HomeMy WebLinkAboutPR 11694: FOOD SERVICE CONTRACTMEMORANDUM
TO:
FROM:
Mayor and City Council Date: 03/26/02
Dr. Albert T. Thigpen, Assistant Director of Human Resources
Interim Director of Parks and Recreation
Contract with Moncla's Catering, Inc. for Provision of Lunches for 2002
Summer Food Service Program
COMMENT
Recommendation:
I recommend that the City Council adopt Proposed Resolution No. 11694 which
authorizes the City Manager to execute a contract with Moncla's Catering, Inc. to provide
box lunches at a cost of $1.825 per box for the approximate amount of $166,713.75 for
the City's 2002 Summer Food Service Progranx This amount is reimbursable fxom the
Texas Department of Human Services pursuant to the Summer Food Service Program
Agreement previously authorized by City Council.
Background:
The City Council and the City Manager via proposed Resolution No. 11695 are being
requested to authorize application to the Texas Department of Human Services for the
City's 2002 Summer Food Service Program (SFSP) application. Said program provides
lunch meals to eligible youth (18 and under) at various elementary schools and Thomas
Edison Middle School. These schools are also the location of the City's Summer
Recreation Program activities.
The City advertised for bids on March 8, and March 15, 2002 for a contractor to provide
box lunches for the City's Summer Food Service Program (SFSP). Moncla's Catering
Service was the sole bidder. Said vendor has suecessfully provided lunches for the
Summer Food Service Program (SFSP) for the past three (3) years.
Budg¢~:
Adoption of the proposed resolution would require that the City Countil appropriate
funding of the fully reimbursable Summer Food Service Program (SFSP) cost of
approximately $166,713.75.
StaffmgJErr~loyee Effect;
Adoption of the proposed resolution would have no impact on staffing levels.
I recommend that the City Council adopt proposed Resolution No. 11694 which
authorizes the City Manager to execute a contract with Monela's Catering, Inc. to provide
box lunches at a cost of $L825 per box for the approximate amount of $166,713.75 for
the City's 2002 Summer Food Service Program. This amount is reimbursable from the
Texas Department of Human Services pursuant to the Summer Food Service Program
requested to be authorized by City Council.
P.R.#11694
03/26/02/klb
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE A FOODSERVICE
CONTRACT WITH MONCLA'S CATERING FOR BOX LUNCHES AT A COST OF $1.825
PER BOX LUNCH IN THE APPROXIMATE AMOUNT OF $166,713.75 FOR THE
DELIVERY OF LUNCHES TO THE SUMMER FOOD PROGRAM. THIS AMOUNT IS
REIMBURSABLE FROM THE DEPARTMENT OF HUMAN SERVICES SUMMER FOOD
SERVICE AGREEMENT
ACCOUNT NO. 001-1402-551.99-00
Whereas, the City Council of the City of Port Arthur authorized the City
Manager to apply to the Texas Department of Human Services (TDHS) to operate
a Summer Food Service Program (SFSP); and
Whereas, the City of Port Arthur has been approved by the Texas
Department of Human Services to operate a 2002 Summer Food Service Program
(SFSP) to provide nutritious meals to students during the summer, now,
therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR:
Whereas, the number of schools participating in the program is eight
(8)to include Thomas Edison Middle School, commencing June 5, 2002.
THAT, the City Council of the City of Port Arthur hereby authorizes the
City Manager to execute a contract between Moncla's Catering and the City of
Port Arthur, in the approximate amount of $166,713.75 for the Summer Food
Program to be reir~bursed by the Texas Department of Human Services, for the
services of providing bag lunches at a cost of $1.825 to the youth who attend
the Su/~mer Recreation Program, in substantially same form as attached hereto
as Attachment UA".
P.R. %11694
Page 2
THAT this award is contingent on the approval of the City's Summer Food
Service Program application by the Texas Department of Human Services.
THAT a copy of the caption of this Resolution be spread upon the Minutes
of the City Council.
READ, ADOPTED ANDAPPROVED THIS __ day of A.D., 2002, at
a Regular Meeting of the City Council of the City of Port Arthur, Texas, by
the following vote:
AXES: MAYOR:
COUNCILMEMBERS
NOES: MAYOR
COUNCILMEMBERS
CITY OF PORT ARTHUR
Oscar Ortiz, Mayor
ATTEST:
Acting City Secretary
A~PROVED AS TO FO~:
Mark So~k~ ow,~
City Attorney
APPROVED FOR ADMINISTRATION:
Steve Fitzgibbons, City Manager
APPROVED /~ TO AVAILABILITX OF FUNDS:
Rebecca Underhill, Finance Director
STATE OF TEXAS}
COUNTY OF JEFFERSON}
ATTACHMENT "A'
This is an Agreement between the City of Port Arthur, Texas (referred to in the Agreement as the
"City"), ~ MONCLA'S CATERING (referred to in thi.~ Agreemem as MONCLA'S CATERING) MONCLA'S
and the City are Collectively referred to as the "Parties".
RECITAL
The purpose of this Agreement is to state the terms and conditions under which MONCLA'S CATERING
will supply box lunches to the Summer Recreation Program participants at a cost of $1.825 per box lunch with
total estimated cost of $166,713.75.
In consideration of the mutual promises contained in this Agreement, MONCLA'S CATERING and the
City agree as follow:
I.
NATURE OF AGltEk'~IENT
A. The City agrees that MONCLA'S CATERING will deliver 'box lunches' to 8 school locations;
Franklin Elementary, Pease Elementary, Booker T. Washington Elementary, Travis Elementary,
Sam Houston Elementary, Tyrrell Elementary, Wheaties Elementary, and Thomas Edison Middle
School.
B. MONCLA'S CATERING agrees to be responsible for the timely delivery of meals to the sites as
de~-ocribed in Exhibit ~A,, attached hereto and made a part hereof.
C. MONCLA'S CATERING agrees to do all things as stated in the contract (Exhibit "A')t° insure
that the Summer Recreation Program (hereafter called ~said program') is successful and is
reimbursable from the Department of Human Services.
D. The City of Port Arthur does not assume any responsibility for the supervision of said program
prior to on site delivery.
E. It is expressly agreed and understood by ail parties hereto that MONCLA'S CATERING is an
independent contractor in its relationship to the City of Pon Arthur. Nothing herein contained at
any time or in any manner shall be construed to effect a contract of partnership or joint venture
or render any party hereto the employer or master of any other party and or its employees, agents,
or representatives.
H.
DURATION OF AGREEMENT
This Agreement shall be in force from the date of signing by the parties until August 9, 2002.
IH.
TERMINATION OF AGREEMENT
This Agreement may be terminated as is detailed in Exhibit "A~.
INDEMNIFICATION
MONCLA'S CATERING agrees to indemnify, and does hereby indemnify, hold harmless and
defend, the City of Port Arthur, its officers, employees, and agents from and agaln.~t any and all liability,
loss, clamages, expenses or claims for injuries to persons or property of whatsoever kind or character,
whether real or asserted.
SIGNED IN DUPLICATE ORIGINALS, this the . day of 2002.
CITY OF PORT ARTHUR
ATTEST:
BY:
STEPHEN FITZGmBONS
CITY MANAGER
CAROLYN DIXON
CITY SECRETARY
ATTEST:
MONCLA'S CATERING
BY:
REPRESENTATIVE
MONCLA'S CATERING SECRETARY
d.S.G^~ u. O~T]Z, MAYOR
FELIX A. ~ARKER, MAYOR PRO-TEM
· C0UNCI~ MEM6ERS:
CRAIG HANNAH
THOMAS J. HENDERSON
TOM GILLAM, III
REV. RONNiE LINDEN
BOB 80WERS
ROSE MITCHELL CHAiSSON
RO6ERT E. ALLEN
City of
EXHIBIT "A"
Texas
STEPHEN FITZGIB6ONS
CITY MANAGER
CAROLYN DIXON
CITY SECRETARY
MARK T. SOKOLOW
CITY A]-i'OR NEY
INVITATION TO BID
March 15, 2002
Vendors:
Sealed Bids, subject to the General Instructions, Conditions and Specifications, as
provided will be addressed to the City Secretary of the City of Port Arthur, Texas in
DUPLICATE.
Sealed BIDS shall be received no later than 3:00 P. M. March 25, 2002 at the City
Secretary Office and all bids received will thereafter be opened and read aloud on March
25, 2002 in the City Council Chambers, 5th Floor, City Hall, Port Arthur, Texas for the
following:
SUMMER FOOD PROGRAM
BIDS SHALL BE PLACED .IN A SEALED ENVELOPE, with the bidder's name and
address in the upper left-hand comer of the envelope. FACSIMILE TRANSMITTALS
SHALL NOT BE ACCEPTED.
BIDS MUST BE submitted on the pricing form included for that purpose in this packet
and SIGNED BY A PERSON HAVING THE AUTHORITY TO BIND THE FIRM IN A
CONTRACT.
MARK ENVELOPE: FOOD
Sealed Bids shall be submitted:
CITY OF PORT ARTHUR
CITY SECRETARY
P. O. BOX 1089
PORT ARTHUR, TX 77641-1089
CITY OF PORT ARTHUR
CITY SECRETARY
444 4TH STREET
PORT ARTHUR, TX 77640
ALL BIDS MUST BE RECEIVED IN THE CITY SECRETARY'S OFFICE BEFORE
OPENING DATE AND TIME.
RO. BOX 1089 · PORT ARTHUR, TEXAS 77641-1089 · 409/983-8115 · FAX 409/983-8291
Bids received after the closing time specified will be returned to the bidder unopened.
