entity obtain a contract with DNS In an area for which the toner employee was directly concerned or had administrative responsibility. Additionally. DNS has adopted stordards for contracting with contractors associated with curtest or fentwr at ploy is and board members. and their relatives. This form Is necessary to help the Department determilne compliance with those ales. AN potential non-governrnentsl convectors for any type of contract must complete this certification. The contract. If awarded. may be terminated for cause If (11 the contractor knowingly provides Incorrect Information In its cerdficatim% or (2) the contractor uses a subterfuge. such as a subcontract arrangement. to avoid the oppgeatlon of atata lava or DNS rules. Does the potential contractor have as an officer. director. employee. consultant. or owner (in wlele or In part): i Yes No 1. A person who Is currently a DNS employee or OHS board member? El ED I' f• 2. A person who was a former OHS employee or board member whose last day of duty with DNS was El Yes ® No within the past two years? . 3. A person who Is related (see Relationship key below) to a cures OHS employee or DNS board Yu M NO member? 4. A person who Is related (see Relationship key below) to a former OHS employee or OHS board Yes ® No member whose last day of service to OHS was within the past two yeas? Wife Brother Stepdaughter Spouse's Sister Husband Sister Stepson Spouse's Brother RELATIONSHIP Father Son Mother-In-law KEY Mother Daughter Father-In-low IF YOU ANSWERED 'YES' TO ANY OF THE ABOVE GUESTIONS. YOU MUST COMPLETE AND ATTACH FORM 4732,A. CERTIFICATION 1 certify that the ktformation above Is complete, true and correct to the best of my knowledge. 1 understand that lack of full, true and complete disclosure may be grounds for wlWtoldit payment for delivered services and may cause contract termination. larrw of Potential Nongovernmental Contractor Contract No. Social Security No. or VIN Rim or Type Name Z -is -Sva Alvin W. Jones Repr ntstive Dace • ® (o WG. '3 Texas Department Form 47=4 of Human Services September 19" NONGOVERNMENTAL CONTRACTOR CERTIFICATION (PART 11) As a condition for nceliah a contract or having a contract renewed, potential contractors who answered 'yes' to either or both of the .questions on For. 4732 must complete the questions on this fort (Form 4732-A). The questions must be fully answered and the certification on Page 2 must be completed and signed. The answers are used to determine compliance with Texas Department of Human Services rules found in the Texas Adm. Code, Title 40. Chapter 79, 9178.1801-78.1807. 1. REGARDING PAST AND CURRENT DHS EMPLOYEES AND BOARD MEMBERS- Did you answer 'yes' to question 1 or 2 on Form 47321 Yu © No H 'no,' skip to question 2. H 'yes; complete the following information for those persons. H they are FORMER OHS employees, indicate whether association with the potential cofMrector resulted in a 25% or more Increase in overall annual benefits (inducing salary) over what was received when the person was with DHS. Person Associated with Potential Contractor Lost/Current Position at DNS Begirt g Date Ending Date i I I Current Position with Potential Contractor Begs nkq Date 2S% or More increase Program/Support Area at OHS N Compensation [D Yes [:]No Person Associated with Potential Contractor Last/Current Position at OHS Beginnnng Date Ending Data Program/Support Area at DNS r ant Position with Potential Contractor BegWrrq Date 25% or More increase in Compensation El Yes a No Person Associated with Potential Contractor Last/Current Position at DNS Beginning to Ending Date Program/Support Area at DNS Current Position with Potential Contractor BData 25% or More Increase N Compensation El Yes 1:1 No 2. REGARDING THOSE ASSOCIATED WITH POTENTIAL CONTRACTORS AND THE ASSOCIATES' RELATIVES- Did you answer 'yes' to question 3 or 4 on Form 4732? ED Yes F1 No H 'no.' skip to question 3. tf 'yes.' complete the following Information for those persons and their relatives. Name of Person Associated with Potential Contractor Current Position with Potential Contractor Beginning Date Name of Current/Former DNS Employee/Board Member Relationship to Person Associated with Potential Corntracuw last/Current Position Held at DNS luse job this) Pngram/Suppon Area at DNS Bpbnkq Date Endng Data Name of Person Associated with Potential Contractor Current Posltkn with Potential Contractor Baglwno Date Name of Current/Fonnar OHS Employee/Board Member Relationship to Person Associated with PotentW Contractor Last/Currom Position Held at DNS lute job titre) Program/Suppon Ana at OHS Begkrung Data Ending Dan Name of Person Associated with Potential Contractor Current Position with Potential Convector Begkrdng Date Name of Current/Former OHS Employee/Board Member Relationship to Person Associated with PotentW Contracts Lost/Current Position Held at DNS lute Job utle) RopnnVSWDovt Area at DNS Beginnia Date Ending Date I e Y I Form 4732A-E Pao" 2 3. Prohibitions Against Contracts with Certain Fortner Employees • A. Has the potential contractor and/or any of his employees been employeed by DHS within E] Yes ©No the last 12 months? If 'NO,' skip to number 4 . B. Is a former employee, or an organization controlled (in part or whole) by a former employee, yes a No applying for this contract? C. Has (or will) the former employee(s) be paid to aid in the development of or the attempt to obtain MYes MR No the proposed contract? 0. Does the proposed contract relate to a program or service in which the potential contractor/ E-1 Yu Q No employee(s) (while with DHS) was directly concerned or had administrative responsi Aty? E. If the answer Is 'Yes' to 'B' and 'D,' or 'C' and 'D,' provide the former DHS employee's name and indicate whether he earned an annualized gross salary of $30,688 or more at the time he left employment with OHS. • • 1 7 1 1 Nam" 130.688 or more? _ Yes No i yes No 1 ❑ Yes 0 No 4. Financial Interest-Provide the name and other reQuested information about any person who Is owner (in part or whole), officer, director, employee, or consultant employed or associated with your organization and who A. was a member of the OHS Board and who left within the past two yeah; S. Is now a member of the OHS Board; C. was an employee of OHS and who left within the past two years; D. Is now an employee of DHS; or E. Is related in a manner specified In Ouestion 3 or 4 of Forth 4732, to the persons In Items A. B, C, or D Immediately Name Owns 10% or more? 12.600 or more Investment? Yes No i F Yu E]No Yes No Yes No ❑ Yes ❑ i ❑ Yp No CERTIFICATION 1 certify that the Information above Is complete, true and cored to the best of my knowledge. 1 understerd that lack of full, true and complete disdosurs may be grounds for withholding payment for delivered services and may cause contract ternfnation. Rhnt or TV" Nam" • Alvin W. Jones 1 "d tlw Oats VC)L Re AUI /Ls FORM 4732-A kateuedotsa NONGOVERNMENTAL CONTRACTOR CERTIRCATION (Part U) Number of Copies Form 4732-A. Nottgovatnneatal Contractor Certi- fication. Part II. provides a means for collecting and distributing additional needed information about nongova=mcatal potential contractors wbo mark 'yes' to any of the questions on Form 4732. Nongovernmental Contractor Certification. Incorrect or incomplete information may reader a contract unpayable or cause termination. The in- formation is used to determine whether a contract/ contract renewal can by state law and Department of Human Services' Hiles be consummated. 1;T(4 I - ~Zbl1:i Potential contractors answering 'yes" to any of the questions on Form 4732. Nongovernmental Contractor Certification. must complete the additional questions and the certification in Form 4732-A. Form 4732-A is prepared along with Form 4732. It is signed by the person signing Form 4732. and is submitted as an attachment to Form 4732. When to Propane Form 4732-A must be prepared and submitted as an attachment to Form 4732. It is seta to the are purchasing the contract prior to consummating a new contract or a contract renewal. It must be submitted early enough (usually 60 days prior to the contract's effective date) so that the purchasing area can provide it to the department's Office of the General Counsel 45 days prior to the contract's effective date. If the contract is a new prwmmieat. rather than a renewal. the certification is submitted according to instructions in the request for proposal. Complete a certification for each copy of the contract offer/contract renewal submitted to the department. Tnmsndttal Forward the appropriate mimber of certifications; to the department's proextrement offices (for new contracts) or contract manger (for contract renewals). Form 4732-A is attached to Form 4732 and is submitted as part of the offeror's proaaement package or as indicated in the instructions to the proatrement package. In cases of contract renewals, the Form 4732-A is submitted as an att-rhme tt to Form 4732 to the contract manager approximately 60 days prior to effective date of any proposed renewal. Form Retandott Consistent with the records retention rule. X69.205 and related policies found in Item 2100 of the Cow Administration Handbook. the successful contractor's Form 4732-A must be kept for three years and 90 days after the contract period ends or until all litigation. claims. or audit findings are resolved, whichever is longer. Unsuccessful offerors' Form 4732-A must be kept a minimum of six months after the effective date of the contract or until the resolution of any appeal or litigation resulting from the procurement. whichever is longer. Texas Dept of Protective and Regulatory Services APS 94-6 • Texas Dept of Human Services AMH 9474 CAH 94.6 CACFP-ADC 947 NSLP/SBP 94-6 CACFP-000 947 PHC 949 CACFP-DCH 947 SFSP 94-6 SMP 94-5 4 IJ / 1-11`1 Instructions Form 4732-A Page 2 • DETAILED INSTRUCTIONS 1. Did you answer 'yes'...? - Self-ctplanatory. Name of Person Associated with PotentW Contractor - Enter the names of officers. directors, employees, consultants, or owners (in whole or part) of the potential contractor who (1) are currently DHS employees or DHS board members. or (2) are former DHS employees or board members whose last dry of duty was within the past two years. LastCurrent Posidan Held at DHS - U the person wasris employed with DHS. use the person's DHS job title. F.rampie: 'Clerk Typist U' rather than 'S=curry.' Use a descriptive title only if the job tide is unavailable. Begin. Date at DHS✓Eneft Date - The person may have held more than one position with DHS. Eater the person's last period of association with DHS. U the person is still associated with DHS. enter the beginning date • to the 'present." Prvgram/Support Area at DHS - Enter the name of the DHS program or support area in which the person worked. If the person dealt directly with the potential contrad, so Indicates Current Posidon with Potential Cormactor - Enter the person's au=ral job title with the potential contractor. Examples: owner. board member. intake worker. Beginning Date - The person may have held positions other than the present one with the potential contractor. Enter the person's first date of association during which time the person has been continuously associated with the potential contractor to the present time. 25% or More Increase In Compensation - If as result of discontinuing employment with DHS and by commencing association with the potential contracting agency the person receives a 25% or more increase in overall annual benefits, including salary or wages. enter `yes." If not. eater 'no. k_ LM 2 Did you arnww - Self-explanatory Name of Person Associated with Potenda Contractor - Enter the name(s) of officers. directors. employees, consultants, or owners (in whole or part) of the potcptW contractor who are related in the following manner (1) to currtmi DHS employees or board members, or (2) to persons wbo are former DHS employees or board members on or after September 1987? A. Wife B. Husband C. Father D. Mother E. Brother F. Sister G. Son H. Daughter 1. Stepdaughter J. Stepson K. Mother-in-law L. Father-in-law M. Spouse's Sister N. Spouse's Brother Cunent Position wide Potential Contractor - Eater the person's current title with the potential contractor. Beginning Date - The person may have hei, positions other than the present one with the potential contractor. Enter the person's first date of association during which time the person has been continuously associated with the potential contractor to the present time. Name of Cunw7VFcmwr DHS Employee/ Board Member - Eater the name of the person's relative who is associated with DHS. Reladonshlp to Person Associated whh PotentW Contractor - Self-explanatory. Texas Dept. of Protective and Regulatory Services APS 93-4 Texas Dept. of Human Servir AMH 93-6 CAH 9: CACFP-ADC 93-5 NSLPISBP 93-;s CACFP-000 93-4 PHC 93-7 CACFP-OCH 93-4 SFSP 93-4 SMP 93-2 Instructions Form 4732-A Page 3 t t Last/Cunvnt PoslNon Held at DHS - If the person vrWis employed by DHS, use the person's DHS job title. Example: 'Clerk Typist 11" rather than 'Secretary." Use a descriptive title only if the job title is unavailable. Program/Support Area at DHS - Ewa the name of the DHS program or support area in which the person worked. If the person dealt directly with the potential contract. so indicate. Begin. Date et DHS/Endfng Date - Over a continuous period of time. the person may have held more than one position with DHS- Enter the person's last period of association with DHS. If the person is still associated with DHS, enter the beginning date to the "present." 3. Proh/b/tions Against Contracts with Certain Former Employees - A. If "no" is checked. skip to number 4. If `yes" is checked. continue. B. - D. Self-explanatory. E. If the employee earned a salary equivalent to. or more than. a Group 17. Step 1. of the position classification salary schedule (currently $30.588) eater 'yes." If not. enter "no." 4. Financial Interest - Name - Self-explanatory. Owns 10% or More - If a forma DHS employee, former board member. or their relatives (as specified in question 3 or 4 of Form 4732) owns or controls 10% or more of the contracting firm or its stock, eater "yes." If not, enter 'no.' $2500 or More Investment - If a former DHS employee. former board member, or their relatives (as specified in question 3 or 4 of Form 4732) have an investment of $2.500 or more in the contracting agency. enter "yes.' If not. enter "no." i q0 'AGri CertMeatfon - The certification at the bottom of the page applies to all information provided on the certification form. Name of Potential Nongovernmental Contractor - Give the entity's official name. If the entity is registered with the Texas Secretary of State. type or legibly print the name as registered with the Secretary of State. Contract. No. - If the certification is prepared as part of a procurement package, leave this space blank. If the certification is prepared during the renewal of a contract. enter the contract member. If available, use the DHS uniform contract number. Social Security No. or VIN - If the potential contractor has a vendor identification number (VIN) from the State Comptroller's Office, enter that tuniber: otherwise, the person authorized to sign the certification enters his Social Security Number (SSN). Description of Contracted Service/ltem - Enter a description of the service or item to be purchased under the contract. E.aamples: child day care, medial transportation. family care, computer software. janitorial services. Signature of Authorized Representative/ Date - Self-explanatory. Print or Type Name - Print or type the name of the signatory. Texas Dept. of Protective and Regulatory Services APS 946 Taxes Dept. of Human Services AMH 94-14 CAH 946 CACFP-ADC 94-7 NSLP/SBP 94-6 CACFP-CCC 947 PHC 94-9 CACFP-DCH 947 SFSP 94-6 SMP 945 • • Texas Oepwtmem of Human Services t Form 4900E December 1995 HISTORICALLY UNOERUTUJZPD BUSUHESS (HUB) SUBCONTRACT CERTIFICATION The Texas Department of Human Services (DHS) will make a good faith effort to ensure that HUBS receive their respective share of the total value of all contracts It awards each fiscal year which begins September 1 and ends August 31. Based on the 1994 Texas Disparity Study, and in accordance with the Texas General Services Commission (GSC) rules, DHS has established the following minimum HUB goals: e Commodities Include equipment, furniture, software, supplies, vehicles, food, fuel, chemicals, and lubricants.... 