Award will be made as soon as practicable after opening. To obtain results, or if you
have any question, please contact Clifton Williams at the City of Port Arthur Purchasing
Office, at (409) 983-8160.
The City of Port Arthur reserves the right to reject any or all Bids and to waive
infonnatities or defects in bids, or to accept such bids as it shall deem to be in the best
interests of the City of Port Arthur.
Sincerely,
SUMMER FOOD SERViCE-PROGRAM INVITATION FOR BID AND CONTRA, CT
SECTION A ,.. . ' ~ .. · · '
SPONSOR
NAME
CITY OF PORT ARTHUR
1308 9TH AVENUE
PORT ARTHUR TX 77642
OONTRACT DATES
JUNE '-"~, 2002
~XP I:IAT ~C'~q
AUGUST 9, 2002
B~ FfgC~NTAGE REOU~O (Spon~0r s*~ll ~er~
~eo~te ~rcen~ fr~ 5Y. to 10Y. I
~ BID OPENING
BO I~SLE DATE -'~ER
DATE
TIME
LOCATICH
CITY OF PORT ARTHUR
CITY HALL 444 B~H STREET CITY.SECRETARY OFFiC
PORT ARTHUR TX 77640
SPONSOR TO Et, ffER EST~AYEON-~tB~O~M~ALS. FIXEObiNff
PRICE BOS TO BE I'ASERTE0
BREAKFAST $, X__0 S.
SNACK S X 0 s
EST~4ATEO "/OT AL S
PROMPT PAYMENT OISCOUNT (To b~. ~'~erted by the bidder)
[' I o o %l ~ p~,~-.t ~h~, I .,,'5 ~ d~ I
:PERFORMANCE BO~qO P~RCEN'TAGE PfOU~O (Stale agenc'~ ~1
STREET ADC'RESS (t~:lu~ City, Slate, Zip Cr_~:~) .
BIDDER~
TITLE
ACCEPTANCE
C~\q'RACT ~[R ' ' ] 5PO~ ~OR
$P~';SO~ S ~IAT~ TffLE
SEO'TION.S
O~TIFIOATE OF I,~JDEPENDEN9'
PRIOE D~ i r-~MINATION
The pdc~ In this' of/er h;ve been arrived
st lndependentJy, wlt~o~ consultaUon,
communlc~on or agreemenL for ~e
~o~e of ro~l~ng companion,
~s to tony mm~r re,sUng to ~uch prlce~
wl~ ~ny other off~ror or
(1)
(2~ Unless 'otherwise r.~quired by law, the
prices which have been voted In l~Is
offer have not besn knowingly disclosed
by ~a offeror and will not knowingly be
diseased by the off.or prior to
opening In the c~s~ of.~n mdve~bed
procuremenL or prier to ~w~rd In the
case of ~ negotiated pEocurement,
direly or Indlre~ly to ~ny other offeror
or ~o any compeUJor;
(3) No.'~em~ b~s been m~de or will b~ m~de
by ~ offeror to Induce ~ny person or
~ to submit or not ~o ~ubml~ an of/er
for the purpose of re~rlmin~
comp~tlUon.
63) Each person, sl~nlng thl~ offer certifies th~'
(1) H~ or ~he Is ~e per;on In the off~ror'~
orgonlza'don.respon:lbls vtJthln th:t
organization for th~
prices being offered herein ~nd
~t he or Jhe hms not
p~dlclpst~d, ~nd will not padlclp~te, In
any mmlon contr~ to (A) (1)
~hrough (A) (3) ~bov~; ar
He or she la not th.- persori In the
offeror's orgenlzstion responslble
within that organization for the decl~lon ~s
to the prices b~lng offered herein, but that
he or she has been authorized In writing to
act aa agent for the persons responsible
for such decision In certifying thet such
per~ons have not p~dlclpated ~nd will
not padlclpmt~, In ~ny ~mlon contrary ..
to (A) (1) though (A) (3) ~bove, ~nd ~s:
their ~g~nt does h~reby so ce~ify;
and he or she h~s not p~iclpat~d,
~nd will not padfclp~te, In ~ny ~ctlon
contrary to (~ (1) through (a) (3) above.
S~'~TUP-E OF [VENDORS AUTFZ]P,g~EO ~ J
RE P~J S~,~rr AT IV E ~ I ~ . . D~TE
In ~cceptlAg thl~ offer~ the sponso~ ce~lfles' that the sponsor's officers, employ~s or ~gents have'n~
taken -~ny a~lon which m=y have Jeopsrd[z~d the Independence of the offer referred to above.
(Accepting a bidder's offer does not constlttrte acceFtance of the conb-act3
NOTE: Sponsor and Bidder s,h'.*ll execute this Certificate of Independent Price De:ermine:ion.
.... |NSTRUCTJONS TO BIDDEt{~
.SECTION C
1. Defln~ona
As u~d herein:
Bid - the .bldder'a offsr;
Bidder - a food service manIgement
company submttting a bld In response to
this Invltaton for bid.
(c~ Contr;,ctor - a successful bidder
who Is awarded a COnb'act by a S>ponsor
under the SFSP.
(03 Food Servl~e Management Company - lay
commercial enterprise or nonprofit organization
with which a sponsor may contract for preparing
unltizad meais, with or without ~1~, for use In the
Program, or for managing a aponsor'a food
service oporations In accordance with the SFSP
regulations. Food service management companies
may be: (a~ Public agencies or entitles; (b) private,
non-profit organizations; or (c) priwta, for profit
companies.
(e) Invitation for Bid QFB) - the document
where' the procurement Is advertised. In the casa
of this Program, the IFB becomes the contract
once both parties agreo In writing to all terms end
conditions of the IFR.
(f) Sponsor - the Service institution which
Issues this IFB.
(g) Unitized Meal - an indivldual preportloned
meal consl~tlng of a combination of foods
meeting the SFSP pattern requirements, delivered
as a unit,with or w]thout mille or Juice. The State
agency 'may approve exceptions to the unitized
meal such as ~eparate hot and cold packs.
Other terms shall have the meanlngs.es~ribed to
them In the SFSP regulatons (7 CFR Pa~t.225L
2. Submlsslon of Bids
(~) Bidders are expected to examine carefully
the specifications, schedules, attachments, terms
and conditions of this IFB. Failure to do so will be
at the bidder's risk.
(b) Bids must be executed and submitted In
triplicate '. If accepted, this IFB will become the
contract~'mnd't~na copy of the contra~t ~111 be
forw~ded'.to tho successful bidder wl~ ,the
notice of award. The copy marked 'original* will
be governing .:hould there be a variance between
that copy of the bid and the other two copies
submitted by the bidder. No changes In'the
specifications or general conditions are allowed.
Erasures on ail copies mu~t be Initialed b~ the
bidder prior to submission. Failure to do aa may
resuE In rejection of tho bld.
(c) Bids over $100,000 shail Include a bid
bond In the amount of, N/A % of
bid price. (Sponsor shall Insert appropriate .
percentage from 5% to 10'4. Sponsor should also
insert this percentage on the IFB/Contract Face
Sheet. Only those bonding and surety companies
contained In the currant Treasury Circular 570
may be used to obtain the required bonding. The
Treasury Circular Is published annually, for the
Information of Federal bond-approving officers
and persons required to glve bonds to the United
States. All certificates of Authority expire June
SO, end are renewable July 1, annually..
Bid bonds will be returned (~ to unaucceaafu[
bidders es soon as practicable after the openlng
of bids and (b) to the successful' bidder upon
execution of such furlhar Contractual documents
end bonds es may be required by the bid es
accepted. The bid must be securely sealed in a
sultabte envelope, addressed to the office issuing
the IFB and marked on the outside with the name
of the bidder, bid number and date and tlme of
opening.
(d) A copy of a current State or local hearth
certificate for the food preparation facilities shall
be submitted with tho bid.
Failure to comply wlth any of the above shall be
reason for rejection of the bid.
:3. Explanation to Bidders
Any explanation desired by a bidder regarding the
meaning or interpretation of the IFB specifications,
etc., must be requested In writing prior to bid
opening and with suff[cl~,nt time allowed for a
reply to reach all bidders before bid openlng. Oral
exp[anatlons or Instructions given before the
oward of the contract will not be binding. Any
Information given to ~ prospective bidder
Pace 3
b~fo~on would bo ~oJudld~:~ unlnfo~od
bldd~
~. A~nowl~ of Am~dm~t~ ~ IF~
~o ~n~r mu~ ~nowl~ge ~ of
~n~dm~t.~ ~ IFB by ~ bldd~ by ~gnlng ~d
r~ln~ ~ ~dm~[ ~ a~nowledgemont
mu~ b~ re~v~ ~or to,~e hour ~d
~fl~ for bid
If ~ore ~ ~e bid I~ su~ by ~y one
~n, by or In ~m n~a of a d~,
B. ~m~ for Re~v~ng Bids
Sealed bids ahall I:~ deposited at the Sponsor's
addr~ no later th~n the exact ttma ~d data
Indlcated on the face of this IFB. Blda received
prior to th'e time of opening will be securely kegt,,
unopened.
7. Errors In Bide
Blddar~ '~f their authorized rapreaanta*Jves are
expected to fully Inform themselves as 1~3 the
conditions, requirements and apsdflc'ation$ before
'submitting bids; f-~lure to do aa will be at the
bidder's own risk I~d relief cannot be secured on
the plea of error.
Award of Contract
(~) The co~rsct will be awarded to that
responsible bidder whose bid Is lowest I~d
conforms to the apeclflcationa of the IFB.
(b} The S'poneor reserves the right to reject
any or ali bids and to waive lnformsl~es md
minor lrrogutadUes In bids received.
{c) The Sponsor reserves tho right to reject
the bid of a bidder .Who previously failed to
perform properly, or complete on time, contracts
of a simllar n~turo,'o.r'tho bid of a bidder who
Inva~tlg~t. lon shows Is not In a poslt~on to
perform bhe contra~t
(~ Spcn:or ra:ervo: [:e right to =ccept any
bld ~lbh~n ~0 d~y= from ~ d~to of bid opening.
9. B[ddsr RosiCrUCian
Bldder~ rnu~ b~ regl~ered by ~ho Stat~ In which
~ sm~cs't~ to'b~ pedaled. Bids from bidders
who are not Yegl~ored ~ provided for In So,ion
2~.~g) of the reg~afl~t governing ~e SFSP
will not bo considered fcr award. The Vendor
a~a~ a copy of tho St~e's regl~raflon
d~e~in~on.
10. L~te Bldst Modlflcstlon of Bids or Withdrawal
of Bids
{~ Any bid received after the exact tlme
=pacified for receipt of blds will, not be '
considered unless It Is received before sward Is
mede, and It wsa sent by registered or certified
mall not later than the fifth calendar day prior to
the specified date (e.g, a bid submitted In
response to an IFB requiring receipt of blds by
the 20th of the month must have been mailed by
the 15th or earlier).
{b) Any modification or withdrawal of bid Is
subject to the same condlUons as In (~ above,
except that withdrawal cf bids by telegram la
authorized. A bid may also be withdrawn tn person
by a bidder or an authorized representative,
provided identity la made known and he Or she
signs a receipt for the bld, but only If the
withdrawal ts made prior to the exact time set
for receipt of blds.
(c} The only acceptable evidence to establish
the date cf maillng of a late bid, modifications or
withdrawal sent either by registered or certified
mall Is the U.S. Postal Servlce postmark on the
wrapper or on the original receipt from the U.S.
Postal Service. If neither postmark shows a legible
date, the bid, modification or withdrawal shall be
deemed to have bean m~I[ed late. (The term
'postmark' me~ne a printed, stamped, or otherwise
placed Impression that ts readily Identifiable
without further action es having been supplied and
~fflxed.-on the date of mailing by employees of
the L~.S.' Postal Service).
(d) Notwithstanding the above, a late
modification of an otherwise successful bid which
makes Its tetras more f~vor~bl~ to the Spon~or
will be considered.at any time I~ Is received end
may be accepted.
J L~,'-]iT PR ~ .$OHEDL,q.E A%~ ]?-~TRUOTION"S "
1. E~ddor= ~r~ ~kod to eubmlI prlc-a~ In
ecc~ '~tth Schedule(~j D for ms~
~ n~a'~ blddar~ mu~ com¢~a a
~ul~ D for ea~ meal t~.~re~fa~ lunch,
"S~n~or ~hould I~lc~ whaler or not milk
~hguld be Indudsd In ~¢ msml¢;upeements.
Z Evalu~on of bids will be pa~o~ad ms ,
fol[ow~:
D~e~ln~ ~ grand total bld for each.bldder
by totaling ~s bids for e~ch m~ml t~s from
S~dul~ D. ~dd~; calculations will b~ chac~ed
prior to totalling.
S. F~ng shall be on the menua deacrlbed In
Schedule B. All bidders mu~t aubmlt bids on the
eame menu cycle provided by the Sponsor.
'Devl~lon from this menu cycle shall be pe~ed
only upon a~horlzatlon of the Sponsor. Bid price
mu~ Include the price of food components
0nciudlng'mll~ and/or Juice, If p*~ of un,zed
me~, packaging, ~anspo~on and all o~er
-related .costs (o.g.condlmants, ~ensils, ~cJ.
The un~ pd~s of each meal t~ which the
bldJsr agrees to furnish mu~ be W~en ~ Ink or
t~ed In the blank ~pmce provided and mu~
Inciud~ proper p*ckaglng as required In the
speclflc~lons and d~llvory co~ to the designated
sites. Unit prices shall Include taxes, b~ any
charges or taxes which are required to be paid
under f~ure laws mu~ be paid by the bidder at
Eo additional'charge to the Sponsor.
4. Average Dali7 Number of Meal~ are estimated:
They are tho be~ known e~imateS for
requ)rements during the op~mtln; period. The'
Sponsor reserves th~ right to order more'or less
~e~ls than e~Im~od st the beginning of the
op*r~lng period. Contra~or wlll be paid at the
10~ unit co~ rate during th~ pa~ont"~e~lod
specified. ~he Sponsor should Ind[cm[e In Se~ion
F, ~4, 'Method of Pa~ent,' wh~h*r the payment
~dod I~ to be w~pkly, bi-weakly or month)yJ
onset does..not guarantee orders for quantities
shown~ The m-~xirnum number of meals ~lll be
d~e~in~d based on ~ mpprowd la'el of meal
· a~l~ d~lgnated-by ~ ~d~nl~'rlng office for
ea~ ~ ~o~lng m~)~ provided by th~
con~a~or. HOWeVer, m~ t/arlg~ ~a)s d~liVered
p~r day by t~o owr th* con~a~ period fail
below 9~ of th~ appilc~l~ nvorag~ dally
e~mat~, adju~ments will be made to th~ per unit
pdcs In accordanc~ with ~cheduls D.
5. Evaluation of Bl~der~: Each bidder will be
ewiuatsd o~ ~a following fa~or~:
a. Evld~nc~ that bldder ts registered by the
State wh~re the s~Ic~ I~ t¢ be performed and
I~ rsgl~erad to d~llver at I~a~t the number of
meals a~tlmated to b~ required under the contract.
b. FIn~ncial capability t= perform a contract of
the scop~ required.
c. Adequancy of pla~ fadlltles for food
preparation, with approved license certification
that facilities meet ali applicable State and local
health, safety and sanitation standards.
d. Previous experience of the bidder In
performing services slmllar In nature and scope.
e. Other factors such as transportation
capability, sanitation, and packaging.
B[dders that do not satisfactorily meet the
above criteria may be rejected as nonresponslve
and not be cons)dared for award.
6. Meal Orders Sponsors will order meal5 on ""
- of the week preceding the
week of delivery; ordera wilt be placed for the
total number of operating days In the succeeding
week, and will Include breakdown totals for each
site and each type of meal.
The Sponsor reserv~ the right to Increase or
decrease the number of meals ordered on n
hour notice, or less If
mutually agreed upon between the parties to this
°° Inser~ mul~ally agreed day.
°~° Sponsor shall Insert appropriate number.
Page
"" = "' ' 'SOUP.--OF S~--R¥]OE£
S.EOTION D
A. USOA regul~ons 7 CFR Pa~ 225, entitJ~d Summer Food Sa'~'lce'program Is h~r~by lnco~or:[ed by
re~an~. ·
~. Con~tor ~r~ to d~Uver un,zed m~:" I~;CLUSIVE 0¢ ml[k or Jube to Ioc~[ons ~et o~ I~
~edule'A, ~:~ he~s ,nd m~d~ a ps~ h~eof, :ubje~ to ~ te~: ~d condIMons of
'. =oll~t~on.
~. AU m~1% fu~1~ed mu~ me~ or exce~ USDA requlremen~ s~ o~ In Schedule C, ~che~ heret~
FJod Se~1c~ Man~gem~nt Oompsnles m~y prepare unitized meals, w~ or wltho~ mIl~, for'use in
Summer Food.So,ice Program.
D. ContriVer ~hall furnish meals ~s ordered by the Sponsor during the period of ~ ~
to ~ Meals are to be ~e~ed w~ 5 days m we~, as ~peclfloJ In
Schedule A. -
° InserI" Inclusive" or "excluslva" ~s'~ppllcable,' '
°° Sponsor LshaU .insert contract corr!mencemant..date an'd.explratlon data.
°°°Sponsor shall Insert appropriate number of
'7. b~,esJ-O¥cia Chan~a Procedure . Meal: will bb
· dellvered on a daily ba:l~ In accordance with the
re, eau cycle which appears in Schedule B. Menu
ch~ges may be mede only wh_.en agreed upon by
both p.lJ-ties. When .~ ~merl~Yicy stiu~don exlsts
which might prevent the contractor from
delivedng'a specified meal component, the
Sponsor ~h~II be notified Immediately aa
aubstJtu-Uona c~ be agreed upon. The Sponsor
re~rv~ the right to suggest re'eau changes within
~e .vendor's suggested food co~ periodically
throughout the ceeb'act p~rlod.
8. _Noncompll.~ncs. Tho Sponsor reserves' the right
to Inspect and determine the quality of food
delivered and reject any meals which do hot
comply with the requirements and sF~ctflcatlons
of the cont~acL The ceeb'actor will not b.~ psld
for unauthorized menu changes, Incomplete meals,
meals not delivered within the specified delivery
time period, and meals rejected because they do
not comply with the speclfl¢CJons. The Sponsor
reserves the right to obtain meals from other
sources, If meals are rejected due to any of the
·teted reasons. The contractor wlll be r'~sponalble
for any excess co~ b~ wlll recelve no
adjustment In the event the meals are procured et
lesser co~l. The Sponsor or Inspecting agency
shall notify the corrtract~r In writing as to the
number of meals rejected and the reasons for
rejections,
The SF~P regulations provide that etsUatlcd
sampling methods may be used to disallow
payment for meals which are not served In
compliance with Program regulstlons. In the event
that disallowances are made on th~ basis of
statlsUcel sampling, the Sponsor and the
· contractor will be notified in writing by the
administering agency as to the number of meals
disallowed, the reasons for disallowance, and the
methodology of the 'statistical sampling procedures
employed;.