12.6% e Heavy Construction includes highway, street, bridge, tunnel, water, sewer, and power line constriction. 11.9% a Building Construction includes residential. Industrial, and other nonresidential building constriction. 26.1% • Special Trade Construction Includes plumbing, heating, air conditioning, painting, electrical, masonry, dry wall, carpentry, floor laying, roofing, siding, concrete, excavation, and demolition work 67.2% i e Professional Services Include architecture, engineering, financial and accounting services, medical services, and surveying ....................................................................20.0% e Other Services include computer programming, consulting, legal, maintenance and repair, and other miscellaneous services 33.0% GOOD FAITH EFFORT COMPLIANCE: By implementing the following procedures, a contractor shall be presumed to have made a good faith effort when subcontracting: 1. To the extent consistent with prudent Industry practice, divide the contract work into the smallest reasonable lots. 2. Notify HUBS of the work the Contractor intends to subcontract. The notice shall be In writing. The notice shall Include a description of the subcontracting opportunities and identify the location to review contract specifications. The notice shall be provided to potential subcontractors prior to submission of the contractor bid. 3. The Contractor shall send such notice to at least five HUB firms In the GSC master bidders list and HUB directory that perform the type of work required. If the GSC master bidders list and HUB directory do not have at least five businesses, then the Contractor shall send the required notice to HUBS on lists of minority and women-owned businesses maintained by other government agencies or organizations. If the Contractor uses sources other than the GSC master bidders list and HUB directory, the selected HUB subcontractor must become certified by GSC In accordance with GSC procedures. 4. if a non-HUB subcontractor Is selected through means other than competitive bidding, or a HUB bid Is the lowest price responsive bidder to a competitive bid, but not selected, the Contractor will be required to document the selection procedures. 6. Maintain records documenting HUB compliance for audit purposes. Quarterly reports MAY BE required by the agency, and the contractor will be given sufficient notification If required to report. When the contractor Is a HUB, It may satisfy the good faith effort requirement by performing at bast 26% of the contract work with Its employees as defined by the Internal Revenue Service (IRS). The HUB Contractor may also be required to report quarterly to the agency. • vo AQE I I r I i f I---- Donn 4900E Paw 2 Please answer the foCovA no questions: 1. Are you a certMed HUB? Ya a No If yes, please provide your OSC HUB C.ertificadon No.: . 2. Do you plan to utilize a subcontractor, supplier. or material provider for all or any portbn of the contract? E] Yes XX NO If yes, describe the scope of work the subcoritraetor(s1 will do: i pi 723Y n27R7X 3. Approximately what percentage of the total contract award will be subcontracted? % 4. Approximately what percentage of the total contract sward wM be Wdwonntracted to HUB$? % Controew AU*Wt=4 Repesenbe " (pNsse ft" Of On" Cenaaet No. 1 CERTIFY that the above information Is true and correct. 1 also certify' that 1 wW make a good faith effort to comply with the HUB subcontract goals establiahsd by DHS. Represenuid" Oats FOR MIS USE ONLY Revbwed ey Ts WOW No. Mv. Nam Object Cods MM Code OM ■ 1► 1 I Fpm 4901 E Page 2 INSTRUCTIONS FOR HUB SOUCiTATION RECORD • DEFINITION: Historically Underutilized Business (HUB): Any legal entity, Including a corporation, sole proprietorship, partnership, or joint venture that is formed for the purpose of making a profit and in which at least 51 % of all the ownership interests in the entity are owned by one or more persons who are socially disadvantaged because of their Identification as members of certain groups. They Include African Americans, Hispanic Americans, Asian Americans, Native (Indian) Americans, and women. These Individuals must have a proportionate Interest and demonstrate active participation in the control, operation, and management of the entity's affairs. PURPOSE: To record all solicitations to HUBS for subcontracts under the contract. PROCEDURE: Complete one form for each type of subcontract work being solicited. Complete one set of forms for each contract and submit with DHS Form 4902, Contractor Good Faith Checklist, within 14 days of selection but prior to contract award. For assistance contact your DHS contract manager. DETAILED INSTRUCTIONS: Contractor Name - Enter the name of your company/organization. Contract No. - Self-explanatory. Address - Self-explanatory. Contact Person - Enter the name of your organization representative responsible for managing the contract. Telephone No. - Self-explanatory. FAX No. - Self-explanatory. Subcontract Work Being Solicited - Describe the type of work being solicited. Complete one form for each type of • subcontract work being solicited. Estimated Value of Subcontract - Enter the estimated dollar value of the work being solicited. Date of Solicitation - Enter the date a solicitation letter was sent or notice advertised. HUB Subcontractor/SuppOer - Based on the definition above, enter the company/organization name of each HUB subcontractor/supplier whom you solicited for a subcontract under the contract. General Services Commission Certification No. -Enter the General Services Commission HUB certification number. The HUB subcontractor should be able to provide this information. If unknown, please contact the contact manager for guidance. Address - Self-explanatory. Contact Person - Enter the name of the HUB Individual responsible for managing the subcontract. Telephone No. - Self-explanatory. FAX No. - Self-explanatory. Category - Check the HUB category which best describes the majority owner and manager of the historically underutilized business. • ~ z i , Tetws Department of Hunan Services HUB Subcontroetor/Suppiw "wrd "%Ic s Comndssion Certilic" n No. Address 1 Contact Person , Teo hone PAX No. List each HUB to which a soUckation for subcontract woddmate a sort: (Attach adMonal pages H rneessary.) HISTORICALLY UNDERUTM= BUSINESS (HUB) SOLICITATION RECORD . lone se01E ADM IM contractor ham. Convect No. - Address I !Contact Pawn TeMpltone No. FAX No. Subeontnct Work Belrtg Solicited Est. V86A of Suecormvn Dete of Solicitation ~ , utepory AAnMbdCAn AnrAean Armed Ammicen wartun 1 1 I •I i 1 I African Asian kag" Afferican s woram SUBMIT TO VHS WITHIN 14 DAYS OF SELECTION.•BUT• { PRIOR TO CONTRACT AWARD. f+ 1 certify that the above Information Is Mo end eofrect. Oate • ~7 Ero ' Signature-Auttwind Representative ~ a1a 1 HUB Subconvactor/SupWer Oenarsl Servkes Ctxmdsslon Cwtiftedon No. Address r Contact Person Telephone No. PAX No. I Category i AAfrican Ad- Anedcan Anwdem AnrAcan kall" Ainedcan Woman AnwAeen Indian ( oilier HUB Subcontreetor/Suppiw Oenarsr Swvtces Commission Cwtirmention No. Address Contact Person Tetepttaee No. PAX No. Category ED AmeAcen Am ticen Arnmec n AmeAkan Indian 1:1 (a (am other eVinialtyl e HUB Subcontrector/SuppWr r General SeAVkes ConrtWslon CeRlaeetlen No. e Address 7 Contact Person Teleplww No. PAX No. Category ElAmerican AArwetort AnwAert El (Arnedcan Indian Wanton ) (any cow etM HUB SubeanUft-torrwiPpier Qawal Servkes Coneedasim GrtlNeatim No. Address Contact Person . Telephone No. PAX No. Gtagory Aerwekr• ~ AeewAean ~ Amaetean 11 AawAcan Indian El oew • • of Human Services ,K Forth 4902E December 1995 HISTORICALLY UNDERUTILIZED BUSINESS (HUB) CONTRACTOR GOOD FAITH EFFORT CHECKLIST Check only those items below that have been done to provide subcontracting opportunities for HUBs. Submit this checklist, along with supporting documentation, to DHS within 14 days following selection, but prior to award of the contract. Documentation should include the following: • DHS Form 4901, Solicitation Record • Copy(ies) of subcontract notice(s) including specifications, terms, and conditions • Subcontractor selection criteria and/or process • Ust of reference sources used to solicit subcontractors THIS SPACE FOR DHS USE ONLY Notices have been provided to at bast five qualified HUBs. or notices have been placed In general circulation. trade association. and/or minority/women focus media concerning subcontracting opportunities AND sufficient time was a0owed for HUBs to participate effectively. F The contract work was divided Into reasonable portions in accordance with standard Industry practices. I The entire subcontract selection process has been documented. I Qualified HUBs have been provided with adequate information about bonding, Insurance, the plans, the specifications, scope of work, and requirements of the contract. I Qualified HUBS have been negotiated with In good faith: qualified HUB* who were also the lowest responsive bidder were not rejected. The services of minority and women community organizations. I contractor groups, local. state, and federal business assistance offices, and other organizations that provide support services to HUBs were utilized. Name of Authodied true or pew I c«m'acm. Name , 1 certify that the above Information and supporting documentation are true and correct. i i I i FOR DHS USE ONLY TeMWaae Reviewed By • Maa Code I Des 12-3 vo Y Ar contract No. Date L_ 1-~\ INSTRUCTIONS for FORMS 506 There are four foams used to request commodities for participation in the Food Distribution Program (FDlyy Form 506 Group A Planned Assistance Level (PAL), Form 506 Group A Bonus, Form 506 Group B PAL and Form 506 Group B Bonus. These forms list the USDA-donated commodities that may be available for contract year 1999-2000 (July 1, 1999 through June 30, 2000). Each form should be completed according to the following instructions and returned with the commodity application packet Forms that are , incomplete will be returned. Using the enclosed document, Planned Assistance Level (PAL) Calculation Sheet, calculate your estimated beginning PAL dollars and complete the blanks above. Please also write the PAL dollars onto the application Form 506 enclosed (e.g. estimated group A PAL dollars onto Form 506 Group A PAL). The resulting amounts are only estimates, are based on figures and calculations established by USDA, and are the beginning PAL for each type of PAL commodity. The Food Distribution Program (FDP) determines each commodity contractor's (CC) Planned Assistance Level (PAL) by multiplying the CC's total meals (TM) times the mandated rate of assistance. This figure will be used however you choose for your Group A and Group B commodities. This means that you can spend as much or as little on Group B commodities as you would like. The remaining difference, if any, will be spent on Group A commodities. The items listed on the Group A PAL and Group A Bonus commodity order forms are items that MAY BE OFFERED by USDA. Because the agriculture market for these items fluctuates constantly, USDA will not be able to actually purchase all of the items listed The "Max Order" for Group A items should be based on whole casts a contractor feels it could use within the contract year should the item become available for USDA to purchase. The "max Order" will be used as a guide for better ordering from USDA and determining quantities to deliver to each facility. There are no guarantees that items will be purchased in a quantity which would provide the exact amount of your request. Items purchased will be allocated based on your "Max Order" and you should expect your share to be slightly more or less than the quantity requested due to truck loading requirements. An estimated unit cost and pack description are provided for each item At the time of purchase, USDA notifies the FDP of the final unit cost which is provided to CC's at the time of allocation and deducted from Group A PAL dollars. A label on page 2 of Croup B PAL Form 506 provides the total dollars available for your agency. Vol, V,P PAGO 17 • There are no restrictions as to the number of items which your agency may reject. You muss place a zero (0) in the "Max Order" column for these items. Commodities that are available to be converted into processed food items are shown in the shaded areas on the Form 506 for Group A PALIA BONUS. Contractors participating in commodity processing and processing 100% of any item, will have a "Max Order" of (0). Contractors participating in commodity processing should not provide a "Max Order" for these items unless they are processing less than 100% of their share of that item. Contractors must complete the statement at the bottom of the Form 506 Group A PAL regarding commodity processing participation. Group B PAL and BONUS orders are placed by CC's indicating the quantities needed by month for the entire school year. Group B PAL items are to be ordered in whole unit cases. It is the responsibility of the CC to place orders for Group B PAL items. The actual purchase price will be used to calculate and track your Group B PAL balance and is provided to you on the Weekly Commodity Bulletin. Indicate the number of units for each Group B commodity requested by the requested month of delivery. Multiply each Total Units by cost given to get the Total Cost of each commodity requested. Add all of the Total Cost on page I and record that figure in the corresponding box marked Grand Total Cost. If cheese and oil are being used for processing, be sure to deduct (on page 2 of the Group B Form 506) the PAL dollars for the amount you are contributing for processing. DO NOT ORDER CHEESE OR OIL ON GROUP B FORM 506 FOR PROCESSING, ONLY AS ADDITIONAL COMMODITIES (i.e. if a contractor prefers to order more in addition to what is being processed). Upon approval of your application packet, your Form 506 orders will be entered into the FDP automated system. A confirmation of your Group B Form 506 requests will be-provided to you in your approval packet. A copy of each of the Forms 506 shall be kept in your fries to use for subsequent change(s) to your initial order. Changes to commodity requests should be sent to your assigned FDP Contract Technician. To facilitate the smooth flow of ordering, allocating, and delivering of Group A and Group B commodities, changes to requests will not take effect for three months. The cutoff for changes is the tenth working day of each calendar month. For example, if a change is submitted by the tenth day of August, the change will take effect with the first allocation in November. If the change is submitted on the 15th day of August, the change will take effect with the fast allocation in December. r, Pi=e I Fam 306 A PAL USDACamnodity ltemad GROUP A PLANNED ASSISTANCE LEVEL (PAL) COMMODITIES Contract Year 1999-2000 Indicate the items you will accept should they become available by placing the MAXIMUM ntmtber of cases for each item for the entire school year. The more items you accept, the better chance you have of depleting your Group A PAL If participating in commodity processing and processing l0W* of any item, your max order will be zero (shaded areas only). If participating in commodity processing and processing less than 10094 of any item. enter a max order. For thnae iteme whlrh vnu An tent went M reretve_ tehre 1 arm In the ms: nrdor entomn_ Code Commodity Pack Size Est. Unit Cost Max Order. A345 Apple Slices, Canned 6/ # 10 Can S14.34 00 A346 Apple Slices, Frozen 30 # Ctn. 510.44 01 A350 Applesauce, Canned 6/ # 10 Can S10.01 02 A382 Apricots, Diced, Canned 6/#10 Can 520.85 00 A084 Beans, Dry Cnd, Blackeye Peas 6/ # 10 Can 58.85 02 A079 Beans, Dry Cnd, Pinto 6/ # 10 Can S8.08 00 A942 Beans, Dry Pinto 25# Bag 55.96 02 A061 Bears, Green, Canned 6/ # 10 Can $10.33 05 A070 Bears, Green, Frozen 309 Case 510.22 00 A085 Beans, Refried, Canned 6/ # 10 Can $11.75 01 A577 Beef, Frozen Ground 36# Carton . $35.40 05 • ' A576 Beef, Roasts Frozen 2840# 589.62 02 A100 Carrots, Canned 6/ #10 Can S11.98 02 A516 Chicken, Breaded, Frozen 309 Carton $37.29 10 A517 Chicken, Cooked, Diced, Frozen 4/ #10 Bag 586.60 .K 00 A515 Chicken, Cut-up, Frozen 40# Carton $30.71 10 - A110 Corn, Canned 6/ # 10 Can 512.45 02 A130 Corn, Frozen 300 Carton 59.47 00 A568 Eggs, Whole, Frozen 6/ #5 Carton 517.80 00 A760 Fish, Frozen 40# Carton 545.25 00 A470 Fruit, Mixed, Canned 6/ # 10 Can 519.72 05 A673 Ham, Cooked,Curcd, Frozen 360 Carton $43.92 04 A408 Peaches, Canned 6/ # 10 Can $16.10 05 A424 Peaches, Frozen 20# Carton $13.24 00 A422 Peach Cups, Frozen 96/4 Oz Cup 519.46 00 A430 Pears, Canned 6/ #10 516.76 02 A140 Peas, Green, C 6/ # 10 S14.56 03 i i I+ t • ~J I .k Foam 306 A PAL USDA Conrn"ty Request GROUP A PLANNED ASSISTANCE LEVEL (PAL) COMMODITIES Contract Year 1999-2000 Code Commodity Pack Size Est. Unit Cost Max Order A160 Peas, Green, Frozen 309 Carton $9.29 00 A444 Pineapple, Canned 6/ # 10 $15.84 0 A640 Pork, Frozen Ground 36# Carton $20.58 A204 Potato, Rounds, Frozen 6/ 5# Carton $9.08 00 A210 Potato, Oven Fry, Frozen 6/ 511 Carton $8.56 A 174 Potato, Wedges, Frozen 6154 Carton $8.34 05 A237 Salsa, Canned 6/ # 10 Can $17.07 01 A243 Spaghetti Sauce, Canned 6/#10 Can $10.79 A380 Strawberries, Frozen 30# Carton $16.79 00 A220 Sweet Potato, Syrup, Canned 6/ # 10 Can $17.57 02 A239 Tomato Sauce, Canned 6/ # 10 Can $11.11 f) 2 A247 Tomato, Canned 6/ # 10 Can $15.09 00 A540 Turkey, Ground, Frozen 4/ 10# Carton $21.96 10 A548 Turkey Ham, Frozen 409 Carton = $41.90 04 A537 Turkey Roast, Frozen 409 Carton $61.00 0 A529 Turkey, Whole, Frozen 404 Carton $27.91 ` 04 Please make a copy or the completed Form 506 and retain it ror your Cues tor teree yeah ana vu days. Qtl 1 am NOT processing I ] I AM Pissing ] as a member of the co-op [ ] as an individual school I have read and completed this form according to the instructions located on the top of page 1. Neither the United States Department of Agriculture nor the Texas Department of Human Services shall be responsible for delays in delivery or for non-delivery of commodities due to any cause, including reduced or exhausted inventories. In the event of a short supply of any item listed, distribution will be made on a participation percentage basis. The organization for which I am the authorized representative will accept, properly store and use out waste all Group A items ordered ( rn GNATM OF AUTuOR1zED REPRESENrATr j Brazos County Juvenile Detention AGUCY NAME i 177 r h=e t Form 3" A BONUS USDACam-d'ay Reguat GROUP A BONUS COMMODMES Contract Year 1999-2000 Indicate the items you will accept should they become available by placing the MAXIMUM number of uses for each item for the entire school year. For those Items which you do not want to receive, place a zero In the ma: order wumu. 'Code Commodity` ~ - Pack Size Est Unit Cost f "Max Order A345 Apple Slices, Canned 6/ # 10 Can S14.34 00 A346 Apple Stites, Frozen 30 # Ctn. $10.44 01 A282 Apple Juice, Canned 12/46 Oz Can $9.30 00 A360 Apricots, Canned 6/ #10 Can 519.10 00 A350 Applesauce, Canned 6/ # 10 Can $10.01 02 A084 Beans, Dry Cnd, Blackcye Peas 6/ # 10 Can $8.85 00 A079 Beans, Dry Cnd, Pinto 6/ # 10 Can $8.08 00 A942 Beans, Dry Pinto 25# Bag 55.96 02 A061 Beans, Green, Canned 6/ # 10 Can $10.33 05 A070 Beans, Green, Frozen 304 Case $10.22 00 A085 Beans, Refried, Canned 6/ # 10 Can $11.75 01 A091 Beans, Vegetarian 61#10 Can 58.14 00 A577 Beef, Frozen Ground 36# Carton 535.40 05 A576 Beef, Roasts Frozen 28-40# Carton $89.62 04 A366 Blueberries, Frozen 30# Carton 523.08 00 A100 Carrots, Canned 6/ # 10 Can $11.98 02 A365 Cherries, Frozen 30# Carton $14.20 00 A516 Chicken, Breaded, Frozen 30# Carton 537.29 05 A517 Chicken, Cooked, Diced, Frozen 4/ #10 Bag 586.60 00 A515 Chicken, Cut-up, Frozen 40# Carton $30.71 05 A110 Corn, Canned 61# 10 Can $12.45 02 A130 Corn, Frozen 30# Carton 59.47 00 A568 Eggs, Whole, Frozen 6/ #5 Carton $17.80 00 A760 Fish, Frozen 40# Carton 545.25 00 A470 Fruit, Mixed, Canned 6/ # 10 Can S19.72 05 A673 Ham, Cooked, Cured, Frozen 369 Carton $43.92 04 4x~~7~i ~`st ati r • • • Pate 2 F«m 506 A BONUS USDA C mrra iryRequest GROUP A BONUS COMNIODITIES Contract Year 1999-2000 Code Commodity Pack Size ' Est. Unit Cost Max Order A257 Nuts (Walnuts, Almonds, etc.) 30# Carton $49.27 02 A300 Orange Juice, Canned 12/46 Oz Can $10.62 00 A301 Orange Juice, Frozen 12/32 Oz Can $15.14 03 A408 Peaches, Canned 6/ # 10 Can $16.10 03 A424 Peaches, Frozen 20# Carton $13.24 00 A422 Peach Cups, Frozen 96/4 Oz Cup $19.46 00 A430 Pears, Canned 6/ #10 Can $16.76 00 A 140 Peas, Green, Canned 6/ # 10 Can $14.56 02 A 160 Peas, Green, Frozen 30# Carton $9.29 00 A444 Pineapple, Canned 6/ # 10 Can $15.84 00 A462 Plums, Canned 6/ #10 Can $12.95 00 A630 Pork, Canned N1 24/29 Oz Can $40.29 00 A640 Pork, Frozen Ground 36# Carton $20.58 01 A204 Potato, Rounds, Frozen 6/5# Carton $9.08 02 A196 Potato, Dehydrated 12/1# Bag $7.35 02 A210 Potato, Oven Fry, Frozen 6/5# Carton $8.56 03 A174 Potato, Wedges, Frozen 6/5# Carton $8.34 03 A482 Prune Puree 2 Gal. Pail $17.59 00 A490 Prunes 25# Carton $16.03 00 A500 Raisins 30# Carton $16.23 00 A800 Salmon 48/14.75 Oz Can $68.54 00 A237 Salsa, Canned 6/ #10 Can $17.07 00 A243 Spaghetti Sauce, Canned 6/ # 10 Can $10.79 01 A380 Strawberries, Frozen 30# Carton $16.79 00 A220 Sweet Potato, Syrup, Canned 6/ # 10 Can $17.57 01 A239 Tomato Sauce, Canned 6/ # 10 Can $11.11 02 A247 Tomato, Canned 6/ #10 Can $15.09 00-- A742 Tuna, Canned 66/6.5 Oz Can $28.48 _02 Pale 3 Fam M6 A HONM USDACommofit) Rap GROUP A BONUS COMMODMES Contract Year 1999-2000 Code' „ Coni:nodity. Pack'Size . 'Est. Unit Cost Mast Order A540 Turkey, Ground, Frozen 4/ # 10 Carton $21.96 02 A548 Turkey Ham, Frozen 40# Carton $41.90 02 A537 Turkey Roast, Frozen 40# Carton 561.00 02 A529 Turkey, Whole, Frozen 40# Carton 527.91 04 Please make a cony of the completed Form 50 6 and retain i t for your files for three years and 90 days. I have read and completed this form according to the instructions located on the top of page 1. Neither the United States Department of Agriculture nor the Texas Department of Human Services shall be respenmble for delays in delivery or for non-delivery of commodities due to any cause, including reduced or exhausted iaventories. In the event of a short supply of any item listed, distribution will be made on a participation percentage basis. The organization for which I am authorized representative will accept, properly store and use without waste all Group A items ordered • O raw, SI .NATURE OFAGT90Rr7FDREPRESENfATI x Brazos County Juvenile Detention AGENCY NAM 021187AO FDP CoNmcrNumBEa f 4 V a I I _I • • • Form 506 Group 8 PAL USDA Commodity Request Page 1 of 2 GROUP B PLANNED ASSISTANCE LEVEL (PAL) COMMODITIES Contract Year 1999-2000 Cheese, Cheddar Reduced Fat 8/51 8101 Cheese, Process 6/51 8060 Flour AP 40 4/101 8183 Macaroni 20 208 8430 Mou Cheese, Lite. Shred, Frz 458 8091 Cheese, Skim/American Blend 6/58 8119 JULY 98 AUG 98 SEPT 98 OCT 98 NOV 98 DEC 98 JAN 99 FES 99 01 01 01 01 MAR 99 APR 99 01 01 01 MAY 99 01 JUNE 99 01 01 Total Units 03 03 ()3 03 x cost 5 $40.65 $5.50 $6.58 667.33 $54.00 Total Cost $121.95 $16.50 $19.74 16 2. 0 0 Oil, Vegetable 6/1 gal B670 Peanut Butter Reduced Fat 6/110 8472 Rice 25 258 8515 Shortening, Vag 12138 8720 Shortening, Vag Liquid 6/1 gat B685 Spaghetti 20 200 8840 JULY 98 AUG 98 SEPT 98 OCT 98 NOV 98 DEC 98 JAN 99 01 01 01 FEB 99 01 MAR 99 01 01 01 01 APR 99 01 01 MAY 99 01 01 01 JUNE 99 01 01 Total Units 04 03 03 02 03 X cost - 019.17 $49.33 $8.23 $18.06 018.08 $6.24 Total Cost $76.68 $147.99 $18.69 $36.16 18.72 VOL ' - GRAND TOTAL COST 1111=01dow $ 6 18.43 11 Forte 506 Group 8 BONUS USDA Commodity Request Page 2 of 2 -Bonus It rn, ONLY` , ( ,See Below) Milk NFD Bulk 25 kg (558) 8114 JULY 98 AUG 98 SEPT 98 OCT 98 NOV 98 DEC 98 JAN 99 FES 99 MAR 99 APR 99 MAY 99 JUNE 99 Total Units x cost - 074.44 Total Cost • Milk NFD Bulk Is now a BONUS ITEM ICY and h= to be deducted from Group B PAL This space to be completed ONLY by schools who are participating M processing and are processing cheese and/or oil. Amount to be deducted for processing cheese: $ Amount to be deducted for processing oil: $ Total amount to be deducted: $ Please make a copy of the completed Form 506 and retain it for your files for three years and 90 days. I have read and completed this form according to the various instructions located thoughout the form. Neither the United States Department of Agriculture nor the Texas Department of Human Services shall be responsible for delays in delivery or for non-delivery of commodities due to any cause, including reduced or exhausted inventories. In the event of a short supply of any item listed, distribution will be made on a participation percentage basis. The organization for which I am authorized representative ^ accept, properly store and use without waste all Group J3 and Bonus items ordered. fi/~ BRAZOS COUNTY JUVENILE DETENTION CENTER Iola- D 0754 SIGNATURE OF AuTmoRlzED REPRESENTATIVE 021187AO Total meals 5,169 Estimated PAL $762.43~j ar' J J 5 I • BRAZOS COUNTY JUVENILE DETENTION 021187AO Option Bee/ Pork Chicken Turkey Total Meals 1 159 58 101 29 5,169 2 86 115 58 3 86 (0754) Group B PAL Commodities Since you have control of your PAL dollars, you may decide to use a portion or all of your dollars for'one or more Group B PAL items, such as cheese, flour, and oil If these items are being used for processing, be sure to deduct the amount you are contributing for processing and indicate that amount in the space provided on the Form 506: Group B PAL. The table below shows the total pounds needed to complete a full truckload of group B PAL commodities, as well as the estimated cost per pound of each Item These group B PAL Items also must be ordered in truckload quantities. Lbs fora Estimated Q1=2 * Lbs for a Estimated B049 Cheese. Natural American 40,000 $1.63 8670 Oct 39,960 $0.41 8077 Cheese. Mozzarella 40,320 $1.80 8672, Oil, Bulk 48,000 50.33 B286 Flour 45.000 $0.13 If any of these Items are chosen for processing, be sure to Indicate the PAL amount that you will be deducting for processing on the Form 506: Group B PAL, page 2. • Planned Assistance Level (PAL) Adjustment Your estimated beginning PAL allotment Is provided on page 2 of the Form 506: Group B PAL The dollar value of the commodities that you request for processing (for both group A and group B) will be deducted from this estimated beginning PAL allotment by the Processing Unrt at the beginning of the school year. Therefore, the PAL allotment that Nell appear on your first weekly bulletin for the 1999-2000 contract year will have been adjusted and will be different from the estimated beginning PAL balance provided in the commodity application packet. Purchase Cost Adiustments Because USDA does not purchase commodities until the orders are received from Texas, the cost per pound provided here ARE ONLY ESTIMATES. Once USDA actually purchases an Item, we are notified of the actual purchase price and onll notdy either the school, if processing as an individual school, or the co-op coordinator, of the actual purchase cost. It is the responsibility of the coop coordinator to share this Information with all RAs participating In their coop. The Processing Unit Nall make adjustments on a quarterly basis to each affected RA's PAL balances. Depending on the actual purchase price, the remaining PAL could increase (if the purchase price Is lower than the estimated cost) or decrease (d the purchase price is higher than the estimated cost). In either case, the adjusted amount will be reflected on the weekly commodity bulletin. Fortes Submittal THE DEADLINE FOR RECEIPT OF ALL APPLICATION COMPONENTS IS MARCH 1. 1999. This date is not negotiable. The TDHS Processing Unit must analyze and validate all submitted REPbT fortis prior to placing orders with USDA in April. Schools Processing as an Individual Entity: The Requested End Product by Truckload (REPbT) form must be submitted wrth the application packet to the Contract Administration staff. Schools Processing Within a Co-Op: The co-op ooordInator Is responsible for submitting the REPbT forms for the entire co-op to the Processing Unit no later than the deadline date. The rest of the application packet should be submitted to the Contract Administration staff. U 193 • ' 3 INSTRUCTIONS FOR PARTICIPATING IN COMMODITY PROCESSING School Year 1999-2000 PaRidpaL'ng In the commodity processing program is when a recipient agency (RA) chooses to take 'regular' oon%Vdifies - such as beef. chicken, pork. turkey. tomato paste. dry pint beans. flour. fruit, cheese. and oil - and have them processed by a commercial food processor approved by TDHS into different end products (e.g. whole turkey into picnic ham; tomato paste, flour, oil and cheese into p=a. beef into fajdas; canned peaches into peach crescents, etc.). There are two ways that an RA can participate in the commodity processing program: 1) diverting full truckloads of a product directly from USDA to an approved commercial processor, and 2) having product already in the RA's possession picked up by an approved commercial processor, taken to their facility to process, and returning the end products to the RA..this process is called'backhauling'. RAs may participate in commodity processing as an individual school or within a co-operative; however, there are criteria that must be met before participation is approved by TDHS. Only full truckloads of a commodity can be used for processing. If an individual school cannot order enough quantity of one item for a full truckload. coordination can be made with other schools to complete the required load. Schools located In one region may combine requests with schools in another region In order to have more flexibility and to make up one full truck. For example, if an individual RA is not large enough to order one full truckload of one item and cannot coordinate with another school to complete a full truckload. that RA will not be eligible to participate as an individual school in commodity processing. However, there are co-ops forayed statewide that consist of enough RAs to be able to order in truckload quantity. Most of the co-ops are coordinated through the Regional Education Service Centers. Please feel free to contact your designated Education Service Center for information, or you may call the TDHS Processing Unit at 512.467.5849 for information. Fee for Service Please refer to the enclosed document. Taxes Contracted Food Processors, to see the maximum per case fee that can be charged by each processor. TDHS does not get Involved with the fees agreed upon between the school. or co-op, and the processor. The fees are provided only to show the maximum per case charge. Diversion Commodities that are chosen for processing (as opposed to commodities already in the possession of the RA and can be used for backhauling) are requested from USDA In truckload quantities. The truddoads are ordered with a destination of the chosen approved commercial processor. The processor receives the commodity, produces it into the chosen end products, and delrvers the end products either direly to the RA or the RA's designated facility. When choosing diversion, each individual school or, as applicable, each co-op, must complete a Requested End Products by