9. Specifications.
A. Packaging:
1. Hot Meal Unit -- Package suitable'for
mslntslnlng meals in accordance with local health
standards. Contalner and overlay should have an
air-tight c[osure, be of non-toxic material, and be
capable of withstanding temperatures of 400
degrees (204 degrees C) or hlghar.
Cont.~ner mad c t~y to bo placdc or p~par and
no n'-'to xlc.
3. Cartons -- Each carton to be labeled. L~bel
to Include:
a. PFoces,~or's name and address
b. Item Identity, meal type.
c. D~te.of production. '
d. Quantity of Individual units per carton.
4. Meals shall be delivered with approprlete
nonfood Items: condiments, straws for milk,
napkins, single service ware, ~tc. Sponsor shall
Insert the types of nonfood Items that ere
necessary for the meals to be eaten:
STRAWS FOR MILK~ NAPKINS
b . Food Preparation:
Meals shall be prepared In sccordanoe with State
and local health standards.
c. Food Specifications:
Bids are to be submitted on the menu cycle
Included In Schedule B; and portions shall, es a
minimum, be the quantities specified by USDA for
each component of each meal, es Included In
Schedule C of this contract.
All meals tn the menu cycle must meet the food
specifications and ~atlty standards. All meat and
meat products, shall have been slaughtered,
processed and manufactured In plants Inspected
under USDA approved Inspection program and
bear the appropriate seal. All meat and meat
products must be ~ound, sanitary end free of
obJ'ectlonable odors or signs of deterioration on
delivery.
Milk and milk products are defined as
'-pasteurized fluid types of flavored or unflavored
whole milk, low-fat milk, skim milk or cultured
buttermilk which meet State end local stahdards
for such milk_ All milk should contain vitamins A
end D at the levels specified by the Food end
Drug Administration and conslatent wlth State and
lace) standards for such milk.' Milk delivered
hereunder shell conform to these specifications.
.SECTION F
-'- 'G~ CO~DITIOiLLS
1. D~lver~ R0q~Jlrs~m~ta
B. Meads a~e to be c~ellverad daily, unloaded,
c~d pieced In the designated location by the
contractor's personnel at each of the I~te~
tim~ listed In Schedule A.
C. The contractor eh=II be responsible for,
d~llvery of all mea~ and/or dairy products It the
specified tJme..Adequ~te refrigeration or hea'dng
eh&l[ be provided during delivery of ~i food to
In*~re the wholesomeness cf food at delivery in
ecc~rdance wP~h Stale or local health codes.
D. The Sponsor reserves' the right to add or
delete food service sites by amendment of the
Initial llst of approved sites In Schedule A, and
ma~e changes In the approved level for the
maximum number of meals which may be served
under the Program at each slte (e~rtablished under
Sec~Jon 225.D(d)(2~ of the SFSP regul~tions). The
Sponsor 'ii{all notify the contractor by providing
an unendment to Schedule A, of all sites whic~
&re approved, cancelled, or tar=In=led subsequent
to acceptance of this contract, Ind of any
changes In the approved level of meal service for
a site. Suc~ amendments =hall be provided within"
48 hours or less.
Supervision and Inspection
The contractor =hall provide management
supervision at ail times and maintain constant
quality centre] Inspections to check for portion
size, appearance and packaging, In addition to the
quality of products.
3. Recordkeeplng
A. Delivery tickets muet be prepared by the
contractor at a mlnlmum In three copies: one for
the contractor, one for the site p~raonnel and one
for the Sponsor. Delivery tickets must be Itemized
to show tho number of me=la of each type
delivered to %~ch %lte. Designees of the 'Sponsor
at each site will c. hec~ adequacy of dellver~"and
mo=is before signing the delivery ticket. Inv01ces
shall be a~sd .by ~ Sponsor only f signed
B. The contra~or %h~I maintain records
suppoMed by delivery flck~s, Invoices, receipts,
pur~mse orders, produ~on records for ~Is
con~a~ or o~er evidence for In~pe~lon md
reference, to suppoM parents and clalm~.~
C[ ~e books ind records of the contractor
pe~nIng to ~1~ ~n~a~ shall be available for a
period of ~ree years from the'date of~'='"' '
submission of the Sponsor% final claim for
relmburssmen~ or until ~e final rmolu~on of any
audits, for lnspe~on ~d audit by representatives
of ~e State agency, representative of the U.S.
Depa~ment of Agriculture, ~a Sponsor and the
U~. GanmraI Accounting Office at any reasonable
time and piac~.
4. Method of Payment
The contractor sha!l submit Its Itemized invoices to
the Sponsor "~ WEEKLY In
compliance with Section 225.8(hX2XIv} of the SFSP
regulations. Each Invoice shall give a dst=fled
breakdown of the number of meals delivered at
each alta during the preceding period. The '
Sponsor shall calculate the average number of
meals delivered each day for the appllcabl~ period.
Payment will be made at the unlt price shown for
that range. Each payment period will be calculated
and paid for Independent of other periods.' No
payment shall be made unless the required .delivery
receipts have been signed by the slte
repreaentstlve of the Sponsor.
The contractor =hall be pald by the Sponsor for
all meals delivered In accordance with {his"
contract and SFSP regulations. How,9.ver, neither
the Department nor the State .agency assumes any
liability for payment of dlffer6nces 'betw6e'n the
number of mea~s delivered by the :~'o'~traclt~r and
the number of meals served by the Sp~n'~0r that
are eligible- for reimbursement. :-,
lnsel/ rr'cJIuaIIy agreed upon r~Jmber.
Sponsor shall Inset[ I'we~kly", "bl-wsCxly" or "'monthly".
A. The Sponsor, the State agency ~nd USDA
fa~ldos w~o~ nodc~ ~t any ~m~ dudn~
con~ ~rlod, Inciudlng th~ rf~ht to b~ present
during pr?~r~Uon ~nd d~llw~ of
2~riodlc In~p~on~ by St~ ~nd local
dgp=~nt~ or ~ny o~r ~g~ncy d~lgn~tsd to
In~ 'm~l qu~llty for ~ ~t~. Thl~ will b~
~ccompllshgd In s~ord~c~ w~ USDA
r~gula~ons.
C. The contractor shall provide for me, Is
which tt prepares to be perlodlcally inspected by
'the local health department or an Independent
agency to determine bacterial levels in th~ meals
being served. Such leve~s shalJ conform to the
· tend~rds which are applied by the local health
authority with respect to the level of bacteria
which may be present In meals served by other
es~abI[ahments In the locality.
6. Performance Bond Requirement
The successful bidder shalJ provide the Sponsor
w~th a performance bond In the amount of
~ '~/A % of the contract price. The bond
she'll be. executed by the contractor and e licensed
surety '~dmpsny listed In the current Department
of Treasury Circular 570. Only those bonding and
surety companies contained In the current
, Treasury Circular 570 may be used to obtain the
requlre.d bonding. The Treasury Circular is
published annually, for the InformaUon of Federal
bond-approving officers and persons required to
give bonds to the United States. Ali certificates of
Authority expire June SO, end ere renewable July
1, ennu ally.
The bond shah be furnished not later than ten
days foilow!ng award of the contract
State agencies will furnish sponsors their ~tate
Insurence requirements to Insert herein.
8. Avaliablllt/of Funds
The Sponsor reserves the right to cancel this
contract If the Federal funding to support the
SFSP I; withdrawn, tt Is further undm'~ood thsL In
the event of c~cell~cn of ~e ~n~
Spon~or :h~ll be re:pon:ible for me~l: ~at have
already been ~s~embied ~d delivered In
accordance with ~I~
~. Numbed'of ~e%l~ *nd Oellve~ Ttme~
The contrm~or mu~ provide exa~ly the number
of meal$ ordered. Count~ of meai~ will be made
b~ ~e Spon~o'~ ~[ ~II ;Its: before meal:
~cc~pt~d. D:m~ged or Incomplete meal: will not
be Included when th~ number of dal[wred
1~ detemlnad.
10. E~mergencles
In the event of unforeseen eme~'gency
circumstances, the contractor shall Immedlately
notify the Sponsor by telephone or telegraph of
the following (1} the Impossibility of on-time
delivery; (2) the circumstances[a) precluding
delivery; and (3) a ~tatement of whether or not
succeeding deliveries will be affected. No
payments will be made for deIlverles made later
than """"~.. 1 · .'-: '.
- hours after speclfied
meal tlme.
Emergency circumstances at the site precluding
utJilzation of meals are the concern of the
Sponsor. The Sponsor may cancel orders provided
It gives the contractor at least
24 hours notice or less' If
mutually agreed Upon between the parties to this
contract.
Adjustments for emergency situations affecting
the contractor's ability to deliver meals, or
Sponsor's ability to utilize meals, for periods
longer than 24 hours will be mutually worked ou~
between the contractor and Sponsor.
11. Termination
A. The Sponsor reserves the right to tel'miners
this contract If the contractor fails to comply with
any of the requirements of this contract. The
Sponsor shell notify the contractor end surety
company, If applicable, of specific Instances of
noncompliance In writing.
The Sponsor shall have me right, upon such
written notice, to Immediately terminate the
contract and the. contractor or surety company, If
°°° Insert percentage recTdifed by the State, t:x.J-t not less than 10~ of the Contracl Price and not
more than 25~.
°°~° Sponsor shah sot time In cccordance with Slate agency Instructions.
..... Insert same humber as In Section F-1.D. on page 8.Page 9
. by ~a Sponsor. Prior to t~....n~don, ~
~l'~n~ ~e ~a ag~W ar r~ton~l
' '~n~lng ~o~dur~ for ~nd~ng ~ ":'
r~o~rem~t ~on.
B. ~o S~n:or rr~y, by W~en ~UOe to ~e
~n~or, ~a~ln~o ~o.fight of ~ ~n~or
~ ~o~d undor ~1~ ~n~a~ If ~ I~ found by
~t~nmonL ~1~ or o~0~zl~m w~r~ o~red or
g[~ by ~o con~a~or to any offi~r or
em¢o~o of ~e Spon~or wl~ s view toward
trePanS w~ rospe~ to ~a awarding or
~endln9 of ~e contra~ provided ~t ~e
exl~en~ of ~o f~s upon whl~ ~e Sponsor
makes su~ findings sh~l be In h=ua ~d may be
r~viow~d In any comment cou~
C. In ~e event this contra~ Is te~lnated as
providsd In paragraph ~) hereof, ~e Sponsor shall
be ended ~} to pur;ue the same remedies
the ~n~m~or as E could pursue In the event of
s breach of ~e contrm~ by the contra~or, and
as a pen~ty In addition to any other damages ~
an ~ou~ whl~ shall not ba less ~sn three nor
more than ten flm~ ~e costs Incurred by the
con~e~or In providing any such ~ratuitles to any
such officer of employee.
D. ~ rights as~ remadl~s of ~e Spon~or.
provided?th ~ls clause shall not be exclusive and
~re In a~ditlon to any other Hghts and remedies
provided by l~w or under this contra~
1Z Subcontra~ors and AsslQnments
Th: con,actor shall not subcontract'for the total
meal, or for the a~semb]~ of the meai; and shall
not assign, W]~out the advance wH~en consent of
the Sponsor, this contra~ or any Int~re~ therein.
Jn the event of an~ assignment, the ~ntr~or
=hail remain liable to the Sponsor as principal for
the pe~o~ance of all obligations under this
contra~
;~EOTION .G "
If thl* Contract la In excess of $100,000, the
Sponaor and FSMC =h~l comply w~ all appll~bla
~andard~, orders, or regulations J~sued pur*uant
to ~e Cle~ Air A~ of lg70 (42 USC 185~, or
~e Federal W~er Poll~on ~ntrol A~ (33 USC
131~, ms amended,
U.S. DEPAXT-IVIE-NT OF AGPdfCULYIJR_E '
omnI.m.~ ~,xcl~$~on.- L~r ller Co,'er'ed Transactions
ThL~ c~rtlflmtlon 1~ r~qui~d b~v tht r'~-ulatlons implementing ~:~tf~ Order I~9, ~Mm~t ~nnd
Sus~niion, 7 CFR P=a 3017, S~o~ 3017~10, Pa~clpa~'
ui ~ ~'~[lh~Janu~30, 19~,Fedeml R~st~r (~g~s 47~4733). Copie~ ofth~ ~u~tlons~ny:~
obaln~d b~ conac~ng the ~ent of ~ltu~ n~n~ ~dth which thls truncation odglnat~d.
(BEFO~ CO}~G ~R~ON,. ~ INS'fKU~ONS ON R~E)
I l ) ~ pms~iv~ Io~r tt~r ~ct~n: ~lfi~s. by submission of thls proposal, that n~ith~r it nor
i~ p~ncipals ii p~ently d~M~d. ~u~nd~d, ~roposed for d~ba~ent, dech~d in~llgibl~, or
¥oluntafi[F ~xcluded from paaicipation in this transaction by
%~e~ th~ pros~ab'e lo~r tier pn~ici~nt is unabl~ to cealfv to nn~ of the s~tem~n~ In thi~
c~aifi~tioa, ~uch pros~tiv~ paaicipaat shall ~tmch an expl~nation to this proposal.
PR/A~rfl Numi~r oe Pr~j~-~ Nam~
For'm .M3-1C-I,~ (1/92)
lnstruct'~ou$ for Certification
1. By sliming nnd *ubmtV. lng thLs form, the prost:~ctlve Ic~a~r tier parfldpant la providing thc c~rtlfic~tlon
set out on the reverse side In nccordaac~ with the'se instructions,
2. .. The c~rtlfic~tlon in this clause 1~ a material repro:oration of fa~t upon ~hl~ ~l~m~
this transaction ~s ent~xd Into, If It Is later dctcmined that the prosily: l~r tier paald~nt
~nde~d an e~neous c~alfi~tlon, in ndditlon to other ~medies n~ilabl~ to the F~deml Gov~mmen~ the
depa~ment or ngen~ ~th ~hlch this transaction orlginnted may pu~ue ~ilable r~medi~, Including
sus~nsion and/or deba~ent.
3. Thc prospective lo~-~r tier participant shall provide immediate written notic~ to the per, on to which this
proposal is submitted If nt any time the.~praspective lower tier participant learns that its ccrtilication was
erroneous when submitted or has b~come erroneous b.v ronson of changed clrcumsLnnc~s.
The terms 'covered tr'ansactlon.'.*dcbar~ed,' 'suspended," 'ineligible,* 'low~r tier covered transaction."
*patti:SpooL' *person,' "primar7 coy:rod transaction.* 'p~inclpal,* *proposal,' and 'voluntarily excluded,* as
used in this clause, have the meanings set out Jo the Definitions and Coverage s~ctlons ofral~ implementing
Executive Order 12549. You may contact thc person to which this propo, snl is submitted for assi~tance in
obtaining a copy of those regulations, .
5. The prospective lower tier participant agrees by submitting this fonia thuL should the proposed coverod
transaction b~ entered into, it shall not knowingly enter into any lower tier cove~'~d transaction ~th a ~on
%vho is deba~d, sus~nded, decla~d ineligible, or voluntaril~ excluded tram pa~lcipation in this cove~d
t~nsaction, unlc~s autho~zed by the depa~ment or agency ~th which this t~nsactioa originated.
6. ~e pros~ctive lower tier pa~iclpant fu~her ag~es by submitting this fo~ that it ~ll include this
clause titled 'Ceaifi~tion R~ing ~ba~ent, Sus~ns~on, lneHgibilit~ and Volunta~ Exclusion * ~r
~er Cove~d T~nsactions," ~thout modiH~on, in all lower tier cove~d t~nsa~ions and in all ~clicl~tions
for lower tier covered t~nsactlons.
7. A participant in a cove~dar-ansaction may rely upon a cer~irication of a prosI~ctlve participant In a
lower tier covered transaction that it is not debarred, suspended, indigiblc, or voluntarily excluded from the
covered transaction, un[ess it knows that thc c~rtification is erroneous. A participant ma)' decide the method
and frequency by which it determines the ctigibllt~ of its principals. Each participant may, but is not required
to. check the Nonpracur~ment List.
Nothing contained in the for-~olng shah I>e construed to r~qulre establishment or a system or records
in order to render in good faith the certification required by this clause. The 'knowledge and information of
n participant is not requir~d to exc~d that which is norma[l.v possessed by a prudent person ia the ordinarp'.
course of business dealings.
9. Ex.pt i'or transactions authorized'under paragraph/5 of th:se instructions, if a participant in n cove~d
transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarr~:d,
ineligible, or voluntarily excluded from'p~rticipation in this transaction, in addition to other remedies available
to the Federal Government. the department or agency with which this transaction originated ma)' pursue
uvnilablc remedies, including sUSpension nad/or debarment.
Form AD.10Ct (1/92)
Page 13
i~,dUCTION~; FOR CO;,,-~LETION OF ~;CHEDUL~ A
SITE IN~:0RMATION LiST
1. Enter ~'"p~n?r'~ nm'ne In ~per left--h~nd corner.
2. U~ correct ~:reat'addr-/:,~"for all'alias ll~led.
3. Che~ 'x' If ~'te has ~dequ~e rafTtgar~on to
~tor~ ,~J'me~Is ord0'red s~d could rocalve.eady
d~lvade~.
4. Under columns (1) and (~, enter the' beglnnlng
m~d ending date~ for mea~ servlc~ at each site.
Under column ~,' entor the total number of
alsys me,is wilt be served at each' abe. .,
6. Enter in column (9 beside the appropriate meal
t~, the average, number of eIch type of meal
that la estimated to be served each da7 at the
t4'te. For e×ample, If a slte plans to sm-va 11,000
lunches for 44 days during the summer, then the
averige la 250 (11,000 + 44). Do not Insert the
maximum number that will be served on a
pa~cul~r d~,v, durk)g the summer.
7. Enter-In column (8).the result of column (3)
tJmes column (5~.
8. Enter In column (~ i~he delivery time for each
meal t~a.
When estimating the Average Meals Served Per
Day (Column (5)), use the average from the prior
summer If the slte was In operation at that time.
Since Schedule A must be c;mpIet'ed well In
edvanc~ of the application deadline, It Is
recognized that changes will occur In the data by
the time the program begins. However, be as
accurate as possible alnce the data Is used by the
vendor to arrive at his bid prices. The vendor
iwarded the bid will accept changes after the bid
opening.
CITY OF PORT ~KTHUP, 1308 - 9TH AVE~TUE DR. ALBERT T. THIGPE~;
409-983-5619
PORT ARTHUR TX 77.642
OP. ~AL TYPS DAY ~EAL TYPE
~XKLIN ELEHENTA (Y BREAKFAST
LUNCH ~ ,~ ~ I1:00 A.M.