Truckload (REPbT) forth. The Information from this forth is used to notify the designated food processor of the requested end products and to order the trucks from USDA for delivery to the processor. An REPbT form must be submitted for each commodity item to be processed, and for each truckload of a commodity being processed. A list of TDHS currently approved processors and their end products are Included with these instructions (the processor chosen must have a currently approved contract with TDHS). Retain this list for your files. Schools eligible for processing as an Individual entity (e.g. ordering a full truckload), and not participating M a co-op, are responsible for submitting the REPbT for each commodity to be processed and for each truckload of a commodity being processed. If an RA is part of a co-op, the co-op coordinator - not the Individual school - is responsible for submitting the REPbT for the entire co-op. RAs wishing to participate In a co-op should do so as soon as possible in order to give the coordinator the time needed to assemble all orders and calculate the truckload quantifies. tf an RA decides to backhaul commodities that are already In their possession, the first thing they should do Is choose a commercial processor who has an approved Food Processing Agreement with TDHS (see enclosed list). If a commercial processor is not on the approved list, please refer them to the TDHS Processing Unit at 512.467.5849 to receive a contract. RAs who choose to backhaul do not complete an REPbT to show end products chosen. This information is captured on a forth titled 'Request for Authority to Bac khaul USDA Commodities to an Approved Food Processor', which is provided to all processors. It is the processors responsibility to have this form approved by TDHS BEFORE the product is picked up for reprocessing. The purpose of prior approval is for the protection of the RA and the commodity. I,N • TOHS ensures that the processor has sufficient Insurance to cover the value of the commodity and that the requested end products have been approved by TDHS for production. The approved form Is faxed back to the processor. Once the product has been reprocessed, the processor provides TDHS with a distribution summary as notification of an expected delivery. TDHS then faxes to the applicable RA a "Notice of Processed Shipment (NPS)" form which notifies theRA of the expected delivery. The RA completes the NPS form and faxes It back to the TDHS Processing Unit. The finished end products may be delivered by the processor to each RA's designated commercial distributor or another designated storage facility. However, if more than one delivery stop is required, the food processor chosen will need to agree to make more than one delivery stop. The delivery destination Information (whether to the commercial distributor or another designated storage facility) must be provided on each REPbT form. Group A PAL Commodities The following table shows the Group A PAL commodities that are being offered for processing, the total pounds needed to complete a truckload, as well as the estimated cost per pound for each Item, Lbs for a Estimated tbs for a Estimated A594 Beef 42,000 $0.9885 A646 Pork 39,600 $0.5815 A521/522 Chicken 36,000 $0.62 A534 Turkey 36.000 $0.6692 For the 1999.2000 school year, we are offering several options to RAs who chose to process the Items listed above. The request for these Items Is pro.reted based on total meal (TM) counL Beef. Frozen, Ground if you refuse A577, frozen ground beef, on the Forth 506 Group A PAL, you may process .03067282103 IbsrrM. • Chicken, Frozen, Cut-Up Chicken Option t If you refuse only A515, cut-up chicken, you may process .019519067931bs1TM. Option 2: If you refuse A515; A517, diced chicken; and A516, breaded chicken, you may process .0223075062 Ibs/TM. Pork, Frozen Ground Option 1: If you refuse only A640, frozen ground pork, you may process .0111537531 Ibs/TM. Option 2: If you refuse all pork Items - A640 and A673, cooked, frozen boneless ham - you may process .01673062965 Ibs/TM. Turkey, Whole Frozen Option 1: If you refuse only A529, whole turkey, you may process.00557687655 Ibs/TM. Option 2: If you refuse A529 and A540, ground turkey, you may process .011537531 Ibs/TM. Option 3: If you refuse all turkey items - A529; A540; A548, turkey ham; and A537, turkey roast - you may process .01673062965 Ibs/TM. To determine your fair share (which Is based on TM) for each commodity offered for processing. use the following formula: TM x Ibs per person (options explained above) a total fair share lbs Total Ibs divided by net weight per case (see Forth 506 Group A PAL for each Item) a cases Note: Processed items are figured in pounds; requests on the Forth 506 are figured In cases. If not processing 100% of an Item, the total fair share of each Item cannot be exceeded and should be divided, as desired. noting the pounds committed for processing and the Form 508 marked with the maximum cases that you are eligible to receive from not processing. For example, your total fair share for beef is 10.500 Ibs. You choose to process 40% of your beef, leaving 60% toward the purchase of frozen ground beef, which is purchased in 368 units. 40% of your beef Into processed beef a 4,200 pounds committed toward processing 60% of your beef Into frozen ground beef a 6,300 pounds 1368 units a a nuwk uim order of 175 cases To save you time and effort, we have already calculated and provide below your fair share of each commodity for each option. Please refer to these figures, which are rounded to the nearest pound, when placing your requests and ensure that you do not exceed the fair share fgum provided. t- 0 i(()L--] L--,PArjF--- 185111. 2 Texas Department of Human Servlees REQUESTED END PRODUCT BY TRUCKLOAD (REPbT) PURPOSE This form is to t ;e used by co-opts and schools participating In processing of USDA conrrwditles to place requests (orders) with the Commodity Processing Unit for truck bads of commodities to be shipped from USDA directly to a chosen cornrnerdal food processml for further processing. Submit one form for each commodity Item to be processed and for each truck bad of a commodity being processed. Keep a copy of the forms for files: submit only one original. ncciumnuc Commodity Provide the name of the commodity requested for reprocessing (e.g. A594 ground beet. A521 small chicken, eta). See processing documents within application packet for tilt of applicable commodities. Processor Provide the name of the commercial processor chosen to process commodities for each requested truck bad. Any processor chosen must be approved with Texas. Truck 9 of Provide the number of trucks being requested for each processor (e.g. 01 of 4 for XYZ Processor). Requested Month to Provide the month preferred for delivery to the processor. Processed items wilt usually be Processor completed within 6-0 weeks from this date. Note: There Is no guarantee that USDA will purchase the trucks for the month requested, but every effort is made to keep with the requests. Name of School or Co-Op Provide the name of the school or co-op. School Provide the name of the school or, if a coop, the schools. Duplicate the form as necessary in order to list all schools within a co-op. Be sure to indicate page numbers in the upper right comer of the form if more than one page is submrded. Percent of Share Provide the percentage of each schoors commitment for each type of commodity request (e.g. 100% of share to go toward beef; 65% of share to go toward chicken, eta). This percentage Is used in ensuring that each school does not exceed their fair share of each product (fair share equals ADP x available pounds per product). Accept Rework? Sometimes a processor has rework product due to Incorrect weight or shape. Each school has the option of accepting or not accepting the rework product Please indicate preference. Delivery Destination Provide the delivery destination for each school. If drfterent from one of the contracted commercial distributors, provide the name of the faalrty, address, contact person, telephone number and fax number. Also, once a product is ready for shipment to the designated facility, a Notice of Processed Shipment (NPS) will be faxed from the Processing Unit to the co-op coordinator, who is responsible for forwarding it to the non-0HS facilities, as well as ensuring that the completed NPS is returned to the Processing Unit after receipt of product All other NPSs will be faxed to the contracted commercial distributor facility. Total Pounds Total each column and provide the total pounds for each school. Be sure that the pounds for the entire truck load totals the appropriate commodity (e.g. beef Is 42,000 pounds; therefore, the total pounds should equal 42,DD0). Pounds Committed to each Provide for each school the pounds committed to each end product chosen. Be sure that once the End Product total for each end product Is calculated, hurt it equals the pounds for an entire truck load for the appropriate commodity. Primary and Alternate Please provide a primary and an alternate person who can be contacted with questions. Contact DHS Use Only Each truck will be assigned a delivery order number (DO#). This number is provided to the primary contact and Is used for tracking purposes. PAL will be deducted prior to the beginning of the school year and will be based on the total pounds committed and the estimated purchase price of each commodity (provided within the packet documents). The deduction will be reflected on the first bulletin of the school year. Once a buck is actually purchased. PAL will be adjusted according to the actual purchase price. This information will appear as an adjustment on the bulletin and will also be provided to the person listed as the primary contact Vol 0 0 .0 t, onxnoditIr Processor Nerve of School or Co-0p: Accept Percent Rework? of School Share Yes /No • Texas Department of Human Services REQUESTED END PRODUCTS BY TRUCKLOAD Truck a_ Of Delivery Destination End Ifdiderent from commercial Product distributor, provide name, Total Code: confacf address telephone. fax Pounds i ' I Pape _ Of _ _ Requested Month to Processor, Pounds Committed to Each End Product End End End End Product Product Product Product Code: Code: Code: Code: i o, 1 Totals DHS USE ONLY DO Number. 148- Estimated Purchase Price: Date PAL Deducted: Primary Contact Telephone Fax Actual Purchase Price: $ Date PAL Adjusted Alternate Contact Telephone Fax s OPTIONAL SURVEY It Is possible fQr USDA to offer extra trucks of some of the following commodities to Texas throughout the school year. AN of these commodities are Ideal to use In processing Into various end products (e.g. tomato paste, o4, flour, cheese into pizza; NFD milk and fruit Into sherbet or sorbet cups; dry pinto beans Into dehydrated beans; fruit Into Empanadas, turnovers, crescents, cobblers, Ice pops, sorbets; apples and raisins into cinnamon biscuits; eggs into french toast sticks„ burritos, taoos)...the fist is endless. I This survey Is to find out, given the opportunity to have these items diverted directly to a processor. If schools would be interested In participating to receive their fair share of a truckload of diverted processed Items. Thls Is NOT a commitment on your part or on our parr; it is only our way of trying to determine if schools might be interested in participating in diverting trucks to processors should USDA offer extra trucks of these items. Instructions: Place a check by those items of Interest, complete the box below, and return with the application packet X Apple slices, canned Plums, canned X Apple slices, frozen Prune puree X Applesauce, canned Prunes Apricots, canned Raisins Blueberries, frozen X Nuts Cherries, frozen X Peanut butter x Fruit, mixed, canned x Pinto beans, dry X Peaches, canned Egg mix Peaches, frozen x Eggs, whole, frozen x Pears, canned Tomato paste, canned X Pineapple, canned x Tomato sauce, canned Strawberries, frozen X Vegetable oil Sweet potatoes, frozen Rice X Sweet potatoes, canned Flour Orange juice, canned NFD milk X Orange juice, frozen Brazo4 County Juvenile Detention Center 021187AO School Name Contract Number Olivia M. Body (409)823-3544 Contact Person (Print) Telephone Number 1(0 X88 r ■ 4 I i End Product Description End Product Code Size Wt Per Case Cases Fee Code I A vance oo , ompany, nc, ony oilis 201 South fialeigh Road' 406,213.4410"" Enid, OK73701. 405.2!3.4578!az' " " K.P.19.99 Donated Ingredient: Beef Count Fried Breaded Beef Patl CN•3 44 3 83 oz 10.53# 5 306 $ 8.00 Country Fried Breaded Beef Patty CN•14.4 3.88 oz 9.7# 5 323 $ 7.18 P235 Country Fried Breaded Beef Patty 2.90 oz- .43# 9 5 331 $ 6.98 Country Fned Breaded Beef Patty (Stick Shaped) Shaped) CN•14.16 .97 oz . 9.7# 5 323 $ 7.28 P234 Count Fried Breaded Beef Patty Nugget Shaped) CN•14.320 .49 oz 10# 5 316 $ 7.35 Deluxe Flamebroded Beef Steak Burger CN-15 320 09 2.01 oz 14.32# 22 117 $ 9.59 Deluxe Flamebroiled Beef Steak Burger CN•15.324.09 2.40 oz 13.5# 19 133 $ 8.91 Deluxe Flamebroiled Beef Steak Burger CN•15.327.09 2.70 oz 14.85# 22 115 $ 9.80 P154 Deluxe Flamebroiled Beef Steak Burgers CN-15.330.09 3 oz 15.19# 22 113 $ 10.03 Deluxe Flamebroiled Beef Steak Burgers CN•15.930.20 3 oz 15.19# 21 121 E 10.18 P312 Count Fried Breaded Beef Patty CN•16 2 90 oz 9,7# 5 353 $ 7.44 Flamebroded Salisbury Steak CN•16.530.0 3 oz 21.375# 20 72 E 16.46 P237 Deluxe Beef Charbroil Meatballs CN-17.305.0 .50 oz 10# 12 102 $ 7.90 Economy Plus Beef Charbroil Meatballs CN•17.505 0 .50 oz 10# 8 102 $ 7.90 Country Fried Breaded Beef Pally Stick Shaped CN-18 .97 oz 9,7# 5 353 E 7.47 Count Fned Breaded Beef Patty CN-23.4 3.80 oz 9.5# 8 220 $ 7.03 P239 Count Fried Breaded Beef Pall CN-23.5 2.88 oz 9.36# 7 231 $ 6.93 Count Fried Breaded Beef Patty Stick Shaped) CN-23.16 .92 oz 9.2# 7 228 E 6.90 P238 Beef Pattie Fritter CN-61 4.2 oz 10.5# 5 316 b 7.98 P256 Beef Steak Patty Fritter for Biscuit CN-79.020-0 1.97 oz 9.85# 7 161 E 7.29 Country Fried Breaded Beef Patty CN-144.20 3.80 oz 9,5# 5 341 E 7.20 P316 Flamebroded Beef Pall CN-155.525.0 2.50 oz 14.06# 12 144 b 9.14 P153 Flamebroiled Beef Patty CN-155.525.20 2.50 oz 14.06# 11 152 b 9.28 P236 Flamebroiled Beef Patty CN155.530.20 218 oz 14.70# 13 130 $ 9.89 P313 Country Fried Breaded Beef Patty CN•161 2.90 oz 9,79# 5 366 E 7.44 Country Fned Breaded Beef Patty (Stick Shaped) CN•181 .97 oz 9.7# 5 353 $ 7.47 Country Fried Breaded Beef Patty (Nugget Shaped) CN-191 .48 oz 10# 5 340 b 7.70 Beef Steak Nugget CN-203.320.0 .48 oz 10# 8 168 $ 7.40 Country Fried Breaded Beef Patty CN-234.20 3.72 oz 9,3# 7 170 E 7.07 P314 Country Fried Breaded Beef Patty (Stick Shaped) CN-1416.20 .95 oz 9.5# 5 334 b 7.14 Count Fried Breaded Beef Patty (Nugget Shaped) CN•14320.20 .475 oz 10# 5 341 $ 7.70 Count Fried Breaded Beef Steak Patty CN-2316.20 ,93 oz 9.3# 7 170 $ 7.16 P315 Rev. 12/1/98 a•~.' .s:--.ti.... -.rcr, ~.rrt yam... ~ . ""Y` r r ~ . . . . _ A - Texas Contracted Food Processors Effective July 1, 1998 through June 30, 1999 Approx Estimated Per ~ Portion Case DF Lbs Finished Case DHS I J Texas Contracted Food Processors Effective July 1. 1998 through June 30. 1999 nyyw~ Ga.unwc~ r Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Donated Ingredient: Ground Pork Rib Shaped Pork Patty CN-1144 2.08 oz 10.3# 10 119 $ 7.93 Flamebroiled Super Rib Shaped Bites CN-44 -508-0 68 oz 30# 23 47 $ 23,10 Flamebroiled Super Rib Shaped Pork Patty CN-44.531.0 2.50 oz 15.83# 13 85 $ 11,72 P317 Flamebrolled Super Rib Shaped Pork Patty CN44.531.15 2.50 oz 15.63# 12 88 $ 12.03 Full Cooked Breaded Pork Patty CN•46.30.0 3 oz 109 5 329 $ 7.90 Full Cooked Breaded Pork Patty CN•46.40 3.75 oz 9.38# 5 335 $ 7.32 P318 Full Cooked Breaded Pork Patty_ CN46.55 2.83 oz 9,73# 5 326 $ 1,59 tr., TEX' - 7 • `r r;+b °.;,a w^ ~ .._,,;.uiw„~fi 4,, ' Mi^- -O2tK =i iWtj' "1 r' .;...r.y, z~ I~. 44~0 Yyy.11,' reeyf ` yJ7y 1 Lv l4GV{O~I111,`e '{<.MG7'vJ,. Jxterdc7.4Eid'K'';Il,l±7iVDi~htM1,FVM~r5:~i".k.