PM SUPPLE~ ~
~PPER
BREAKFAST
AM SUPPLE~
PEASE EL ~MENTARY 6-10-0: 8~ O2 ~5 LUNCH lmm m ~mn 12:15
5924 J.~ AVENUE pM SUPPLEME~ '
SUPPER
BREAKFAST
S~I HOUS~'ON ELE~i:TARY AM SUPPLEMENT
3245 36T~ ST. ~5 LUNCH l~n ~ ~ 11:15
~-10-0; 8~ -~2 PM SUPPLEMENT
SUPPER
T~V I S E] ,Eb~NTARY BREAKFAST
4401 F~JDDALE DRI'rE AM SUPPLE~
6-10-0~ 8~ .02 45 LUNCH 3~ 13.950 11:30 A.M.
PM SUPPLEMENT
SUPPER
[ BREAKFAST j
TYRRELL t EEHENT~] AM SUPPLEME~
i300 TE~S AVENUEI,-5-02 J-9~ -~2 ~8 LUNCH l~O 6~720 11:45
PM SUPPLEMENT
SUPPER
BREAKFAST J
WASHINGT(,~I ELEMEN~ ~RY AM SUPPLEMENT
1300 TE~ S AVENUE ~6-10-0: 8-9-(2 , ~5 LUNCH 50j 2.250 12:00
PM SUPPLEMENT
SUPPER J
p~[ BREAKFAST
~ , AM SUPPLEMENT
SO0 W. 52~ S~. [6-[0-02 8-9-0 LUNCH ~ ~
PM SUPPLE~T [ J
Thomas Edison Middle School 48 700 33,600 12=45
6-5-02 8-09-02
SCHEDULE lB
FOOD .SERVICE PROGRAM
~ Sponsor ?n~ ~t~ ,, m~u c'y~ for ~a~
SCHEDULE C
SUMMEI:I F.OOD SERVICE PROGRAM
USDA REQUIRE]::) MEAL' PAiI~HNS
The meal requlremnnts for Be Program.ere designed to provide ,nutrlt!®us and wd[-b,~snced mesls to each
child. Exci~pt ma otherwlae provided In Section 225.16 (b) of the SFSP regulations, the following tsble
pre3mnta the minimum requlrnmnnts for meals served to children in the Program.
BREAKFAST
Milk I cup
Fluid Milk (1/2 pint)
Vegetables and Fruits
Vegetables and/or fruits or
full-strength vegetable or fruit juice
(Or an equivalent quantity of any combination of
vegetables, fruits, ~md juice)
Juices cannot be served with milk
Bread and Bread Alternates
Brea..d. Jwhole-grain or enriched) or.
Bread Alternates (whole-grain or enriched):
cornbread, biscuits, rolls, muffins, etc. or
cooked pasta or noodle products or
cooked cereal grains, such as'rice,
corn grits, or bulgur or
(whole-grain, enriched, or fortified):
· cooked cereal or cereal grains or
cold dry cereal
(or an equivalent quantity of a combination of
bread or bread alternates)
1/2 cup
1/2 cup
1 slice
1 serving
I/2 cup
1/2 cup
1/2 cup
3/4 cup or
i ounce
(whichever
is less)
(OPTIONAL) Serve ns often as possible:
Meat and k~eat alternates
(See lists under Lunch, or Supper)
1 ounce
Page 1 7
SNACK (£upp'l~'~_ ~:, · Fo o d) .......
' t~.,~ two items horn tho foil~w[n~ fo'mr' components.'
Meat and Meat Alternates
meat hr poultry of.fish or
Meat Alternates:.
Cheese or
egg or
cooked dry beans or peas or
peanut butter or other nut or
seed butters or
nuts and/or seeds or
yogurt. (pla. in, sweeten?J, or flavored)
(or an eqmvalent quanhty of any combmahon
o[ meat or meat alternates)
1 ounce
(edible portion as served)
ounce
large
1/4 cup
2 iablespoons
1 ounce
4 ounces
Vegetables and Fruits
Vegetables and/or fruits or
full-strength vegetable or fruit juice
(Or an equivalent quantity of any combination of
vegetables, fruits, and juice)
Juices mhnot be served with milk
3/4 cup
314 cup
Bread and Bread Alternates
Bread (whole-grain or enriched) or
Bread Alternates (whole-grain or enriched):
cornbread, biscuits, rolls, muffins, etc. or
cooked pasta or noodle products or
cooked cereal grains, such as rice,
corn grits, or bulgur or
(whole-grain, enriched, or fortified):
cooked cereal or-cereal grains or
cold dry cereal
(or an equivalent quantity of a combination Of
bread or bread alternates)
1 slice
i serving
1/2 cup
ii2 cup
112 cup
3/4 cup or
1 ounce
(whichever
is less)
Milk
Fluid Milk
1 cup
(1/2 pint)
· ,LUNCH OR SUPPER
Milk
~ MLIk
Me~t and- Meat Alternates
· 1 cup
(1!2 p!nt)
Lean meat or poultry or fish or
Me~t Alternates:
cheese or
egg or
cooked dry beans or peas
peanut butter er other nut or
seed butters or
nuts and/or seeds "
(Or an equivalent quantity of any combination
of meat or meat alternates)
2 ounces
"(edibIe portion as'served)
2 ounces
1 large
112 6up
4 tablespoons
1 ounce = 50%*
Vegetables and Fruits
Vegetables and/or fruits (2 or more selections
for a total of 3/4 cup) or
full-strength vegetable or fruit juice
(Or an equivalent quantity of any combination of
vega'tables, fruits, and juice)
Juice may not be counted to meet more than
1/2 of this requirement.
314 cup
314 cup
Bread and Bread Alternates
Bread (whole-grain or enriched) or
Bread Alternates (whole grain or enriched):
cornbread, biscuits, rolls, muffins, etc. or
cooked pasta or noodle products or
cooked, cereal grains, such as rice,
corn grits, or bulgur
(Or an equivalent quantity of a combination of
bread or bread alternates)
1 slice
1 servin, g
1/2 cup
I/2 cup
"No more than one-half of the requirement shall be met,wlth.nuts.or ieeds. Nuts or seeds shall be
combined with another meat/meat alternate to fulfill the requirement . ' "'
NOTE: The serving sizes of food apedfled tn the meal patt~rnf are'mlnh'num'emounts. If the edmlMsterlng
agency approves the spon{or to serve smaller portion sizes to chlldrer~ ~nder 6.years, the sponsor must
meet the meal patterns specified In the Chlld Care Food Program (CCFP) regulations. You can ;obtalh copies
of these regulations from y6ur State agency. Chlldren over B years old may be served Larger portions,
but not Less than the minimum requirements specified In the Summer Food Service Program regulation=.
Remember that you dc not receive reimbursement for meals that do no.._~t meet the minimum program
requirement=. __
-- - Pa~e 19
t.~tT PRLOE S0¼%DU%E
Lunch
I~l AVi~:b~GE DALLY 1
SPONSOR: Complete Items (~ - (c) for a~ch
M~'ai.
TOTAL NUMBc--R Z
OF ~EALS
ADJUSTMEhrTS
If the ~verage daily meals billed Is lass than'the ~verage dally meals needed (per hem lb} above) a one time
~dju~trnent to the unit price will be rn~de as follows:
AVERAGE DALLY I4~ALS BILLEO
~ AV~AGE DALLY U~ALS NE~O~
81 - g~
71 - 8~
B1 - 7~
51 - S~
5~ ~ BELOW
MULTIPLY "UNIT COST"
BY THIS AJqouN7
1.05
%10
1.15
1.20
1.30
EXAMPLE: If the average daily meals billed - by the 'average daily me~ls needsd' (ltem b above) = .B2
or B2%, multiply the 'unlt cost' atem d ~bovr~ by 1.O5.
The contractor will Invoice the sponsor at the 100'/, unlt cost Indicated above bi-weekly. To determlne
If 'an additional co~ per meal Is-duo the vendor, complete the following calculation. DWide the total number
of rneaIs billed by type (lunch, breakfast or supplement~ for the total length of tho program by the total
number of days the program was operated. Any additional charge~ resulting from this higher 'adjustmer[t"
will be r. efle~ed In the final ~tatement from the vendor.
NOTE: The unit co~t per meal ma,/ not exceed the maxlrrc, zn operational reimbursement for each meal
~ype a~ ~ated In Par[ 7 CFR 225 of [he federal re~2Jla~lons.
1. Obtalne~ ~rom'Colum~'(~ a~d (6), Schedul~ A, by dividing total meals for each spsclfic meal type by th~
gre~e=t number of days operated by a Site In Column (3).
~ Obtained from.Schedule A by totaling Column (8) for each =psclfic meal typs.
3. Unlt co~ specified I~ th~t'co~ ba~d on 10~ Average Meats Heeded Per Day.
S ~UL-5 D-1 SPO,~OR;
~UMMARY BID SFL~'~'
I,,~,~.AL TYPE TOTAL N'L~t~ 1'
N~AL$ b .'N'; T COST TOTAL
Unit cost rr~t be IderrtlcaI to those unit costs listed on the UNIT PRICE SCHEDULE.
Day 1 ;
"Lunch Pek"
Ham ..
American Cheese
Bread
Apple
Pineapple Juice
Cb:ocolate Nlilk
Utensil Kit
Day 2
"Lunch Pak"
Boo,Bologna
American Cheese
Bread
Orange Juice
Nectarine or Plum
White lvlilk
Mustard
Utensil Kit
Day3
"Lunch Pek"
Sliced Smoked
Turkey
Sliced .Boiled Ham
Bun
Carrot sticks
Apple Juice
Chocolate Milk
Salad Dressing
Utensi[ Kit
· Day 4
"Lunch Pek"
Bologna
American Cheese
Bread
Orange
Pineapple Juice
Nectarine or Plum
White Milk
Utensil Kit
D ay 5 '
"Lunch Pek"
Sliced Boiled Ham
American Cheese
Bun
Apple
Orange Juice
Chocolate Milk
Salad Dressing
Utensil Kit
I OZ.