~ts~. ~klArwIE•arinA .til:+J31AA'iilll l4~wulYlfwaai..' .+awd.+a ~y~ tC F"nff;,fV~~~9 Donated Ingredient: Orange Juice Vla•FresA Ore~e Juice K•PAK 02061 4 oz 24# 5 217 $ 5.40 Y. "•ai„:j.4.> Mt~a~, GL7nne:. ra arn> t'~t:.'<.;7•.;• .°x : OVe a 0- .00 ai; nC: C . 4 „ rji " , i„ a J.y~, ¢..q Zi: t4rsr .n 1,.;5,+.J: .~.IrRY ^•r:r: ~W~%a`,'~.,$t'ri;y.'r~'.+i: t' 1' b6xt~rt..l. 4•j• '•4~800 43~ n~Co riii~ ~ ' t , e f , ~a, ;~~`Y ws,~..,~ iaa; r, i . a `b r ",ate>r.;- ;.r: i. ;Purrari ra,:,ata^.~t;.:,.c w.yi,~rt",;,a a^w..",, r~.. , - s : ct 'Ae n t ..J: .2.: .1 "._f .ttt ; `':'4 ~t 44062 ? A raingF , , >:::i.4~•ay~f'Tr"'•"•i//'>r `37 .dA0;288,6000~~ SI/,'~, ')•'.P: :r .,a ...».',.w .t Y : 'I< . w:7Y. j.4,u,~ , ~xW tl1 y:;' '~:S'.Y"'jt ' ar i»tMea:r Tx~P~3~99 naG.4+~k~n`tni,~~riH < j r»h 1 i b Donated Ingredient: Apples Silted A Ies/Ume Gel 23640 4 oz 24# 15 3 $ 11.75 Apple Cu w/To In 30545 4.25 oz 25.5# 13 3 $ 12.74 Donated Ingredient: Blueberries Blueberry Cu w/To In 11445 4,25 oz 25.5# 14 4 $ 12.74 Blueberries/Gel 23540 4 oz 24# 9 4 $ 11.75 Blueberry Cobblerw/Streusel 75240 4.5 oz 11.25# 5 8 $ 10.00 Donated Ingredient: Cherries Cherry Cu w/To in 30145 4.25 oz 25,5# 15 4 $ 10.74 Cherry Cu 30235 3.50 oz 28,25# 21 4 $ 14,00 Cherry Cu o Topping 30245 4.50 oz 27# 22 4 $10.74 Cherry Cobblerw/Streusel 75440 4.50 oz 11.25# 8 8 $ 8.00 Donated Ingredient: Oran a Juice 1 Frnety Fruit ear 71430 3A oz 20.40# 4 5 5 11.81 ^O V FFVV~~ i .2 Rev, 12/1/98 0 Texas Contracted Food Processors I Effective July 1, 1998 through June 30. 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Code Size Wt Per Case Cases Fee Code 79000 4.36 oz 28.16# 8 4 a 8.48 90015 1.5 oz 9.38# 7 10 a 11.57 90017 2.8 oz 17.5# 15 5 $ 18.29 92100 2.2 oz 22# 13 4 $ 23.51 40441 4.25 oz 25.5# 15 4 $ 14.00 Scott --T" '3435,9 i.i:,• 435,674;362J,t'ax;..;:~:>;:_ ,;'I'X'-ph'99; 2501-22EL 2 oz 18# 4 254 $ 20.65 3109.92EL 3.75 oz 18.75# 5 198 $ 18.11 P251 3121.92EL 3.75 oz 18.75# 5 199 E 18.11 3201.92EL 3 oz 15# 3 262 $ 15.41 3221-92EL 3 oz 15# 3 262 $ 15.40 2505.22EL 2 oz 18# 4 255 $ 20.85 3105.92EL 3,75 oz 18.75# 5 199 $ 18.12 3205.92EL 3 oz 15# 3 2621 $ 15.41 3102.92EL 3.75 oz 18.75# 5 199 $ 18.12 3202.92EL 3 oz 15# 3 262 E 15.41 2511-22ELW 2 oz 18# 2 259 $ 20.65 3111-92EL 3,75 oz 18.75# 3 201 $ 18,10 P183 3111.92ELC 3.75 oz 18.75# 3 201 $ 18.10 3111.92ELW 3.75 oz 18.75# 3 201 b 18,10 3211-92EL 3 oz 15# 2 266 $ 15.40 3211.92ELC 3 oz 15# 2 266 $ 15.40 •3 • r .4 a~ ;1'I Rev, 1211198 p a 0 W, Texas Contracted Food Processors Effective July 1, 1998 through June 30. 1999 v I Approx Estimated Per Potion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Blueberry Turnover 3211.92ELW 3 oz 15# 2 288 $ 15.40 Donated Ingredient: Cherries Cherry Turnover IQF Cherry Turnover Cherry Turnover Cherry Turnover Cherry Turnover Using 7+1 Cherries Canned Cherry Turnover Che Turnover IQF Cherry Turnover Cherry Turnover Using 7+1 Cherries Canned Cherry Turnover 2506-22EL 2526.22EL 3106.92EL 3126.92EL 3136.92EL 3168.92EL 3206.92EL 3226.92EL 3238.92EL 3266.92EL 2 oz 2 oz 3.75 oz 3.75 oz 3.75 oz 3.75 oz 3 oz 3 oz 3 oz 3 oz 18# 18# 18.75# 18.75# 18.75# 18.75# 15# 15# 15# 15# 4 3 5 4 5 5 3 3 3 4 255 259 199 202 199 197 262 267 262 262 $ 20.65 $ 20.66 $ 18.10 $ 18.51 5 18.11 $ 18.12 $ 15.40 E 15.81 -j 15.40 $ 15.41 P279 Donated Ingredient: Peaches Peach Turnover Peach Turnover Peach Turnover 2504.22EL 3104.92EL 3204.92EL 2 oz 3.75 oz 3 oz 18# 18.75# 15# 4 5 3 255 199 262 $ 20.88 $ 18.12 $ 15.42 Donated Ingredient: Raspberry Puree Raspberry Puree Turnover Res be Puree Turnover 3115.92EL 3215.92EL 3.75 oz 3 oz 18.15# 15# 4 3 198 260 $ 18.50 $ 15.40 Donated Ingredient: Strawberries 4+1 Strawberry Turnover Strawberry Turnover 3113.92EL 3213 92EL 3.75 oz 18.75# 5 199 $ 18.i'2- IQF Strawberry Turnover . 3123 92EL 3 oz 15# 3 262 $ 15.91 IQF Strawberry Turnover . 3223.92EL 3.75 oz 18.75# 4 199 S 18.86 3 oz 15# 3 262 S 16.16 Donated In redient: Sweet Potatoes Sweet Potato Tumover-Mock Pumpkin Sweet Potato Tumover-Mock Pum kin 2909.92EL 3109 92EL 4.5 oz 20.25# 6 182 $ 18.61 P200 p - 3.75 oz 18.75# 5 202 $ 18.11 P184 C-i L 4.) .9 ~ I 4 Rev. 12/1198 . j { Texas Contracted Food Processors ective July 1. 1998 through June 30, 1999 I 's • Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Code Size Wt Per Case Cases Fee Code l310.674.3180 68' 310,673.7008 fax ' :TX•P.3~99' CNQ 25260 2.60 oz 16.58# 20 90 $ 15.08 CNQ 26225 2.25 oz 16.88# 20 88 $ 15.02 CNQ 26230 S 2.30 oz 15.53# 19 96 $ 13.82 CNQ 262401 2.40 oz 15.30# 18 101 $ 13.62 P283 CNQ 27240 S 2.40 oz 15.30# 16 99 $ 13.92 CNQ 2805 VS .50 oz 10# 10 149 $ 10.00 CNQ 30260 2.60 oz 15,60# 14 100 $ 16.38 CNQ 30501 5 oz 17.5# 16 89 $ 18.38 CNQ 44325 3.25 oz 18.28# 18 78 $ 21.02 CNQ 63095 .95 oz 109 6 231 $ 10.70 CNQ 63100 1 oz 15# 9 154 $ 16.05 CNQ 63350 3.50 oz 15.75# 10 147 $ 16.85 CNQ 75250 2.50 oz 15.94# 16 96 $ 16.10 CNQ 80101 10# 10 156 $ 9.10 CNQ 85200 10# 14 146 $ 10.50 CNQCS 325 3.25 oz 13# 7 182 $ 21.19 CNQCS 325 W 3.25 oz 13# 7 182 $ 23.14 CNQTD 065 .65 oz 10# 8 192 $ 11.20 CNQ 52240 2.40 oz 16.20# 22 92 $ 17.01 CNQ 54400 4 oz 15# 14 143 $ 15.75 CNQ 58065 .65 oz 10# 11 147 $ 11.50 CNQ 58225 2.25 oz 15.19# 17 94 $ 17.47 CNQ 58250 2.50 oz 15.94# 16 95 $ 18.33 CNQ 70125 1.25 oz 10# 13 147 $ 10.50 CNQ 71300 3 oz 6.75# 4 465 $ 7.76 CNQ 78120 1.20 oz 10# 13 154 $ 9.55 P284 CNQ 78125 V 1.25 oz 10.47# 10 151 $ 10.57 CNQBD 070 .70 oz 10# 9 169 $ 11.20 I d I - I I I I .5 I yyw 9 ` i Rev. 112/1/98 Texas Contracted Food Processors Effective July 1. 1998 through June 30, 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Code Size Wt Per Case Cases Fee Code End Product Description pa foods, Inc, GienGoloms ; y„ `x„, r°a.,t; 6500 26261 414'646 , TX. 3 .9 200 South Emmbor lane. 8762 tax: _ =a 645 :414 , . Mil ,,WI 53233' waukee Donated Ingredient Special Trim Beef 30# 28 29 $ 28.50 Cooked Beef Faina Strips 48# 31 18 $ 55.20 Cooked Beef and BBO Sauce 40# 42 42 5 38.00 Sliced Cooked Beef Donated Ingredient: Beef Roast 2040# 44 19 0 $19-38.0 Cooked Roast Beef (Sliced) 20.40# 42 20 $15-30.00 Cooked Roast Beef hole) Donated Ingredient: Beet 20# 18 40 E 17.80 Cooked Taco Meat 20# 15 41 $ 17.80 Slo Joe Mix Cooked 20# 7 43 $ 17.40 S a hetll Sauce with Meat 30# 32 28 $ 26.70 Cooked Fa Ita Strips 40# 43 21 $ 35.60 Sliced Cooked Beef q8# 31 18 $ 51.36 Sliced Cooked Beef and BBO Sauce e mane :;i; • u r;`.<~ i i I 'o e 0 ea t F x,> I IC s,•'~+ an. my ri^ i•yt: ie,a w' ' s venue w ;r^-= :99 7937,GIen''Stone:A w~ ";~4 : Mme;:... ~r1'•;;,,=~TX~P~O 1 ';916,26,Z09,8,fax;r~~= ~'"s:.::.7,M rr'xt e; a,?^'~y.`s...:, w .r••;t:^..,,: r:. Z, Z Citrus Haightr;=CA<315610.° w:= I a Donated Ingredient : D Pinto Bean 50 800 $ 49.50 ! 00460 3 oz 50# Smooth Refried Beans Smooth Refried Beans 0100461461 3 oz 25#_ 25 1.600 $---24.75 Smooth w etried Refried Beans 01461 3 oz 25# 25 1,600 $ 24.75 /Whole o +800,241,3972X6 t,.: "~a,::>''i,• arkvra N;lwi' I "44 Porlme°ter Cente P p:6.9 Aiianta;;GA 30346:- Wa=,~~ i [Dona ted ;ngrediSh ent: Small Chilled Chicken ded get a ed Breast Patt 61160 3.4 oz 40# 261 3 35.20 P25 61310 3.4 oz 40# 369E 35 20 P065 ded Nugget Sha ed Brea st Patt 8 Rev. 1211 J98 Mftt•• W•'. ••.w, 1 i. I r. w.• r r u 71~M An f~ ~A~~ef/t~ led Food Processors 98 Through June 30, 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS :ode Size Wt Per Case Cases Fee Code 3.37 oz 40# 261 $ 35.20 P376 varies 35# 514 E 30.10 P059 2.24 oz 35# 874 $ 33.25 P215 5.35 oz 30# 768 $ 27.00 P232 1.97 oz 30# 456 $ 26.40 P171 2 oz 40# 540 $ 58.40 P147 51.68 oz 20# 1,476 $ 18.80 3.4 oz 40# 531 $ 37.60 P057 3.4 oz 40# 738 $ 37.60 P060 2.85 oz 40# 486 $ 48.00 P228 3.37 oz 40# 531 b 37.60 P058 3.37 oz 20# 1,476 $ 18.80 3.37 oz 40# 738 $ 37.60 P061 2.8 oz 40# 486 $ 48.00 P230 'r~,'i. .:.T,.^".'~o-'`.r,- "~w},,..y„<.,:r.`<•~"`~ rrie:~,~ ^.:fn'f^VM•99 2.66 oz 16.96# 15 5 $ 13.74 2.60 oz 30# 30 2 $ 25.80 .95 oz 10# 7 11 $ 8.00 P038 3,5 oz 10.5# 9 11 $ 8.19 P036 .5 oz 10# 10 8 $ 8.80 P032 2.35 oz 14.98# 19 4 $ 12.88 P100 2.6 oz 16.58# 15 5 $ 13.42 3 oz 16.88# 23 4 $ 12.83 P040 2.66 oz 16.96# 24 4 $ 12.89 P352 2.4 oz 15.3# 21 5 $ 11.63 P035 4 oz 10# 6 12 $ 9.00 2.91 oz 33# 24 3 $ 28.05 4 oz 25# 14 5 $ 22.50 P349 4 oz 25# 14 5 $ 23.00 P350 2.4 oz 30.6# 28 2 b 27.23 P351 •7 "J I low Rev. 1211198 • r • 1 Texas Contracted Food Processors Effective July 1. 1998 through June 30, 1999 1 i Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size M Per Case Cases Fee Code Full Cooked Charbroiled Beef Patty 32796.328 2.1 oz 29.939 30 2 $ 24.84 P291 Tenderbroil Flamebroiled Beef Patty wfProPlus 32811.328 2.4 oz 30.6# 27 2 E 26.32 P290 Full Cooked Beef Patty Fritter Finger 32879.328 1 oz 36# 21 3 $ 33.12 Flamebroiled Beef Patty 33191.328 2.5 oz 31.88# 28 3 $ 27.09 P804 Cris NTender Full Cooked Breaded Beef Patty 33474.328 3.5 of 36# 23 3 $ 30.96 P052 Full Cooked Breaded Beef Patty Finger 33479.328 4 oz 36# 20 4 $ 31.68 P217 Flamebroiled Beef Steak Burger 33511.328 2.15 oz 32.25# 45 2 $ 24,51 Charbroiled Meatballs 33625.328 3 oz 30# 30 3 E 26.40 13805 Flamebrolled Beef Patty Flamebroiled Beef Patty 33685.328 33813.328 2.4 oz 2.5 oz 30.6# 31.87# 31 27 3 3 $ 24.17 E 28.36 P329 P216 Donated Ingredient: Pork Heal'N Serve Pork Breakfast Patty 22455.328 1.25 oz 10# 10 8 $ 8.10 P187 Cris `N Tender Full Cooked Breaded Pork Patty Heat'N Serve Pork Patty w/ProPlus 32454.330 32455.328 3.7 oz 1.1 oz 25.44# 30# 15 33 5 2 $ 21.87 $ 24,30 P289 P218 Flamebroiled Pork Patty Cris NTender Breaded Pork Patty Finger Fully Cooked Breaded Pork Patty Flamebrolled Pork Pall 32626.328 33450.328 33454.328 33626.328 2.5 oz 4 oz 3,5 oz 2.55 oz 21.875# 36# 36# 35.85# 20 21 21 31 3 3 3 2 E 22.32 E 30.24- $ 30,96 $ 36,72 P280 P281 Donated Ingredient: Turkey Full Cooked Breaded Turkey Patty Full Cooked Turkey Buffet Links 22287.328 32005.328 4 oz 1.4 oz 109 30# 6 32 12 2 $ 8.60 $ 23.10 P288 Full Cooked Turkey Patty Crumble Full Cooked Turkey Chill Turkey Taco Filling Turkey Chili w/Beans Full Cooked Breaded Turkey Patty 32035.328 32040.328 32081.328 32842.328 33283.328 2.5 oz 5.33 oz 3,1 oz 8 oz 4 oz 36# 33# 33# 33# 36# 36 14 23 10 23 2 3 3 3 3 $ 37.80 $ 33.99 $ 23.10 $ 40.59 $ 31 68 P319 Mini-Tenders Full Cooked Breaded Turkey Patty 33287.328 4 oz 35# 22 4 . $ 30.10 H&H 0o s,<+:;iw ;vw ri r. w,w .i ° u an; no osa,° Q 8 ,7" B yy3 P Q, 6 s "s X95 5 36 e 1N 'erc des;"fXn, 78~57 0 ry~r .f X~`. .~~isr„L,_ ••:;t~~'tt'~``~~t.•.~,J. ::1'X•P:~t~89 Donated Ingredient: Beef Special Trim Charbroiled Beef for Fa etas 61125 2.25 oz 10# 13 7 $ 9.90 Beef Roast 66053 2 53 oz 30# 32 3 b 29.70 P193 j i I i I r Rev. 12/1/98 1 i i i ' tee' r Texas Contracted Food Processors Effective July 1, 1998 through June 30, 1999 } f ~ Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Cowboy Beef Stew 66056 20# 18 4 $ 19.40 P194 Charbroiled Beef for Fa Itas 66058 2.50 oz 10# 16 5 $ 17.00 P195 Donated Ingredient: Beef Roast Cooked Seasoned Beef Stri s•Fe Iles 66013 10# 14 8 $ 9.90 P084 Beef Patty Taco Crumble 77325 1.25 oz 10# 12 7 $ 9.90 P260 Donated Ingredient: Beef Beef and Cheese Burrito 33036 5.5 oz 41.25# 14 4 $ 66.00 P214 Beef and Cheese Burrito 33037 5.5 oz 10.31# 3 14 $ 16.50 Charbroiled Beef Patty w/VPP 33050 2.5 oz 36# 25 3 $ 30.60 Charbroiled Beef Patty w/TVP 33060 2 oz 36# 32 1 $ 30.60 P347 Charbroiled Beef Pall w/T1/P 33371 2.66 oz 36# 32 2 $ 30.60 Cooked Breaded Beef Patty 33509 1 oz 40# 33 3 $ 36.00 Cooked Breaded Beef Patty 33510 1 oz 10# 8 12 $ 9.00 Cooked Breaded Beef Patty 33511 3.5 oz 10.5# 10 10 $ 9.45 Cooked Breaded Beef Pall 33512 3.5 oz 42# 40 3 $ 37.80 Fine Ground Beef Raw 33518 4110# 40# 43 2 b 18.00 Charbroiled Beef Patty Mesquite Flavored 33567 2.66 oz 36# 32 2 $ 30.67 P293 Charbroiled Beef Patty wNPP 33808 2.66 oz 34,91# 31 2 $ 29.67 P335 Taco Filling 35113 30# 28 3 $ 27.00 Charbroiled Meatballs 61030 .63 oz 40# 38 2 $ 36.00 Charbroiled Beef for Fe itas 61125 2.25 oz 10# 9 1 $ 9.90 Charbroiled Beef Patty 61227 2.15 oz 16.13# 23 4 $ 13.71 Charbroiled Beef Patty 61254 2 oz 15# 22 5 $ 12.75 Charbroiled Beef Patty 61273 2.4 oz 15.3# 23 4 $ 13.01 P066 Charbroiled Beef Patty 61274 2.4 oz 36# 51 2 $ 30.60 P220 Charbroiled Meatballs 61277 .50 oz 10# 9 8 $ 9.00 Precooked Plevalean Beef Patty 61288 2.5 oz 21.88# 25 3 $ 25.21 Charbroiled Beef Patty w/1VP 61294 2.4 oz 36# 37 2 $ 30.60 Charbroiled Beef Patty w/TVP 61295 2.4 oz 15.30# 12 5 $ 13.01 P140 Charbroiled Beef Patty wNPP 61317 2.50 oz 15.94# 14 5 $ 13.55 P082 Charbroiled Beef Patty 61337 2.66 oz 16.96# 25 4 $ 14.42 PON Charbroiled Beef Patty 61338 2.66 oz 36# 53 2 $ 30.66 P254 Charbroiled Beef Patty wNPP 61357 2 oz 15# 13 5 $ 12.75 Charbroiled Beef Patty 61362 3.4 oz 19.13# 23 4 $ 16.26 Charbroiled Beef Pall w/TVP 61377 3 oz 16.88# 17 5 $ 14.35 .9 • • i i a~ e , i Rev. 12/1/98 • I i Texas Contracted Food Processors I Effective July 1, 1998 through June 30, 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Charbroiled Salisbury Steak 61465 3.5 oz 8.75# 8 10 $ 7.44 Beef Breakfast Patty 61466 1.25 oz 10# 10 6 $ 8.50 P143 Charbroiled Meatballs 61550 .63 oz 10# 9 8 $ 9.00 P371 Charbroiled Salisbury Steak 61555 3 oz 9.38# 8 9 $ 7.97 P219 Charbroiled Beef Steak Pall (Strip shaped) 61615 3 oz 10.5# 15 6 $ 8.93 P071 Charbroiled Salisbury Steak 61644 2.3 oz 8.83# 8 9 $ 7.34 Charbroiled Salisbury Steak 61677 2.6 oz - - 20.31# 18 4 $ 17.26 Charbroiled Beef Steak Patty (Strip Shaped) 61706 2.65 oz .60 oz 10# 14 7 $ 8.50 p221 Charbroiled Beef Patty w/TVP 61748 2.66 oz 10.95# 14 5 S 14.41 Cooked Beef and Turkey Mesquite Flavored Patty 61752 2.6 oz 16.58# 9 5 $ 14.92 Charbroiled Rib Shaped Beef Patty 61855 2.55 oz 22.31# 20 3 $ 18.96 P070 Charbroiled Beef Patty 61918 2 oz 15# 13 5 $ 12.75 Charbroiled Beef Patty w/TVP 61928 2.5 oz 15,94# 14 5 $ 13.55 P072 Charbroiled Beef Patty w/TVP 61933 2.5 oz 36# 32 2 $ 30.60 P125 Charbroiled Beef Pal 61966 3 oz 18,88# 24 4 $ 14.35 P135 Charbroiled Beef Pat w/TVP 81969 2.68 oz 18.96# 13 5 $ 14.22 Charbroiled Beef Pat w/TVP 61999 3 oz 18.88# 15 5 $ 14.35 Beef Tamales 64087 1.5 oz 33.75# 19 5 $ 38.81 P274 Beef and Cheese BuMlo 66111 5.5 oz 20.63# 13 4 $ 27.03 Charbroiled Beef Patty 67359 2.66 oz 18.96# 15 5 $ 14.42 P152 Charbroiled Beef Pall w/TVP 87375 2.68 oz 18.96# 18 5 $ 14.42 Charbrolled Beef Patty w/TVP 67379 2.4 oz 15.3# 15 5 $ 13.01 Cooked Breaded Patty w/TVP 72505 1 oz 10# 6 11 $ 9.00 P075 Cooked Breaded Beef Patty 72515 3 oz 10.5# 10 10 $ 9.45 Cooked Breaded Beef Patty w/TVP 72524 3.5 oz 10.5# 8 10 $ 9.45 P073 Cooked Beef Finger Shaped Pall 72525 1 oz 40# 25 3 $ 38.00 Cooked Breaded Beef Patty wfTVP 72526 3 oz 10.5# 7 11 $ 9.45 Cooked Breaded Beef Patty w/TVP 72566 4 oz 10# 6 11 $ 9.00 Cooked Breaded Beef Patty Cooked Breaded Beef Patty (Finger Shaped) 72585 72588 3.5 oz ,95 oz 10.5# 10# 10 7 10 13 $ 9,45 $ 9.00 P077 P079 Cooked Breaded Beef Patty 72599 4 oz 10# 10 10 $ 9.00 Cooked Breaded Beef Steak Finger Patty w/TVP 72600 1 oz 10# 6 11 $ 9,00 Cooked Fried Beef Patty w/iVP 72602 3.75 oz 11.25# 8 9 $ 10.13 BeePGerman Brand Smoked Sausage 95080 3.30 oz 10# 11 6 S 9.50 Donated Ingredient: Dried Whole E 1 Egg. Ham, and Cheese Taco 68307 2.80 oz 10# 1 31 $ 20.00 .10 q Ad 0 1 S r~ i Rev, 12/1/98 i[IRfCeOo-lNC;.r Texas Contracted Food Processors If Effective July 1, 1998 through June 30, 1999 ' Approx Estimated Per Portion Case DF Lbs Finished Case DNS End Product Description End Product Code Size Wt Per Case Cases Fee Code I I Egg, Ham, and Cheese Taco 68310 2.73 oz 10.24# 4 27 $ 20,60 P272 Egg, Bacon, and Cheese Taco 68320 2.73 oz 10.24# 4 27 $ 20,48 P273 j Egg, Bacon, and Cheese Taco 68321 2,80 oz 10.5# 3 27 $ 21,00 r Donated Ingredient: Pork Breakfast Pall 33090 1.25 oz 40# 42 2 $ 34.00 Charbroiled Pork Rib Shaped Patty 62000 2.55 oz 22.31# 21 3 $ 18.96 P178 Pork Breakfast Patty 62001 1.25 oz 10# 11 8 E 8.50 P094 i ' Pork Breakfast Patty 62002 1.20 oz 18.40# 24 4 $ 14,54 Charbroiled Pork for Fa•ita Patty 62020 .55 oz 10# 14 7 $ 9,90 P173 . Charbroiled Pork for Fa ita Patty 62023 ,55 oz 40# 55 2 $ 39.60 I Pork Breakfast Patty 62030 1,45 oz 10# 11 8 $ 8.50 Pork Tamales 64008 1.5 oz 33.75# 19 5 E 38,81 P089 Pork and Cheese Burrito 66112 5.50 oz 41.25# 13 4 $ 54.04 P271 Cooked Breaded Pork Patty w/TVP 73001 3.50 oz 10.5# 7 .11 $ 9.45 P092 Charbroiled Pork Pall 73003 3.5 oz 42# 27 3 $ 37,80 Cooked Breaded Pork Patty 73500 3.50 oz 10.5# 7 11 $ 9.45 Charbroiled Pork Palt 73545 3.50 oz 42# 27 3 E 37.80 P331 r • Pork Patty Crumbles 77320 1.25 oz 10# 12 7 $ 9.90 P174 . , ~ Pork Chorizo 78018 1.59 oz 10# 9 11 E 9.90 P378 Pork Chorizo 95022 1.59 oz 40# 38 3 $ 39,60 ' Pork and Beef German Brand Smoked Sausage 95081 3,30 oz 10# 11 8 $ 9,50 Pork German Brand Smoked Sausage 95082 3.30 oz 10# 11 8 $ 9.50 Donated Ingredient: Turks ground Turks Tamales Cooked Breaded Turkey Pall w/IVP Cooked Breaded Turkey Patty w/TVP 64050 73503 73504 1.5 oz 3.50 oz 1 oz 33.75# 10.5# 10# 20 8 7 5 11 12 $ 38.81 $ 9.45 $ 9.00 Sam, ausman eat Packer, nc; arty impeon p. box 2422>. - "'t' , , , . ,,k; <<.~,. . , 512.883 6521; , . " • - Corpus Chrit;ti7X 78403:2422;:, : • •w' • ' ;;:r: 512,883,1003 tan, '2 ;,TK,p.1$ 99 Donated Ingredient: Beef Roast Beef for Fa itas Beef for Stew 153315 19510 4 oz 3.2 oz 15# 50# 13 56 6 2 $ 12,00 $ 33.50 Rev. 12/1/98 0 Texas Contracted Food Processors Effective July 1. 1998 through June 30. 1999 t Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Donated Ingredient: Beef Beef Patty 000357 3 oz 15# 17 6 $ 10.05 Beef Patty 025631 4 oz 15# 17 6 ; 10.05 Beef Patty 122605 3 oz 15# 12 8 ; 10.80 Beef Patty 122608 3.2 oz 15# 12 6 ; 10.80 Bakeable Breaded Beef Patty 170439 3.91 oz 10.9 8 9 ; 9.24 P112 Bakeable Breaded Beef Patty 170401 1 oz 10# 6 9 ; 8.80 P113 a r~o Apra 4~ - - ~ :R g ~8445,~~.~.-. K~ur;(~ .~atY; ea.h .Cen a`'Q~,I ):•Y~. Y!' ~Q~'~:1 1a7f a a9 ' -1M:T..:t:1 f~r::Y~.. . 76 :r - - zx ~ .»».......i..r . ~ _ '+~1~•~9 Donated Ingredient: Apples Apple Pixie Crescent 19 AS 2 oz 24# 5 4 ; 18.19 Apple Crescent 96 AG 4.10 oz 24.6# 4 4 ; 28.91 Apple Crescent 96 AP 3.60 oz 21.6# 4 4 $ 23.87 Donated Ingredient: Blueberries Blueberry Turnover 12 BG 3.375 oz 25.31# 5 3 ; 34.73 Blueberry Crescent 60 BL 3.25 oz 12.19# 2 8 ; 12.29 Blueberry Crescent 98 BG 4.10 oz 24.6# 4 4 $ 30.07 Blueberry Crescent 96 BM 4 oz 24# 8 4 $ 27.75 Blueberry Crescent•Bakeable 96 BW 4.8 oz 28.89 10 3 $ 25.28 Blueberry Crescent 98 BX 4.8 oz 28.8# 10 31 $ 25.26 Blueberry Crescent-Fully Prepared 96 BZ 4 oz 24# 6 4 $ 28.24 Donated Ingredient: Cherries Cherry Turnover 12 CG 3.375 oz 25.31# 4 4 $ 31.95 Cherry Crescent•Bakeable 14 CX 3 oz 27# 12 3 ; 18.82 Cherry Pixie Crescent 19 CX 2 oz 24# 8 4 15.96 Cherry Crescent-Thaw & Serve 60 CL 3.25 oz 12.19# 4 7 ; 11.12 Cherry Crescent 98 CG 4.1 oz 24.6# 8 4 ; 25.22 Cherry Crescent 96 CM 4 oz 24# 6 4 ; - 24.98 Cherry Crescent 96 CX 4.8 oz 28.8# 10, 3 $ 22.09, Cherry Crescent 90 CZ 5.25 oz 31.5# 13 . 31 $ 19.81 O~ 0 12 Rev. 1211/98 i .I Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Donated Ingredient: Peaches Peach Crescent 12 PG 3.375 oz 25.31# 5 4 $ 31.95 Peach Pixie Crescent-Bakeable 19 PX 2 oz 24# 4 4 $ 16.87 Peach Crescent 60 PL 3.25 oz 12.19# 4 7 $ 12.41 Peach Crescent 96 PG 4 oz 24# 5 4 $ 30.16 Peach Crescent 96 PM 4 oz 24# 6 4 $ 26.91 Peach Crescent 96 PX 4.8 oz 28.8# 11 3 $ 25.77 Donated Ingredient: Strawberries Strawberry Crescent 96 WP 3.6 oz 21.6# 4 4 $ 24.52 Donated Ingredient: Sweet Potatoes Sweet Potato Crescent 96 SF 3.75 oz 22.5# 7 4 $ 18,45 Sweet Potato Crescent 96 SP 3.75 oz 22.5# 8 4 $ 18.50 Ouse of, ae or amts, nc at eas ey 520 E st 81„ d Corir,al vertu 0, 75,61. ;i.,: =a., ZZ, Z% axe'"',; w:u:~„•,.,., 9 Bastard, tJC2 Donated Ingredient: Turkey whole Turkey Picnic 218 3 oz 18.20# 493 $ 12.45 P380 Turkey Frank 270 6.6 oz 10# 400 $ 1,05 P382 Turkey Breast 339 2 oz 17.20# 662 $ 12.13 P379 Turkey Com Dog Nugget 20042 .67 oz 10# 792 $ 10.70 P381 ar ' ausage ompany arr oar `i°, ; 100,MalriStteet 830:788,7511, i r. Waelder°<7X7'S959.,; 830;788;7i12fax" 6~Y~ Donated Ingredient: Cut-up Chicken Taco Filling 33855 3.17 oz 30# 1,195 $ 26.70 Chill 33856 4 oz 30# 1,456 $ 26.70 Gravy & Sausage Chicken 33857 4 oz 30# 3,781 $ 26.70 Sloppy Joe/Chicken In BBQ Sauce 33858 4 oz 30# 1,354 $ 26.70 Pasta Sauce w/Chicken 33859 5.33 oz 30# 1,988 $ 26.70 aft a i i .13 Rev. 12/1198 v4 _ rweee tee, s - Texas Contracted Food Processors Effective July 1, 1998 through June 30, 1999 Texas Contracted Food Processors PrrprIlVA July I-19981hrouah June 30, 1999 r I Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Code Size Wt Per Case Cases Fee Code End Product Description aa,;.c:r`~a,',• !~e` , ri' ,w.;;"' ~.;i,,.;~r~'i.a .,kn,Y~'`rtaa;~,,;j;.. ~i;t~ a es „k.,-• aw$12.4fl1,x77`3M°~' ,r• : °,n ~.~;~a•.;:,:r, .tt. ~.a Ia: . 0 enuey' a ;r:' ,n; r h r Yn ° 4 Of Y ' " X V, . M .:..p/,~ . 9. w:, ;t ~P,43 99 .41Y'I"3^"<. `Y•a^~ M ;_R:a; • _c .;~r:*'~~~~z~~,r,:,~r,rf,~,-r:~ri>w~wf.r;, . y-','•'« • 1$ 481"20 4+4M1 <-; 9 x6 ' N` " : i a 5 grderi€HiQsti1 Donated Cheese: Cheddar Cheese 80 P051 17 5 $ 9 Shredded Sharp Yellow American 41725 . 1 oz 20# 00 P185 7 5 $ 27 Shredded RF Pasteurized Process American 41728 . 1 oz 20# 41749 1 oz 20# 20, 5 $ 8.60 P049 Shredded Mild Cheddar 25# 5 16 $ 8.08 P301 1 oz 8 American Cheese-Pasteurized Process 44829 . 94 P054 6 16 $ 5 Mild Cheddar Portions 44833 . 1 oz 13.25# AS Pasteurized Process American Slices 46251 .5 oz 30# 23 3 $ 12,90 P048 50% RF Process Yellow American Slices 46253 .5 oz 30# 10 3 $ 34.50 P053 Pasteurized Process Yellow American Slices 46255 .5 oz 30# 23 3 $ 12.90 P050 _ r .:_t•.: .,r.t=>~ nano' IVa(e+~; : •.r ~ • ~••.;,1.,.,, r'~ ',;'S:`wii:^rr='~:r.,x~,:i'r,~:Ht «•;~.r'~'.tt•~x.~S ;.~r~,~,~,js .3•.S!•=wi:xY=•; a::t~3:,'~ii@r.+.: .1~ .3'''`i'1.f; x,,,Yi;:• J,;"~.'~: Yr; 4,. G . ~ t r`;'^iC:~R..,wa.,+,t.+yaha >.,an=;7,~"{...-. ✓~t , p 8 "nVf ~,9'a . F; • !?I4: ~ ry r N . , ~ ::b ~ , t , :M .1'.'210;7~6;61~3` • Fr: , f0 ;;~y r 81vQ ,s Parfc°~Ten 6fl O _ , t ~ . M: ; i 1 ~ • • • '1 . ~4: 1 ' " . „ , , 0\I . ; +x ~ J`J Ir,'"` Typ~S ~t i ~'`•it>:r~ x•"• f V IV Vt1'11~v,J :fa~a. k•rxti !eir•+~»,'x~i'=`uix:,',fY?iauxnl~',~u1'a~i211.~aTu,r~.'7l'J~,+,~ .M+'<•rl:, ~Bfi i i ~ t. rG a i ~ ~ ~ V . , > ur #MM . ~ ~f,~ •.Yr6fr.nnrca;~ Qlt ~ii ltlt ~a Donated Ingredient: Apples Clnnamon/A Ie/Ralsln Biscuit TS105 2.75 oz 10.31# 2 10 $ 14.02 Donated Ingredient: Sweet Potatoes TS2005 3 oz 11.25# 3 9 $ 13.72 Em anada •T =:a~ Y,:• Fen, Yt~; chael, oo s,. n •<w.=:r It. ;`.:t• '"'t`. .1. ^r. r .:.t,,•,+ . ' ,Y: y i: " ' ` • y ~ , ..M i!`•^"`Y,•• `O,: .1lyWaUZe4P `~~Vdi1 M~O~ J 4,•..N.^.1.... .MG'J w " . ;i +.1+.~+ 1 ~ u,t Y=";•.. ,.«`y-.:' ~.,j:~:w.t.~ "„jl.`•,n l/F,~ikl„JM^'~"Y,•PI`::C •Y."y ~ ~,,4".•>„ • t 8~ " . . . e : a ~ K. ~ s+?,•; , .8. ;..I ; 65416 r =t° , ,i ,t,•:,• = ,war ° y r ,"T%~P lis e p O ~ o a inn Donated In redie it: Frozen Whole Eggs Backhaul Scrambled E system 54207 30# 14 3 $ 23.88 Breakfast E Squares 61688 1 oz 16.5# 16 5 $ 17.48 Breakfast E Squares wlCheddar Cheese 61689 1 oz 16.5# 15 S $ 16.22 Hard Cooked Natural Diced 64102 20# 25 4 $ 14.26 Cooked Frozen Round Patt 70021 1 oz 9# 7 9 $ 7.26 4 e~w 5,4 1 d t 99 9'i J `b fie 0 Scrambled E S stem .14 Rev. 12/1/98 i - I efdi'3'YidL~ilir= ` - `tii~i'I~IIM7fi'F~'~""`i4.•."= - - tlYYA~Ir~ I Texas Contracted Food Processors Effective July 1. 1998 through June 30. 1999 I l I .I i I Approx Estimated Per Portion Case DF Lbs Finished Case DNS End Product Description End Product Code Size Wt Per Case Cases Fee Code Cooked Frozen Omelet 76550 2 oz 18# 16 4 $ 24.79 Cooked Frozen Cheese Omelet 76710 2.5 oz 15# 13 5 $ 31,62 Cooked Frozen Round Cheese Patty 79021 1.25 oz 9.38# 6 9 $ 18,57 Cooked Frozen Breakfast Egg Patties wlCheese 79022 2 oz 15# 10 6 b 29.56 Cooked Frozen Breakfast Egg Patties 85017 1.25 oz 23# 7 oz 19 4 $ 26.85 Cooked Frozen Cheese Omelet 85037 2 oz 18# 72 1 $ 31.43 Donated Ingredient: Frozen Whole Eggs Tanker Diversion Scrambled Egg System 54207 30# 14 3 $ 18.37 Breakfast Egg Squares 61688 1 oz 16.5# 16 5 $ 15.03 Breakfast Egg Squares wlCheddar Cheese 61689 1 oz 16,5# 15 5 $ 23.55 Scrambled Egg System 74016 1 oz 23# 23 4 $ 19,36 Cooked Frozen Omelet 76550 2 oz 18# 16 4 E 21.94 Cooked Frozen Cheese Omelet 76710 2.5 oz 15# 13 5 $ 29.20 Cooked Frozen Breakfast Egg Patties wlCheese 79022 2 oz 15# 10 6 E 26.97 Cooked Frozen Breakfast Egg Patties 85017 1.25 oz 23# 7 oz 19 4 b 23.07 Mrs, a son s, eter. tan a r' 7 lbe ve,w' x ,403;E; Qa Dd 'i+16,864,81,00~..2,~ M"c~,•s•~••~°~°~~` $0 2 r,~; 1 6 Ankeny,, ;5 5.9 48~94fax.'-:•:~~ ;.,,w.,~•;~-"` .,'CX•P•1,1 99 Donated Ingredient: Vegetable Oil, Bulk Salad Dressing 52900 411 gal 33.3# 14 1 $ 9.95 Buttermilk Ranch 52906 411 gal 31.24# 16 1 $ 12.55 R.C. Buttermilk Ranch 52907 411 gal 32# 8 1 $ 14,20 Golden Italian 52910 411 gal 34.8# 9 1 $ 13.00 Red French 52912 411 gal 36.8# 13 1 $ 14.55 Mayonnaise 52914 411 gal 30.8# 25 1 $ 9.75 1000 Island 52915 411 gal 32.88# 13 1 $ 13,35 Tartar Sauce Extra Fan 52918 411 gal 32# 15 1 $ 13.55 Hone Mustard 52922 411 gal 36# 4 1 $ 18.00 Buttermilk Ranch 52976•A 1.5 oz 20.25# 10 1 $ 26.80 Hone Mustard 52977•A 1.5 oz 20.25# 2 1 $ 27.80 BBQ Sauce 52978•A 1.5 oz 20.25# 1 1 $ 28.00 Spaghetti Sauce 52980 4 Ib 32# 1 1 E 20.00 Sweet N'Sour Sauce 52981 411 al 37.6# 1 1 s 18.00 15 Rev. 1211198 t ~ I I S I: 0 0 0 Texas Contracted Food Processors Effective July 1, 1998 through June 30. 1999 I r i Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Salsa 52990 814 lb 32# 1 1 $ 23.65 IY) •~LLR`• iLi, 'L. .....4.. a ono rot , 3 aideAvontia, ! 1Nllires~6'aite" x ~d'•,oi"!, z:w .YC rtltt Sid t1na+ , ,II,VQl" 7.1 023;2k 4ax>. , < Z..., ,I~:,..i"a ~:!••Y.: •1 Lp,. , > K• . ~ ,roi7~~i ~ 0' Donated Ingredients: Mozzarella Cheese, Tomato Paste Flour, 011 Cheese Pizza 961CM 5 oz 309 varies varies $ 50.86 P258 Pepperoni Pizza 981MP 5 oz 30# varies varies $ 54,76 P308 Sausage Pizza 9611VIS 5 oz 30# varies varies $ 54.57 P309 Wedge Cheese Pizza 961WM 5 oz 30# varies varies $ 50.87 P321 Wedge Pepperoni Pizza 961WMP 6 oz 30# varies varies $ 54.75 P325 + d ~ arms'~^- • :c,«.r""'""r • .x ~ ; t,,..+i'•,- "J" ,.ma V'.oa"rtie ea;•:1~"1,QB043,Y:,~.~.~~~;=,~;: ~~4~ bt, z•- '~•w..:r.:;~ h r, ..:srz. pry ~ ii.~ ^7' r + ,r, y o nn• 805:±~5:3019.taz~"e~.:.:.~.~.~»,~...:a,;.u~:;;:~~~'~.~r~:: „ • . a r ,r:. + • - ~ n..xa+ .~,~~..;;~;'tX~?•22~99 Donated Ingredient: Turks bulk Combination Code 6B RawTurkey Roast 78100 4!1.13# 46# 352 $ 44,16 P009 Combination Code 6C Cooked Turks Roast 97000 47.13# 46# 352 $ 44.16 P008 Combination Code 6C43: 97000, 86050, 85050 Cooked Turks Roast 97000 47.13# 46# 352 $ 35.42 P008 Cooked Turks Salami 86050 4110# 40# 90 $ 30.80 P008 Turks Bologna 85050 4110# 40# 180 $ 30.80 P003 Combination Code 1213: 95120, 81470 Turks Breast Slab Shape 93120 4110# 40# 342 $ 32.80 P001 Full Cooked Smoked Turks Picnic 81470 4110# 40# 180 $ 32.80 P002 Combination Code 17: 93120, 72050 Turks Breast Slab Shape 93120 4110# 40# 342 $ 26.40 P001 Ground Turks 72050 4110# 40# 342 $ 26.40 P129 J 0 1 •18 Rev. 1211198 .i i i I ~t • Texas Conliacted Food Processors Effective July 1, 1998 through June 30, 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size M Per Case Cases Fee Code Combination Code 1813: 93120, 82300 Turks Breast Slab Shape 93120 4110# 40# 342 $ 32.80 PODl Canadian Turks Bacon 82300 815# 40# 180 $ 32.80 PODS Combination Code 123: 93120, 81470, 85050 Turks Breast Slab Shape 93120 4110# 40# 342 $ 26.40 P001 Full Cooked Smoked Turks Picnic 81470 4110# 40# 180 $ 26.40 P002 Turks Bologna 85050 4110# 40# 180 $ 28.40 P003 Combination Code 153: 93120, 87060, 85050 Turks Breast Slab Shape 93120 4110# 40# 342 $ 26.40 Pool Cooked Turkey Salami 87060 4/1 D# 4D# 180 $ 26.40 P004 Turks Bologna 85050 4110# 40# 180 $ 26.40 P003 Combination Code 183: 93120, 82300, 85050 Turks Breast Slab Shape 93120 4115 40# 342 $ 26.40 P001 Canadian Turks Bacon 82300 8/5# 40# 180 $ 26.40 P005 Turks Bologna 85050 4/1 D# 40# 180 $ 26.40 P003 Combination Code 643: 78100, 86050, 85050 Raw Turks Roast 78100 4!7.13# 46# 352 $ 35.42 P009 Cooked Turks Salami 86050 411 D# 40# 90 $ 30.80 PODS Turks Bologna 85050 4/10# 40# 180 $ 30.80 P003 Combination Code 1243: 93120, 81470, 86050, 85050 Turks Breast Slab Shape 93120 4/10# 40# 342 $ 26.40 P001 Full Cooked Smoked Turks Picnic 81470 4110# 40# 90 $ 26.40 P002 Cooked Turks Salami 86050 4110# 40# 90 $ 26.40 PODS Turks Bologna 85050 411 D# 40# 180 3 26.40 P003 Combination Code 1253: 93120, 81470, 86050, 85050 Turks Breast Slab Shape 93120 4/10# 40# 342 a 28.40 P001 Full Cooked Smoked Turks Picnic 81470 4/10# 40# 90 1 26.40 P002 Cooked Turks Salami 87060 1 4/10# 40# 90 $ 20.40 P004• Turks Bologna 85050 4110# 40# 180 $ 28.40 P003 -17 • Rev. 12/1/98 0 h s i 0 a End Product Description Texas Contracted Food Processor Effective July 1, 1998 through June 30, 1999 i Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Cede SBA un Dnr ruse rseee see #--A. Combination Code 1643: 93120, 87060, 86050 85050 Turks Breast Slab Sha Cooked Turks Salami Cooked Turks Salami Turks Bologna 93120 87060 86050 85050 4110# 4/10# 4/10# 4/10# 40# 40# 40# 40# 342 90 90 180 $ 26.40 $ 28.40 $ 28,40 $ 28,40 P001 P004 P006 P003 Combination Code 1843: 93120, 82300, 86050, 85050 Turks Breast Slab She Canadian Turks Bacon Cooked Turks Salami Turks Bologna 93120 82300 86050 85050 4/10# 8/5# 4/10# 4/10# 40# 40# 40# 40# 342 90 90 180 $ 26.40 $ 26.40 $ 26.40 $ 26.40 P001 P005 P006 P003 Combination Code 1853: 93120, 82300, 87060 85050 Turks Breast Slab Shape Canadian Turkey Bacon Cooked Turks Salami Turk fBologna 93120 , 82300 87060 85050 4/10# 8/5# 4/10# 4/10# 40# 40# 40# 40# 342 90 90 180 $ 26.40 $ 26.40 $ 26.40 E 26.40 P001 P005 P004 P003 90 s~ r,; ,,i M: a .ten,; ~xd;.x, ;4 491r~!t~ ~ iv nCi'JlAi~1~l~~C iiclrlnattiq' G a' a= r„? . :«;::a;:m • wJ°~ y'. »eN p '~~x `,r„ c.-;°, ~ ~r"•' • .v,.4,w ;.i`: ;;4~:y "~:cn 9~e`•aY+'v,;., ;Y-'x i•j°,t:Jy,•,.;^, l•~.,••~_-t~,k,ic] per,.., ~,~••,y„„ s, 1 ~r ° ;;,,;.:.:.,;v~.•, r;~., r,St"L', :ark~:i"~iL;+` ?'1`Y:,~tT/~"!z• Donated Ingredient: Beef Count Fried Breaded Beef Steak Count Fried Breaded Beef Patty Strip Shaped Country Fried Breaded Beef Patty Full Cooked CF Strip Shaped Breaded Steak Beef Taco Shoestrings Flamebrolled Strip Shaped Beef Patty w/Teri akl Flamebrolled Beef Steak Flamebrolled Beef Steak Flamebrolled Beef Pall Flamebroiled Beef Patty Flamebroiled Beef Patty 3710 3712 3713 3714 3715 3727 3760 3765 3770 3771 3772 3,80 oz 3.85 oz .90 oz 1 oz .45 oz .70 oz 2.30 oz 2.30 oz 2.45 oz 2.45 oz 2.50 oz 20.19# 20.45# 22,5# 25# 19.69# 17.5# 20.13# 11.97# 20.67# 20,67# 21.09# 16 13 16 21 11 16 28 23 20 20 17 45 45 37 33 43 46 35 43 40 40 40 $ 21.00 $ 21.06 $ 23.85 $ 26.50 $ 25.79 $ 20.30 $ 17.71 b 17.61 $ 19.22 $ 16.19 $ 19,61 P149 P130 223 P175 P131 i s: G' a~ 4) k d8 Rev. 12/1/98 ~~asuua~asrea 'y'33 •y^^-:nnra.~ = rn,,FJ iM4fi',ff""=`•y~ r iRwi~lEff ISIIT4'~RwYtbpA Texas Contracted Food Processors Effective July 1, 1998 through June 30, 1999 i Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size M Per Case Cases Fee Code Full Cooked Flamebrolled Beef Patty 3773 2.50 oz 21.09# 17 40 $ 20.67 Flamebroiled Beef Patty w/Onion 3779 2.60 oz 21.94# 20 36 $ 21.28 P224 Fully Cooked Flamebroiled Beef Patty w/Onion 3782 2.60 oz 16.25# 15 49 $ 21.29 Full Cooked Flamebroiled Beef Patty 3783 2.50 oz 19.53# 16 43 $ 21.09 Full Cooked Flamebroiled Beef Patty w/Onion 9664 5.40 oz 15.19# 14 52 $ 18.38 Donated Ingredient: Pork Cooked Breaded Pork Patty 3701 3.10 oz 19.38# 10 44 $ 21.12 P180 Pork Shoestrings 3703 .45 oz 19.69# 11 43 $ 25.01 Full Cooked Flamebroiled Salisbury Steak 3720 2.55 oz 22.31# 21 36 $ 22.98 Charbroiled Rib Shaped Pork Patty 3731 2.45 oz 22.97# 19 35 $ 26.19 P225 Flamebroiled Rib Shaped Pork Pall 3734 2.40 oz 24# 24 32 $ 27.36 P176 Flamebroiled Strip Shaped Pork Patty 3735 .55 oz 13.15# 14 57 $ 15.95 P182 Flamebroiled Rib Slri Shaped Pork Patty 3738 .60 oz 15# 13 52 $ 17.70 Full Cooked Pork Sausage Patty 3750 1.20 oz 18.75# 23 42 $ 19.69 P177 Full Cooked Pork Sausage Link 3755 1.20 oz 18.75# 23 42 $ 19.69 P226 Donated Ingredient: Turkey (bulk) Flamebroiled Cutlet Shaped Breast Patty 3791 2.65 oz 21.20# 470 $ 28.62 Fully Cooked Breaded Turkey Nugget 3792 .79 oz 17# 1,604 $ 22.96 Full Cooked Strip Shaped ed Patty w/Teriaki Sauce 3793 .75 oz 19# 1,122 $ 25.65 Flamebroiled Patty 3794 2.95 oz 21.20# 408 b 28.62 Full Cooked Breakfast Llnk 3795 1.40 oz 20# 7 $ 26,99 Flamebroiled Filet Shaped Turkey Breast Patty 3796 2.70 oz 21.60# 474 $ 29.16 Fully Cooked Strip Shaped Patty w/Teriyakl Sauce 3797 .75 oz 19# 491 $ 25.63 Prepared Foods, nc,, • ; ' . can arts, , 6701 McNuti Road> : z.; „ 8.5707 803,16 &arita Teresa NM°88008,- ; :;"`803.786.6708tdx.