I oz.
2 sl.
1 ea.
4 o'z.
8 oz.
1 ea.
OZ.
oz.
si.
oz.
ea
oz.
ea
.ea.
oz.
oz.
sl.
oz.
oz.
oz.
ea
ea.
1 OZ.
1 oz.
2 sl.
1 ea.
4 oz.
1 ca
8 oz.
I ea.
OZ.
oz.
si.
oz.
oz.
ca
ea.
Day 6 t
Day 11 ·
"Lunch Pak" "Lunch Pek"
l-lam .. 1 oz. Smoked Turkey 2 oz.
American Cheese 1 oz. Bread 2 sl.
Bread 2 sl. Orange 1 ea.
Orange Iea Apple Juice 4 oz.
Pineapple Juice 4 oz. White Milk 8 oz.
Chocolate Mitk 8 oz. Salad Dressing I ea.
Utensil Kit 1 ca. Utensil Kit I ca.
"Lunch Pek"
Beef Bologna
American Cheese
Bread
Orange Juice
Nectarine or Plum
White Milk
Mustard
Utensil Kit
Day 8
"Lunch Pak"
Sliced Smoked
Turkey
Sliced Boiled Ham
Bun
Carrot stic -ks
Apple Juice
Chocolate Milk
Salad Dressing
Utensil Kit
"Lunch Pak"
Beef Bologna
American Cheese
Bread
Orange
Pineapple Juice
Nectarine or Plum
White Milk
Utensil Kit
OZ.
oz.
si.
4oa
ea
oz.
ea.
ea.
oz.
oz.
si.
3 oz.
4 oz
8 oz.
ea
ea.
2 OZ.
1 oz.
2 si.
1 ea.
4 oz
1 ea
8 oz.
1 ea.
i OZ.
1 oz.
2 sl.
1 ea,
4 oz
8 oz.
1 ea
1 ea.
Day 10 '
"Lunch Pek"
Sliced Boiled Ham
American Cheese
Bun
Apple
Orange Juice
Chocolate Milk
Salad Dressing
Utensil }(it
Page 23
' ~--~- - ' Hu,,,~n Sar'vices (OHS) ts s:,'!.'n each devoted · ,' .
Execu':,','e Order 125~,9 requires
including suspanM6n and/ct
Jo:endal con:razor shah provide immedla:e v:ri..~en nodce to the pecson to which thls ce.~ifiz-::ion is subm'.~ed if at any
~ha potential conifer;ar learns thai the ceai~icadon yeas a~onaaus v.'han subm~ed or h~s b~:ame erroneous by reason
v,'o:ds 'covered coalcac~," 'deba~ed,' 'suspended,' 'ineliglbie," 'p'aaiclpaa:,' person, '¢:fr, clpa[,' "proposal," an~
.~a:ari!y excIQded,' as used in this ceaificadon h~'/a meanings b~s~d upon mace:leis in th~ D~inkions and Coverage
'oas o~ federM roles implementing ~ea~ive Order 12549. Usag~ is as defined in the a~ichm~a:.
po:endM con.,~actor agrees by submlming thls ce.%ificedon thal, should the proposed revere.~ ca,-.;.ra~ ba enf. erad into, k
no: kno',,~ln~ly omar in~o any ~ubcdh~rac~ vzi:h a person v,.ho is debarred, suspended, d~zli:ed inMigibls, or voluntarily
;dad from pe~icipadon in thls covered ~ans~ion, unless a~¢horiz~d by the Dapaamen; c~ bl~kh ~nd Human So.ices,
:d S;ales Dapaamen: o¢ Agriculture or o;ha: fedarM dapaamea: or agency, and/or the Tex~s Depa~menl of Human
ices, as appHcabla. , ~
· au h~vs or do you anticipate havia$ subcon~o~ undo: ~s pro~4sed cea,a=? ....... ~Yes _~No~_
potential conlra~or~fu~har agrees by submkiing this c'eni~cation that it will include this cexllicaiioa tided "~alficatlon
~ding Deba~an~,'Susp~nMon, Ineliglbi[iw, and Volun;a~' ~cluslon ~or Covered Con~ra:~s' v;hhou; modifica¢on, la ~!I
~red subconlracts"; and in solicltaUo~ for all covered subcontracts.
antractor, may rely upon e ce,~ificatlon of a potential subcon~ra~or thai k is not deb~;, suspended, ineligible, or
ntariiy excluded ~om th~ covered con~a~, unless k knows tha~ the ceaification is e~on~us. A can~ractor must, a: a
'mum, obtain ce~ifisedons from ~s covered s~bcon~a~ors u2on each subcon~a~'s inldallen ~nd u~n each
~ing can~aioed in MI the foregolng shMi be cons:ru~d zo re~,Jire es:abl~shmen~ o~ a system e: race:ds in order to render in
J fakh t'n~'ce~dfica.~on raq,Jired by ~h!s ce~i~icad~n dosb~n;. The kna',':ledge'and in~e;~.~:i~n of a con.actor is not
:ked ~o exceed tlne: v,'hich is no~aHy possessed by a p,%d~n: person in the ordinal' cours~ cf kusMess deMings. ' .
.apl for controls a~horized under, paragraph 4 o¢ th~sa te~s, i¢a contractor in a covered c:r. lra% knowingly enler~
~vered subcon;ra~ v/kb a person who is suspended, de'ba~ed, ineUglble, or voluntarily exclu~!5 f~om paalclpadon in this
:s~cdon, ia addkion ta o~he; remedies ivai~a51~ to tlaa federal government, Oepaamen; cf He,kb and Human S~ices,
:ed S;a~es Depa¢¢~n~ of Agdcukure, or olh~' f~derai depaaman: or agency, as applicable, and/or the Texas Depa¢~an:
!uman S~ices may pursue a'/aiIable remedies, including sus~ion and/or
:ICATION F, EGARDINO DEa~.RME~, SUSPENSION~ IN~IGta~ AND VOLUntARY L~'.CLUSiON FOR COVERED
=~C-FS
e in the appropda;e box v.,hlch sta(emen~ eppl~es tb ~he covered potential con:rat(or:
~The po;emJal con;actor ce~i2es, b)' submisslon of gqls cea~don, ~hal nekher h n~ ks FdnslpaI~ ~s presendy
debarred," ¢
.usp.nu..,, proposed for d~ba~en;, dec~ared ~aeEgib~e, or volunladly excluded f;c~ pamdcmpadon Ia this
po:emla! conlrac~o~' mus~ a~ach an explanallon faf each o~ ~ha above terms to s.,'hich b.~ is unDbla to make ce~i~catlon.
AnDch ~h~ cxp!anDd~nls) ~o thls cer;ificat~n.
Page 24
-'~ ...... n a~on taken by-
:.~. An a',I,'a:~ ~'financls~ mss~s:enc~, ~nclud~n~
~b~e. ~crud~d ~om Pa.~c~padon
:a:~c~, exec~N,~ order, o¢ re~u/a:o~ ~hot~, o~h¢: t~n ~ec~h/e O~d=r .... ~n n~sn c~ ~..E:¢~bd~, under
:r ex~mp/e, excluded pursuan~ ~o the DaY'S-BaCon A~ =-J · .
' - 12549 and ~s agency
:,~m~abon o, n -,.~:bdt~
.,~,bd,~ zo pe~ic/pa:e in more ~n one . . . oPpo~Unky
C;~n:. Any Peraon who =ubmhs
m. Any Jndlv~du~, corporat¢on, pa,,n.rsh~2'
..... puhl~c intem~5o~ crg~,mzafio~, fOrMgn g:','~:r.~.% ov,'ned
-, ,so% tespo~bUhhs. ~. = P=,.n~L key employs., or~'~ .....
.o. th. person ~s e',~p~oy~d by the
:,dnaipa~ ~nvasdgators ....... .
~ P .~,,-,,. of Hu~n Se~ces of faderM ~und~ns ~"'"c:
---m~ e a co'/crud
'/ exclusion or Vo[un~ed~y excluded
ln~'uctions
CERTIF1CATION REGARDING DEBARMFD~T, INFF-LIG1BILITY, AND
VOLUN-fARY EXCLUSION FOR COVER.E? CON-I'R~CTS
re-gnz!atiS~'('~sed upon Executive Order
rc~e ~c q~Po~ 2~6, Cc~i~io~
Vol-~' Excl~ion for Co~c[cd Con~cm.
cc~On ~ ~cd to screc5 bo~ n~'
covered cossack, sub~, ~d
c~o= or ~ ce~catioa proems ~
D' h=~ los; iu ~ ~o receR'c fed~
~ou~ fount f~e~ removM proc~s~
(deb~e~, s~pe~lon, ~eligFoHiD', or vol~-
excision), ~e ~a~ct, ~bgr~t. or
gabco~ ~=nno~ ba entered ~to or renewS.
~5~oa fo~ h not ~ for
govem~ by Since ~rc~g ~d
CommNslon ~.
ceylon ~ ~d to screen bo~ new
~o~acu, ~b~u, ~d subcoa~acU.
:e~c~ri'on m~t be ieen~ed d~g ~y
m=~od ~ a screemble.