^"`:•t' •'t•~,` „y. ,tX-P-d1-'W Donated Ingredient: Beef, Special Trim Sliced Cooked Beef R-4100808 3.74 oz 40# 39 2 E 35.99 Sliced Cooked Beef R-4100828 3.74 oz 20# 19 4 $ 18.40 Sliced Cooked Beef w/BBQ Sauce R-4100809 6.24 oz 40# 23 2 $ 40.40 Donated Ingredient: Beef Roast 1 Sliced Cooked Beef 036211 3.09 of 20# 20 4 $ 19.80 .19 Rev. 12/1/98 . a 1 0 0 0 06 .9- Texas Contracted Food Processors Effective July 1, 1998 through June 30, 1999 Y Approx Estimated Per Portion Case OF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Donated Ingredient: Beef Taco Filling R-4100829 3 oz 30# 17 3 $ 26.70 Donated Ingredient: Ham Roast Full Cooked Sliced Ham 034979 4.42 oz 20# 18 4 $ 17.80 Donated In redlent: Pork Pork Pattle Crumble L0173KQN 2.1 oz 40# 55 2 $ 39.20 Donated Ingredient: Turkey round Taco Filling 67120 3.6 oz 30# 27 3 $ 26.70 Ground Tub Chill 67266 5.31 oz 30# 13 3 $ 25,50 re er,:- ,oa s n , w pu d.n~Qh,~2yte: . r`Yj ;F FJ I~VnV Hke, ~rli ..z YI, Q i M v .Ai~nOr4aVRifI~~Y1YhF~l an e z ° : l;r~: , J i""..i...L ~..::~t;:C rjAl.~~:..: l; w .4.. ! •JK :l\. ' `n, 44, ~1„~W : ~.drv..V r/may _-....~.,~r~~;• ~,~:1`:~^=y.,,=~~r;.~;~,vf~w»~1,~.~~~~a..'~.c~~-: y Iy~ (`y~'~-;~~''~~ ~~J M~IAMAY~cY~e~OW~dI ERt0~~ c4:C C^ .1Rra.G`kaT 1~•17r99 Donated Ingredient: Cheddar Cheese Pro-Sliced u ht Pasteurized Proc American 05891 .5 oz 20# 8 5 $ 24.00 P137 PreSllced American Pasteurized Proc American 09095 ,5 oz 20# 15 5 $ 9,00 P138 Pro-Sliced Pasteurized Proc American 14934 .5 oz 20# 16 5 $ 10.00 ht Shredded Pasteurized Process American 17860 ,5 oz 20# 6 5 $ 28.00 P320 Mild Feather Shredded 12376 ,5 oz 209 20 5 $ 11.00 n, 411 os 00 t!RC. r 0150tp lar,f ~.I • A .,w,s./..,. asn:.ou eS r ,:rw ~a3y9%98bt1 4~~~~1.+.r1~A~ ~.W ...`.,+.a-...b`,,.w ; wr, ~.,v;::.:. w. ww _,,n~. a.,m we M:..,-..~.,,. ^,ti 1::;. • a: . ~t , t f µ1i r,.,~:.: • T;%i~6s99 Donated Ingredient: Beef Roast Beef Came Gulsada 12714 3.48 oz 25# 22 3 $ 17.25 Donated Ingredient: Beef Flamebrolled Beef Burger 13300 3 oz 16.880 25 4 $ 11.31 Flamebrolled Beef Burger 13301 2.15 oz 16.125# 24 4 $ 10.80 Flamebrolled Beef Burger 13305 2.4 oz 15.30# 23 4 $ 10.25 Flamebrolled Beef Patty 13313 3 oz 16.88# 15 5 $ 12.15 Ftamebrolled Beef Patty 13315 1.5 oz 15.94# 14 5 $ 9.18 P348 1 60 ~ r S -I t i j 1 a ~0 Rev. 1211/98 1 Texas Contracted Food Processors Effective July 1, 1998 through June 30, 1999 0 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Code Size Wt Per Case Cases Fee Code 13325 2.6 oz 21.13# 18 4 $ 16.90 13330 3 oz 10# 10 8 $ 7.90 13335 .5 oz 10# 10 8 $ 6.95 13345 2.76 oz 10# 11 9 $ 6.90 13355 2.76 oz 10# 8 9 $ 8.90 13365 2.84 oz 10 5 9 $ 6.90 13375 2.84 oz 10# 4 9 $ 6.90 ran, t enessen:;: •800,533.5 90 X245$: ,TX:P,50;98 63508 SM 4.85 oz 29.10# 6 100 $ 29.83 63615 TM 5.19 oz 31.14# 4 100 $ 31.18 63616 UM 4.83 oz 28.98# 5 100 $ 32.23 6485 C 4.97 oz 29.82# 5 100 $ 29.28 6495 C 5.10 oz 30.60# 4 100 S 29.73 6498 C 5 oz 30# 5 100 3 31.80 6598 C 5 oz 30# 5 100 $ 31.93 612;271,5678 1'2i2.1:9r,.ts 0% ~ ~.:<w ? ~ . ~,t.;~ rz.p~o:s9 r .S 40005 1 oz 20# 20 48 $ 11.28 40061 2.5 oz 12.5# 6 145 $ 19.70 40173 2 oz 9# 9 91 $ 16.95 40223 4 oz 24.97# 10 37 $ 34.42 40226 2.5 oz 10.94# 4 167 $ 21.29 40633 1 oz 18.75# 19 51 $ 13.06 40635 1.5 oz 18.75# 19 51 $ 12.92 40700 1.25 oz 18.75# 16 46 $ 13.10 40827 1 oz 20# 4 - 20 47 $ 14.72 '21 • h Lr- 0 ' t ' i j 6 Rev. 1211198 • ~ C Texas Contracted Food Processors Effective July 1. 1998 throuoh June 30 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Pillow-Pak Hard Cooked Eggs 50038 1.58 oz 140 15 68 $ 7.25 Donated Ingredient: Whole Eggs Tanker Diversion Sun Break Scrambled E Mix 41025 1,25 oz 30# 22 33 S 9.23 74 - yr, (1e QO 6 milt'a.`tt'5tr t -t„.1roni.:wtiuAiYI7M7~J..tT :n i~i- wa. w~~... 3z;4~6688 r•.. L,r, ;•wn~ 73 f ~J. w: . l'~=:'°;t:=~-G G Jat:, ltj(R il40 Donated Ingredient: Apples Apple Ice Po Apple Sorbet Cu 99709 99725 2.5 oz 2.5 oz 22.5# 150 10 7 44 67 $ 40.34 S 41.46 Donated Ingredient: Apricots Apricot Ice Po Apricot Ice Po Apricot Sorbet Cu Apricot Sorbet Cu 99707 99707 A 99727 99727 A 2.5 oz 2.5 oz 2.5 oz 2.5 oz 22,5# 22.5# 15# 15# 10 10 7 7 44 44 67 67 $ 37.58 $ 39.61 $ 39.62 $ 40,97 Donated Ingredient: Blackberries Blackberry lea pop Blackberry Ice Po 99711 99711 A 2.5 oz 22.5# 10 44 $ 37.13 Blackberry Sorbet Cu Blackbe Sorbet Cu Blackba Chocolate Brownie Blackbe Chocolate Brownie 99729 99729 A 99782 99782 A 2.5 oz 2.5 oz 2.5 oz 2 oz 22.5# 15# 15# 15# 10 7 7 2 44 67 67 67 $ 35.30 $ 39.32 $ 38.10 $ 37.58 2 oz 150 2 67 $ 37.25 Donated Ingredient: Blueberries Blueberry Ice Po Blueberry Sorbet Cu 99703 99723 2.5 oz 22.5# 6 44 $ 39.31 2.5 oz 15# 4 67 $ 36.67 Donated Ingredients: Blueberries and Cherries Blueberry Cherry Ice Po 99704 2.5 oz 22.5# 44 Blueberries Cherries 3 $ 41.43 5 $ 40.96 .22 _G Cb i a i {1 j I Rev. 1211/98 ' MadMIMM Texas Contracted Food Processors Effective July 1, 1998 through June 30. 1999 I I. Approx Estimated Per Portion Case DF Lbs Finished Case DNS End Product Description End Product Code Size Wt Per Case Cases Fee Code Blueberry Cherry Sorbet Cu 99724 2.5 oz 15# 67 Blueberries 2 $ 38.09 Cherries 3 $ 37.77 Donated Ingredient: Cherries Cherry Ice Po 99609 2.5 oz 22.5# 10 44 $ 38.27 Cherry Ice Po 99708 2.5 oz 22.5# 10 44 $ 38.38 Cherry Sorbet Cu 99722 2.5 oz 15# 7 67 $ 35.98 Cherry Sorbet Cu 99722 A 2.5 oz 15# 9 53 $ 35.16 Donated Ingredient: Non-Fat D Milk Strawberry Sherbet 99821 4 oz 24# 2 42 $ 31.97 Cherry Sherbet 99822 4 oz 24# 2 42 $ 31.97 Peach Sherbet 99823 4 oz 24# 2 42 $ 31.97 Bubble Gum Sherbet 99824 4 oz 24# 2 42 $ 31.97 Banana Sherbet 99825 4 oz 24# 2 42 $ 31.97 Chocolate Pudding 99840 4 oz 24# 2 42 S 31.97 Vanllis Pudding 99841 4 oz 24# 2 42 $ 31.97 Butterscotch Pudding 99842 4 oz 24# 2 42 $ 31.97 Banana Pudding 99843 4 oz 24# 2 42 $ 31.97 Donated Ingredients: NFD Milk/Cherries Cherry Sherbet 99812 4 oz 24# 42 Non-Fat D Milk 2 $ 31.97 Cherries 7 $ 31.45 Cherry Sherbet 99812 A 4 oz 24# 42 Non-Fat D Milk 2 $ 31.97 Cherries 7 $ 31.52 Donated Ingredients: NFD Milk/Orange Juice Orange Sherbet Cu 99765 3 oz 18# 55 Non-Fat D Milk 1 $ 27.93 Orange Juice 3 $ 28.18 Orange Sherbet Cu 99765 A 3 oz 18# 55 Non-Fat D Milk 1 $ 27.93 Orange Juice 3 $ 26.97 •23 Rev. 1211198 I i} l i ~W i f • Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Donated Ingredients: NFD MIIklPeaches Peach Sherbet 99813 4 oz 24# 42 Non-Fat D Milk 2 $ 31.97 Peaches Peach Sherbet 99813 A 4 oz 24# 7 42 $ 30.81 Non-Fat D Milk 2 S 31.97 Peaches Peach Sherbet 99813 B 4 oz 24# 7 42 $ 32.31 Non-Fat D Milk 2 $ 31.97 Peaches Bubble Gum Sherbet 99814 4 oz 24# 7 42 $ 32.21 Non-Fat 0 Milk 2 $ 31.97 Peaches Bubble Gum Sherbet 99814 A 4 oz 24# 7 42 $ 30.81 Non-Fat 0 Milk 2 $ 31.97 Bubble Gum Sherbet Peaches 99814 B 4 oz 24# 7 42 S 32.31 Non-Fat D Milk 2 $ 31.97 Banana Sherbet Peaches 99815 4 oz 24# 7 42 $ 32.21 Non-Fat O Milk 2 $ 31.97 Peaches Banana Sherbet 99815 A 4 oz 24# 7 42 $ 30.81 Non-Fat D Milk 2 $ 357 Banana Sherbet Peaches 99815 B 4 oz 24# 7 42 $ 32.31 Non-Fat 0 Milk 2 $ 31.97 Peaches 7 $ 32.21 Donated Ingredients: NFD Milk/Strawberries Strawberry Sherbet 99811 4 oz 24# 42 Non-Fat D Milk 2 $ 31.97 Strawberries 7 $ 30.40 Donated In redlent: Frozen Orange Juice Orange Sorbet Cu Orange Sorbet Cu 99755 99755 A 3 oz 3 oz 18# 18# 3 3 55 55 $ 26.2T- $ 25.05 bi141 ' I 024 Rev. 1211198 " Texas Contracted Food Processors Effective July 1, 1998 through June 30,1999 r I rv..,r- :',mss 'L.:3' rr• - - - - - - _ .www aR I Texas Contracted Food Processors Effective July 1, 1998 through June 30. 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case Cases Fee Code Orange Sea Breeze Sorbet Cu 99756 4 oz 24# 2 42 $ 28.21 Orange Sea Breeze Sorbet Cu 99758 A 4 oz 24# 2 42 $ 27.40 Orange Hurricane Sorbet Cu 99757 4 oz 24# 2 42 $ 26.21 Orange Hunicane Sorbet Cu 99757 A 4 oz 24# 2 42 $ 27.40 Orange Tornado Sorbet Cu 99758 4 oz 24# 2 42 $ 28.21 Orange Tornado Sorbet Cu 99756 A 4 oz 24# 2 42 E 27.40 Orange Stonn Sorbet Cu 99759 4 oz 24# 2 42 $ 28.21 Orange Storm Sorbet Cu 99759 A 4 oz 24# 2 42 b 27.40 Orange Wave Sorbet Cu 99760 4 oz 24# 2 42 $ 28.21 Orange Wave Sorbet Cu 99760 A 4 oz 24# 2 42 $ 27.40 Donated Ingredient: Peaches Peach Ice Po 99607 2.5 oz 22.5# 11 44 $ 37.29 Peach Sorbet Cu 99720 2.5 oz 15# 7 67 E 35.32 Peach Sorbet Cu 99720 A 2.5 oz 15# 7 67 $ 36.86 Peach Sorbet Cu 99720 B 2,5 oz 15# 7 67 $ 36.75 Donated Ingredient: Plums Plum Ice Po 99706 2.5 oz 22.5# 10 44 $ 40.78 Plum Sorbet Cu 99726 2.5 oz 15# 7 67 $ 41.75 Plum Chocolate Brownie 997780 2 oz 15# 2 67 $ 37.36 Donated Ingredient: Raspberries Raspberry Ice Po 99710 2.5 oz 22.5# 10 44 $ 34.85 Raspberry Chocolate Brownie 99781 2 oz 15# 2 67 $ 37.67 Donated Ingredient: Strawberries Strawberry Ice Pop 99608 2.5 oz_ 22.5# 10 44 b 36.67 Strawberry Sorbet Cu 99721 2.5 oz 15# 7 67 b 34.911 ownsen u mary emar oynor,: 7 0 301,497, pee"R a 4900x•Y 911'8ra n d3°i 1' •9 0 ri•'• •30 laurel, PAp:io~ r. : y~ sr. ~r i7ra .r%•a:ss:se Donated Ingredient: Beef Spaghetti Sauce wlBeef 9TX07519A•0003 2.79 oz 33.96# 17 18 $ 26.05 Chili Sauce wlBeans, Beef & VPP 9TX10219A•0003 1.79 oz 34# 15 18 $ 25.01 I I I I I t. . -25 Rev. 12/1198 I . - I e Produet nnserintinn Texas Contracted Food Processors Effective July 1, 1998 through June 30, 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Code Size Wt Per Case Cases Fee Code Taco wlBeef and TVP 9TX10319A-0003 .83 oz 34# 14 18 $ 36.91 Sloppy Joe wlBeef, BBQ Sauce and TVP 9TX11119A-0003 1.91 oz 34.90 22 18 $ 34.62 Donated Ingredient: Pork Spaghetti Sauce wlPork 9TX10419A-0008 2.82 oz 33.96# 17 18 $ 26.05 Taco w/Pork and TVP 9TX10519A-0008 .83 oz 34# 14 18 $ 38.91 Donated Ingredient: Cheddar Cheese Cheese Sauce 9TX11033A-000C .92 oz 33.5# 8 18 $ 33.54 +`c;. ;r, a.;gL•> •s son• o,o`o0,. •~i, y.i ~`••%;«:u"i.; as•..n.-.r •YL :hyy;•~ `Y ~1 _ .`..i~l a~"' `s+ «iyL" 10pakiawe.brtvo, JX":Cch:t«1G.y.~,« . , 'I 64 .M e, rlruJdale, Al7.2.. r&5~;.aw,. ~ ; x~ ;a+=n.,:- 9lry,•1;OYJn : "^~4et r, 81@.463566 99 ?.l, Ew. ...y 819:M16~ A89;fax,„ - , r V 'fith:L•..::1. ,r, . .°r.,r-xux+••>?;,., , . b.°• •V,L'Jri„s:,e,a~~. .ly iiy,~~~`,~._..i:.~"„ y _L`, • , : ~ ~t~: `•.y .r^:''k'.v e=,i =~L, •:~T•.i~C.": 1.` rpR. rtri : '.t~f ^~.L:w, x'"',a:,,r : e. 1." L:,. : ..5,' .•L•i ;-•y ia ,P r ....:::I~t. ,,,`~Y:-•-•,t x tl':.. ~r• : oYi.l-.r;, a; » r ::.•'.:`.i..r....~.13 .ria' a,i )`~i~:3:) ; • W4,M,.,tM• '✓„'i,~.i.: M3 7X~?~1;T•98 Donated Ingredient: Large Bulk Chilled Chicken Breaded Chicken Pall 1586.328 3.18 oz 11.92# 2,174 $ 11.32 P302 Breaded Chicken Chunk 1587.328 3.15 oz 10.82# 2,396 b 10.28 P303 Breaded Chicken Chunk 2442.328 3,65 oz 20.98# 1,235 $ 19.93 P023 Breaded Chicken Chunk 2493.328 3.64 oz 20.93# 1,236 $ 19.88 Breaded Chicken Patty 2528.328 3.67 oz 21.10# 1,228 $ 20.05 Breaded Chicken Patty 2570.328 3.62 oz 20.81# 1,246 $ 19.77 P024 Breaded Chicken Chunk 2713.328 3.44 oz 19.78# 2,948 $ 22.55 P304 Breaded Chicken Patty 2714.318 3.53 oz 20.30# 2,873 $ 23.14 P305 Charbroiled Chicken Meat for Fa ita 3298.328 3.0 oz 40# 324 $ 62.00 P306 Combination Code 5-C: 2442-328, 2570-328 Breaded Chicken Chunk 2442-328 3.65 oz 20.98# 1,235 $ 19.93 P023 Breaded Chicken Patty 2570.328 3.62 oz 20.81# 1,246 $ 19.77 P024 Combination Code 5-F: 2493-328, 2528-328 Breaded Chicken Chunk 2493.328 3.64 oz 20.93# 1,238 $ 19.88 Breaded Chicken Patty 2528.328 3.67 oz 21.10# 1,228 $ 20.05 Combination Code 54: 1586-328,1587-328 Breaded Chicken Patty 1588.328 3.18 oz 11.92# 2,174 $ 11.32 P302 Breaded Chicken Chunk 1587.328 3.15 oz 10.82# 2,396 $ 10.28 P303- .26 i i a I 1 i { s , 1 I I z+:'.r u.ir•_n,. a:•e.x~,.:~~-••l~:t~.•.~,s~_~ 'fti" - - ""r7~~w.:i"`~sr~¢nn.~__,.,_ .,u. =u~S1'~14i Texas Contracted Food Processors Effective July 1. 1998 through June 30, 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size M Per Case Cases Fee Code Combination Code 5-0: 2713328, 2714-328 Breaded Chicken Chunk Breaded Chicken Patty 2713.328 2714.328 3.44 oz 3.53 oz 19.18# 20.30# 2,948 2,873 $ 22.55 $ 23.14 P304 P305 me Commo ty Group,--, m urtan•, 4445 4'PineFree, Salt `203 : 888;874,070 I, PI 0 Y1 If'Mt 48:170-:1-U, a::t tl, i r3a; 453; Q~ , Donated Ingredient: Egg Mix French Toast Sticks 959475 .9 oz 16# 2 1,500 $ 12.96 P326 Donated Ingredients: Flour, Eggs, Oil Buttermilk Pancakes 10947 1.31 oz 11.4# varies 86 varies awnna rozen oo tea oo wa 100W, Alluvial ",209"209,2S, 01 oafs .C .ri C ° A 96 29 9 9 : t 209. .121`fax~ Donated Ingredient: Apples Apple Cu A le Cu Apple Fruit a' Roo Apple Fruit a' Roo 5951 5970 6951 6970 4 oz 4 oz 4 oz 4 oz 24# 24# 20# 20# 25 21 7 7 4 4 4 4 $ 12.48 $ 12.48 $ 18.40 $ 18.40 Donated Ingredient: Apricots Apricot Cu Apricot Cu 5952 4 oz 24# 26 4 $ 12.48 Apricot Fruit a' Roo 5977 4 oz 24# 26 4 $ 12.48 Apricot Fruit a' Roo 6952 4 oz 20# 8 4 $ 18.40 6977 4 oz 20# 8 4 $ 18.40 Donated Ingredient: Blueberries Blueberry Cu Blueberry Fruit a'Roo 5954 4 oz 24# 21 4 $ 11.48 6954 4 oz 20# 7 4 $ 18.40 Donated Ingredient: Cherries Cherry Cu Cherry Cu 5955 59 4 oz 24# 26 4 E 12.48 62 4 oz 24# 24 4 $ 12.48 -27 Rev. 12/1/98 Q1 i i t V i~' 0 0 is r" s Texas Contracted Food Processors Effective July 1. 1998 through June 30, 1999 Approx Estimated Per Potion Case DF Lbs Finished Case DHS End Product Description End Product Code Size Wt Per Case cases ree LIvan 5967 4 oz 24# 21 4 $ 12.48 Cherry Cu 48 26 4 $ 12 5969 4 oz 24# . Cherry Cu ' 6955 4 oz 20# 9 4 $ 18.40 Roo Cherry Fruit a 6962 4 oz 20# 7 4 $ 18.40 Cherry Fruit W Roo ' 6967 4 oz 20# 8 4 $ 18.40 Roo Cherry Fruit a 6969 4 oz 20# 9 4 $ 18.40 Che Fruit W Roo Donated ingredient: Peaches 4 oz 24# 26 4 $ 12.48 Peach Cu 5950 6950 4 oz 20# 8 4 $ 18.40 Peach Fruit W Roo Donated Ingredients: Peaches Cherries Blueberries 5968 4 oz 24# 4 $ 12.48 Fruit Blend Cu 12 Peaches 12 Cherries 3 Blueberries Donated in redlents: Pears and Peaches 24# 4 i 12.48 Peach and Pear Fruit Cu 5978 4 oz 13 Pears Peaches 13 Donated ingredient: Strawberries 4 oz 24# 21 4 $ 12.48 Strawberry Cu 5963 5968 4 oz 24# 26 4 $ 12.48 Strawberry Cu Fruit a' Roo wb S 6963 4 oz 20# 7 4 $ 18.40 !T m Strawberry Fruit a' Roo 6968 4 oz 20# 9 4 $ 18.40 Donated Ingredients: Strawberries and Blueberries Strawberry and Blueberry Fruit Cu 5972 4 oz 24# 4 $ 12.48 Strawberrie s 18 Blueberries 8 S d a t 9 .;t .a . i a I .28 Rev. 1211198 ` I , 0 Texas Contracted Food Processors Effective July 1. 1998 through June 30, 1999 Approx Estimated Per Portion Case DF Lbs Finished Case DHS End Product Description End Product Code Size M Per Case Cases Fee Code Roasted Chicken Drumsticks 65539 DF bulk 20# 180 $ 21.00 P014 Cooked Breaded Chicken Breast Strips 66992 DF 2.8 oz 15# 586 $ 16.05 Flamebrolled Chicken Breast Filet 67028 DF 2.8 oz 10.15# 603 $ 10.66 P158 Donated Ingredient: Large Bulk Chilled Chicken Breaded Precooked Nugget 63005 ,5 oz 15# 1,205 $ 15.90 Cooked Breaded Chicken Patty Nugget 63105 DF .5 oz 15# 1,205 S 16.50 P012 Cooked Breaded Chicken Patty 63130 DF 3 oz 16.875# 1,173 $ 18.56 P013 Cooked Chicken Patty Nugget Fritter 63165 DF ,65 oz 15# 1,212 $ 16.50 P287 Cooked Breaded Chicken Patty 64430 CN 3 oz 18.875# 1,493 $ 18.56 P327 Cooked Breaded Chicken Patty Nugget 64460 .60 oz 15# 1,680 $ 16.50 P328 Cooked Breaded Chicken Wins 65213 bulk 20# 162 $ 21.00 P017 Chicken Fryz Breaded Chicken Patty Strip 66990 DF 2.8 oz 15# 1,320 $ 16.05 P322 Flamebroiled Patty 67026 2.6 oz 13# 886 $ 14,56 P370 Donated Ingredient: Pork PI le Stlx Cooked Breaded Pork Strip 77990 CN 2.8 oz 15# 14 5 $ 16.05 Cooked Pork Sausage Unk 79101 DF 1.25 oz 12# 18 6 $ 9.00 Cooked Pork Sausage Patty 79121 DF 1.25 oz 12# 16 6 $ 9.00 P022 Precooked Pork Patty 89891 DF 2.5 oz 10# 9 8 $ 9.50 Breaded and Cooked Pork Patty 95532 DF 3 oz 15.94# 10 5 $ 14.19 Donated Ingredient: Turks Full Cooked Breast Turks Roast 59903 bulk 20# 450 $ 21,00 Cooked Breaded White Turks Pall 69035 3.5 oz 15.75# 821 $ 17.33 Cooked Breaded While Turks Patty Nugget 69065 .65 oz 159 800 $ 16.50 P336 Cooked Breaded Turks Patty 69135 3.5 oz 15.75# 1,051 $ 18.11 Cooked Breaded Turks Patty Nugget 69165 DF .65 oz 15# 1,008 $ 17.25 Flamebrolled Strip Shape Patty Nugget 69214 .75 oz 15# 996 $ 16.50 Flamebrolled Strip Shape Turks Patty Nugget 69234 CN .75 oz 15# 720 $ 16.50 Cooked Breaded Turks Patty Strip 69990 CN 2.8 oz 15# 964 $ 16.05 P340 Cooked Breaded White Patty Strip 69992 CN 2.8 oz 15# 730 $ 16.05 P297 Cooked Turks Sausage Patty 79914 1.4 oz 13.40# 892 $ 13.40 P338 Cooked Turks Sausage Patty 79934 1.4 oz 13.4# 699 $ 13.40 • P342 Cooked Italian Style Meatballs 92611 CN .6 oz 15# 840 $ 15.75 r Ilallan Style Turks Meatball 92631 CN .6 oz 15# 672 15.75 -30 Rev. 12/1198 r i ~ COO f .I• ~L "l 1 I ~ I ' - i 'f ry } m' r 'r+ . 1 d 4 • MEMO E • TO: John Reynolds, County Auditor FROM: Alvin W. Jones, County Judge RE: EXEMPTION FROM COMPETITIVE BIDDING REQUIREMENTS OF LOCAL GOVERNMENT CODE, SECTION 262.024(a)(8) Please be advised that on this 151° day of February, 1999, at a Regular Session of the Commissioners' Court on which the following members were present: Alvin W. Jo County Judge Tony Jones Commissioner, Precinct 1 Bill Thornton Commissioner, Precinct 2 Randy Sims. Commissioner, Precinct 3 Carey Cauley, Jr. Commissioner, Precinct 4 The Commissioners' Court has determined that there is a need to purchase food items from: U.S. Food Service, Inc., as provided for in the Local Government Code, Section 262.024(A)(8), IN ORDER TO CONDUCT NORMAL JAIL OPERATIONS AS REQUIRED BY LAW. The Court hereby approves all such payments to the designated vendor for purchases necessary during the 1998-1999 fiscal year. MEMO TO: John Reynolds, County Auditor FROM: Alvin W. Jones, County Judge RE: EXEMPTION FROM COMPETITIVE BIDDING REQUIREMENTS OF LOCAL GOVERNMENT CODE, SECTION 262.023(c). Please be advised that on this 15th day of February, 1999, at a Regmlar Session of the Commissioners' Court on which the following members were present: Alvin W. Jones County Judge 1 J Tony Jones Commissioner, Precinct 1 Bill Thornton Commissioner, Precinct 2 Randy Sims Commissioner, Precinct 3 Carey Cauley, Jr. Commissioner, Precinct 4 The Commissioners Court has determined that there is a need to purchase office supplies from the following vendor. Office Depot and hereby grants an exemption from the competitive bidding requirement, as provided in the Local Government Code, Section 262.023 (c). The Court hereby approves payment, for all purchases of office supplies because purchases of supplies by an individual department are not considered to be part of a single purchase and single contract by the county if a specific intent to avoid the competitive bidding requirements for separate, sequential or component purchases is not present. The Court hereby approves payment for all purchases to the designated vendor during the 1998-1999 fiscal year. VOL 140 W. 1 • I I i 01 S MEMO TO: John Reynolds, County Auditor FROM: Alvin W. Jones, County Judge RE: EXEMPTION FROM COMPETITIVE BIDDING REQUIREMENTS OF LOCAL GOVERNMENT CODE, SECTION 262.023(c). Please be advised that on this 15th day of February, 1999, at a Regular Session of the Commissioners' Court on which the following members were present: Alvin W. Jones qty Judge Tony Jones Commissioner, Precinct 1 Bill Thornton Commissioner, Precinct 2 Randy Sims Commissioner, Precinct 3 Carey Cauley, Jr. missioner, Precinct 4 The Commissioners' Court has determined that there is a need to purchase office supplies from the following vendor: Engineering and Office Supply and hereby grants an exemption from the competitive bidding requirement, as provided in the Local Government Code, Section 262.023 (c). The Court hereby approves payment, for all purchases of office supplies because purchases of supplies by an individual department are not considered to be part of a single purchase and single contract by the county if a specific intent to avoid the competitive bidding requirements for separate, sequential or component purchases is not present. The Court hereby approves payment for all purchases to the designated vendor during the 1998-1999 fiscal year. FAG MEMO TO: John Reynolds, County Auditor FROM: Alvin W. Jones, County Judge RE: EXEMPTION FROM COMPETITIVE BIDDING REQUIREMENTS OF LOCAL GOVERNMENT CODE, SECTION 262.023(c). Please be advised that on this 15th day of February, 1999, at a Regular Session of the Commissioners' Court on which the following members were present: Alvin W. Jones FjA- County Judge Tony Jones Commissioner, Precinct 1 Bill Thornton Commissioner, Precinct 2 Randy Sims Commissioner, Precinct 3 Carey Cauley, Jr. Commissioner, Precinct 4 The Commissioners' Court has determined that there is a need to purchase office supplies from the following vendor: Brazos Office Supply and hereby grants an exemption from the competitive bidding requirement, as provided in the Local Government Code, Section 262.023 (c). The Court hereby approves payment, for all purchases of office supplies because purchases of supplies by an individual department are not considered to be part of a single purchase and single contract by the county if a specific intent to avoid the competitive bidding requirements for separate, sequential or component purchases is not present. The Court hereby approves payment for all purchases to the designated vendor during the 1998-1999 fiscal year. I ~ FO r.:•-- - ' - __.iJ..:-~..: ~ - .~.L...;d: ......:1.,~...~.~....:.... 5..~.. ,.tea.:.. - - _ _ r1 • • MEMO TO: John Reynolds, County Auditor FROM: Alvin W. Jones, County Judge RE: EXEMPTION FROM COMPETITIVE BIDDING REQUIREMENTS OF LOCAL GOVERNMENT CODE, SECTION 262.023(c). Please be advised that on this 15th day of February, 1999, at a Regular Session of the Commissioners' Court on which the following members were present: Alvin W. Jones County Judge Tony Jones Commissioner, Precinct 1 Bill Thornton Commissioner, Precinct 2 Randy Sims Commissioner, Precinct 3 Carey Cauli Commissioner, Precinct 4 The Commissioners' Court has determined that there is a need to purchase office supplies from the following vendor: Quill Corporation and hereby grants an exemption from the competitive bidding requirement, as provided in the Local Government Code, Section 262.023 (c). The Court hereby approves payment, for all purchases of office supplies because purchases of supplies by an individual department are not considered to be part of a single purchase and single contract by the county if a specific intent to avoid the competitive bidding requirements for separate, sequential or component purchases is not present. The Court hereby approves payment for all purchases to the designated vendor during the 1998-1999 fiscal year. I lY •~i~4~ W01- MEMO TO: John Reynolds, County Auditor FROM: Alvin W. Jones, County Judge RE: EXEMPTION FROM COMPETITIVE BIDDING REQUIREMENTS OF LOCAL GOVERNMENT CODE, SECTION 262.023(c). Please be advised that on this 15th day of February, 1999, at a Regular Session of the Commissioners' Court on which the following members were present: Alvin W. Ja Tony Jones Bill Thornh Randy Sims Carey Cauli County Judge Commissioner, Precinct I Commissioner, Precinct 2 Commissioner, Precinct 3 Commissioner, Precinct 4 The Commissioners' Court has determined that there is a need to purchase office supplies from the following vendor: Office Max and hereby grants an exemption from the competitive bidding requirement, as provided in the Local Government Code, Section 262.023 (c). The Court hereby approves payment, for all purchases of office supplies because purchases of supplies by an individual department are not considered to be part of a single purchase and single contract by the county if a specific intent to avoid the competitive bidding requirements for separate, sequential or component purchases is not present. The Court hereby approves payment for all purchases to the designated vendor during the 1998-1999 fiscal year. VOL I § ,Auk- as r i i i i • • 5 MEMO TO: John Reynolds, County Auditor FROM: Alvin W. Jones, County Judge RE: EXEMPTION FROM COMPETITIVE BIDDING REQUIREMENTS OF LOCAL GOVERNMENT CODE, SECTION 262.023(c). Please be advised that on this 15th day of February, 1999, at a Regular Session of the Commissioners' Court on which the following members were present: Alvin W. Jones County Judge Tony Jones Commissioner, Precinct 1 Bill Thornton Commissioner, Precinct 2 Randy Sims Commissioner, Precinct 3 Carey Cauley, Jr. a ommissioner, Precinct 4 a "7 . The Commissioners' Court has determined that there is a need to purchase office supplies from the following vendor: Office Express and hereby grants an exemption from the competitive bidding requirement, as provided in the Local Government Code, Section 262.023 (c). The Court hereby approves payment, for all purchases of office supplies because purchases of supplies by an individual department are not considered to be part of a single purchase and single contract by the county if a specific intent to avoid the competitive bidding requirements for separate, sequential or component purchases is not present. The Court hereby approves payment for all purchases to the designated vendor during the 1998-1999 fiscal year. W, I K, MEMO TO: John Reynolds, County Auditor FROM: Alvin W. Jones, County Judge RE: EXEMPTION FROM COMPETITIVE BIDDING REQUIREMENTS OF LOCAL GOVERNMENT CODE, SECTION 262.023(c). Please be advised that on this 15th day of February, 1999, at a Regular Session of the Commissioners' Court on which the following members were present: Alvin W. Jones County Judge Tony Jones Commissioner, Precinct 1 Bill Thornton Commissioner, Precinct 2 Randy Sims ommissioner, Precinct 3 Carey Cauley, Jr. ommissioner, Precinct 4 The Commissioners' Court has determined that there is a need to purchase office supplies from the following vendor: Sav-On and hereby grants an exemption from the competitive bidding requirement, as provided in the Local Government Code, Section 262.023 (c). The Court hereby approves payment, for all purchases of office supplies because purchases of supplies by an individual department are not considered to be part of a single purchase and single contract by the county if a specific intent to avoid the competitive bidding requirements for separate, sequential or component purchases is not present. The Court hereby approves payment for all purchases to the designated vendor during the 1998-1999 fiscakyear. ) Aft, jaw ....a-~~. r 1 1 BRAZOS COUNTY COMMISSIONERS' COURT ACTION FORM • • ApprovedglDenied❑ by Commissioners' Court Date: 2 -is-des ! i Alvin W. Jones ounty Judge _ I I DEPARTMENT Road and Bridge NUMBER 560001 DATE OF COURT MEETING: February 15. 1999 ITEM: Request from Wickson Creek Special Utility District to construct a road bore for ate line installation in the right of way of Old Reliance Road. Site is located in Precinct 3. SOURCE OF FUNDS: ----z A I 1. PRESENTATION: A) No work will be permitted between front slope and/or back slope. B) The line shall be installed 1) within 3-5' of and parallel to the right-of-way line and/or 2) in the case of a road bore, perpendicular to the right-of-way line.- C) If clearing of brush, trees and other obstruction is necessary, it shall be the Applicant's responsibility to do so and to remove all cleared brush, trees etc. from County right-of-way. D) Duch line shall be compacted to 90% standard density ASTM-Test Method No. D-698; test shall be conducted by an independent Geotechnical testing firm: copies of all test results shall be furnished to the office of the Bravos County Engineer. E) Construction shall be in strict conformance to the latest Texas Manual of Uniform Traffic Control Devices for Streets and Highways, published by the Texas Department of Transportation, and all other State and Federal laws governing ublity construction. i II. ACTION REQUESTED OR ALTERNATIVES: SUBMITTED BY: APPR D BY' Richard F. Vance, P.E. Commissio Randy Sims County Engineer Precinct CC99-013 REQUEST FOR PROPOSED INSTALLATION IN COUNTY RIGHT-OF-WAY TO THE COMMISSIONERS' COURT OF BRAZOS COUNTY, TEXAS BRAZOS COUNTY COURTHOUSE BRYAN, TEXAS 77803 Formal notice Is hereby given that (applicant)W i c k s o n Creek SUD proposes to place a (type) a t g r l i n e w i f i k P i i e right-of-way of (road) O l d R e l i a n c e Rd. in Brazos County, Texas as follows: The location or description of the proposed installation is more fully shown by 3 copies of the drawings attached to this notice. 1 understand and agree that: 1. The County Engineer must by notified 72 hours prior to the beginning of construction in order that he or his designated inspector may inspect the actual Installation. 2. That all damage to the roadways and rights-of-way will be repaired to their original condition to the satisfaction of the County Engineer. 3. That Brazos County reserves the right to require Applicant to relocate or lower any such line at no cost to Brazos County, should same become necessary due to widening or lowering, or other alteration of the roadway or right-of-way. 4. That Brazos County will in no way be responsible for any damage which might occur to any existing utility lines in the right-of-way. S. That the line will be constructed and maintained on the County right-of-way in accordance with the Utility Accommodation Policy which was adopted by the Texas Department of Transportation on May 29, 1989. 6. That the line or lines will be constructed no less than twenty-four inches (241 lower than the lowest part of the drainage or bar ditch and the drainage is to be considered at least two feet (2) below the center of the roadway. 7. That all sites will be barricaded during the construction period. M 1 i i Construction of this line will begin on or after the 16t day of F e b r u a ry 1 g 9 Firm: HirALon Creek SUD By. Title: General Manager Address: P. 0. Box 4756 Bryan, TX. 409-589-3030 Phone: 409_589-3030 APPROVED BY COMMISSIONERS' COURT ON: O. 4-1 Nor~° z -~s• 9 /2-C, oP- cis-99 . Date f~i2c T 3 Aivin .Jones, unty Judge 8 PAwmed8/27 7 I f i 4 I S t Y . i THE FOLLOWING DOCUMENT IS THE BEST IMAGE POSSIBLE DUE TO THE POOR QUALITY OF THE ORIGINAL • • • N EN833.98' 234.00' - - 221.20+ - -r NT CARRABB INTERESTS 3.30 ACRES ' NOT YET. FILED ?HASE 1__ -------I .50 ACRE ~ I LOT 7 I E LOT 8'' I ; IN 2.02 AC a' 2.01 AC ~ ~ I YI 'I ;I 16' UTILITY EAS MENT I ;I I ~ _ BUILDING LINE ICJ{ ~-~P,ROPOSED 6" WATTERLINE m I i ~y1 • it LOT 2 2.01 AC ` + - `P , EXISTING . I ` ra .1 OWERLIN ; a 20' EASEMENT ' 7--20' UTILITY EASEMENT LOT 1~•' 2.01;AC I ~I II ' ~~1)346g w I i I ` ~S50'06'S3"W-542't 6'56 I1 _'86.77'---89.18' ( -89.45, I ' 0 i~ 0 )Qt I~ ~I ai ,0 3 it v v v i .I 'I 'i 'I y v i V ' I F q GTE PHONE CABLE EXISTING PAVEMENT - 23' W ASPHALT SURFACE TREATME! ~I ' EXISTING 6" WATERLINE 'I .I N .I ' I i 5.42' " I s.47' 1 ' i ,I ' l 4. 3 ~ L1 . F NG R.O.W. RIGHT OF WAY DEDICATION TRAC 0.31 ACRES F C/YD.•' S87'19'497 127.05' R=290.58' A=128.09' 0=25'15 22" t F a OLD RELIANCE ROAD N.T.S. PROPOSED LOCATION FOR ROADVAT BORE FOR WATERLINE ANg[ ROAD z,4 C a PROJECT LOCATION e ~ rm in LOCATION MAP PROPOSED WATERLINE CROSSING AUSTIN'S ESTATES SUBDIVISION OLD RELIANCE ROAD BRAZOS COUNTY, TEXAS 1 .N r ■ + R ' 1I 1'\ 1 0 ~ EXISTING R--O-W EXISTING ROADWAY • L PROPOSED 6" PROPOSED 10" ' PVC WATERLINE OR 12" CASING (60 LF) NOTE. NOTIFY OWNER AND VERIFY LOCATION OF GAS PIPELINE. PHONE CABLE AND OTHER BURIED UTILITY LINES PRIOR TO CONSTRUCTION. PROPOSED WATERLINE CROSSING AUSTIN'S ESTATES SUBDIVISION OLD RELIANCE ROAD - BRAZOS COUNTY N.T.S. 3' MIN. • VO A y EXISTING 6" WATERLINE I a fir. lk pl _i - t 0116. ~ M Mme. ~ti S- t VO AG .