-ac cerriS?Jadon is u~ed for con. ecu,
nd ~beon~c~ w~ch c6main f~:r~ ~ ~d
;Mch ~e (1) over S25,~; or (2) wi~
mv~figgor (~ch ~ a r~cher or co~t); or
3) for re.ed ~dependeat aunt se~c~ (tach
s~gle autO. ~' a co~a~ m~e~ at le~t. on~ o[
h~e calteX, ~e ce~don N nec~s~.
ze de.ed ~ covered con.ecu, subUrB,
mbco~cB.
,uzed loc covered contracu, subgranm, and sub--
con,.facts v,'haCaar or not co~pedd'za proc~emen~
is ~ed. ~e cenifi~tion b compkced each time g
covered contract, subg~L or subconXac; ~ con-
summered or renewed.
Number of Copies
One form for each application, procuzemenZ, or
renew~ pac 'lo. ge is submitted io Ge depa_r'"maent.
Each form m,~t bear mn ofigi.~d sig-~mre.
Trans mPcta! · ·
The ~e~dfication is reined to DHS as pu't of ~'~'
corrrpleted apportion, pro~ement, or renew~
package. ~e ~ctio~ N ~: pac~ge ~ec~ to
whom ~e ~tefiM, ~cludNg ~: ~C~on,
re.med. ..
Fo~ ~etenfion
The succ~s~I o~ror's Fo~ 2~6 mint be ke~i
for ~ee ye~s ~d 90 ~ys ~;er ~= contact .
period en~ o~ ~ ~ htigglo~, clalm% or ~dit -
~d~gs ~e r~olved, w~ch:ver ~ longer.
2~6 for uosucc~s~ offerors m,~t be k~t
~a con~a~, or ~ ~e r~olufioa of ~y appel'.
or litigation res~g ~om G: proc~eme~,
w~chever ~ longer.
>ROCEDU FL~
'to Prepare
any one of th= t.~¢e preceding condi:io~ are
me:, DES ~d DHS contractors ~d subgr~:e~
:2us~ ~ciud: ~s ~rt~fioa ~ part of ~:k coa-
LZCg ~d subcontract. ~s ce~hqcation m,~t be
Page 26
Texas Da?i. of Human Services
CACFP-ADC 99-1
CACFP-CCC
CACFP-DCH 94.4*
CAH
FDH
k~/H 95-1
MPMLTCF 95-'i
NSLP/SSP 94-5
SFSP 94-5
L)ETA It~D I?,'S TR U GTJO ?/,S
· , ..u~-on~-~c[o.~.. ~ If th: co~actor or
box ~y be c' -~ -* '
;/a~e o/~o~.e~p~/ Con,clot ~ Give ~
5~e. reg~t~r~ M~ Ge Sccre.~. of
r me~on
nu~er ~j ~om ~e State Co~o~er,s
Office, e~er ~t n~ber;
autho~ to ~i~ ~e ~: pemoa
...mn~ =~er (SSh3.
DHS Con,ct ;/o. -- ~- ~e ce~.fi~fioa ~
prep~ ~ paxTp,f a propment or ~PH~oa
Is prepa-~ d~S -*
me reaew~ o¢ a con.m,
tmi{o~ con~, - ~e ~e DHS
. of A U~oWzed Re~rssenta Eva and
Ds to -- S~U~l~to~y
Texas Dept. of Human Services
CACFp-ADC 99-1
CACFP-CcC 94.4
CACFP-DCH 94-4
CAH 94.5
FDH 98-.4
FVH 95:1
M?MLTCF 9~-1
NSLP/sBp 94-5
SFSP
Page 27
JRPOSE
Fed;:ai legislad0n,' SeCtion 319 of Public Law
iOi-i2i, geae?~lly p:obfbits
f~d~y ~pprop~t~ ~ ~o lobby ~c cx~cu-
dw or Icg~Igive br~ch~ of ~ fed~ gov-
c~. A f~dc~ gow~cmt-vdd~
R~o~ on Lobb~g,~ publbh~d
d~b~ ~on for con~,
~d sfoco~ over SI~,~ w~ch con~=;n
D~mbc~ 23, 1989.
FOEM 20<-7
lnstmc~Jona
· "-" CERTIFICATION REGARDING FEDEP~a,L LOBBYING
(Ce~don for Con~a~s, G~n~, Loans;' and'Caope~'dve Agreeme~)
Note: ~e fo~lgwmg b ~n ex.pta of o~ si~doa
~volv~g z new comCrzc( ~d raq~g a lobb~g
Cerd_qcadon is csnducted to aaa'urn tkat
- a conix-actor unders',~znds protu'oidoas ag~inv.
lobb)ing the federal goveroxnent ming fed-
eralty zpprq¢~aed ftmds, mad
DHS does not lmor, ingly enter into tra.o, sac-
tio~ in wifich eatifi~ .have lobbied the
federal government ,us~g federally
appropriated ftmds.
If rede,--al fumdz are ,'used to lobby the feder~
gove,-mme'a( in order to ob'=tain the awakd, the
award can.not legally be granted.
A f~mily care contract h~ j~,'. b:ea awarded. The
competitive proc ,~emeat process r~uks in the
s?_rne provider aa the one previo~ly holding the'
contract In tins procu.remea:'s geographic area.
Even though the contract is wkh the same provider,
ir is a new contract; it is riot a'reaewed coleS'act.
RenewMs are also screened us;-,g the form, if
either of the following coadido~ exist:
o A con,act initiated prior to December. 23,
1989, is renewed, znd iu scope is changed.
A contract izficiated oa or af'i:r December 23,
1989, is subsequently
The same cbnditior~ apply to contractors and..
subgrantees when they p~c'a~: subcontracts in
excess of S100,000 a.nd use fed,,'-aI ftmd-s to meet
their obligations to DPIS. By si=~'~.ng the certi-
fication, a con.tractor or sub~m-~.:ee h~ z.n oblige-
don to screen bis covered po.'.ea.'.izI subcontx'zctors
before he can enter into a covered sub¢o',~.zact.
Number of Copies
ROCEDURE
'Fnen 'to Prepare
'HS b required to obtain z lobbying certification
~ p~t o[ the screening process for contracts, sub-
,.-ant~, aad subcom~-acts ¢rmt are over $100,000
ad th~ con ~-in federal funds. Such con,ecU,
-tbg:~.~s, and subcontrac~ are degreed ,z covered.
7'he prospective contractor, :ubgrantee, or subcon-
:aztor must be notified In the pro--em'eat or sub-
,'~nt packa.g:: 'm202: the certification wi!! be ~ed to
dp screen ~ offer. Using the cer~L~cadon,
zreen.~g b done if the con~ract 'w~ odgkazUy
5fi.~xed on or z,.':;.6r December 23, 1989.
One form for each application, procurement, 'or'
renewM package is subrnk~ed to the depah,,ent.
Each fo'tm
Page 28
Texas D~p:. o~ Human Services
CACFP-ADC 93-2
CACFP-CCC 92-4
CACFP-DCH 92-4
CAH 92-2
FDH 98-4
FVH
N4 ?~M LTCF 9¢o'1
NSLPISBP92'2
SFS? 92-1
Form Eeterrdon
Fon:n 204.7 £6r ~he '
for ,~
~d 90 ~ys ~er ' '
pad~ en~, or ~ . ~e CO--ct
- ~ ~Sg~oe, c[~, or ~u~
2~ r~olved, Wmchzvec h longer. Fo~
for ~mcc~s.~ offero~ m~t be k~ a
~'~ o~sL~ mon~ ~er ~e e~cd~'~e of
V~na'or ID No. or ~9o~/a! S¢cur~
emi,.7 ~ a vendor idaC.doa n~ber
n,, ~.. Comp~OUer's n~ce, enter
~e c~r&q~, oa ~ to eater ~ Soci~
:umber (SShb. ..
Prepued as p~-t of ~ ce~toa is
pac~fe I~ye ~ aPP[[ca~tO~'°c proc~-e~ea~
' Signature ~ A~°~zedRe~resenta~.va
Pag6 29
Te×2s DepL o; Human Services
CACFp-ADC 93-2
CACFP-ccc 92.4
CACFP-DCH 92-4
CAH 92-2
FDH 98-4
FVH 95-1
MPMLTCF S6-1-
NSLP/S8? 92-2
SFSP
.... : ru~e, 'New R~s~rl~ions on Lc~b'/:ng.' F'J::~n~ in ~. Federa~ ~
:~;lon and dlsc{osure in s~ecific in~:ances anti da~in~s te~s:
'd A',.ta~s and Suba~ards-Can~;a~s, gran~; and ca~pera:i'Ye agreements over tho $1~,C03 '= .'~ '~ r,e~ '
dlsctosures, if raqu~. (Sea ceaH~c~don ~ num~., 2 coa~e,,,mg d~scl~su:e.} -
..... ' -- *- e~p',oye~ cf a m~mber c~ Cengress in connec~i~h',.~.;'kh' an'/of tn~ fo?,c','/[n9 Cagered
s.,,.'~rding o¢ 2ny fed~ra~
m~'dng of any f~d~ra~ cran~,
~'~ ~i~o of cay cpoparativ~ agraameat, and ..~:.~ ...~.. . .-
e%~ns[on, continuation, r~ za, 8mandmenL or modification of any f~ra~ con~ra~, ~rant,~n:c¢ c~o¢~r~,:ve ag. aero,n,.
M Use of AppropF~ed Funds Na~ ~hibksd-%n~ prohib}dan an usin~ acpropda~ed Funds da~s no: ~22[y to ~¢dvk[~s by ons's awn
,,~'-- ~.'hh fedora~ ~g*nci~s and Congress no* d re~iy r=~*~ed ~o a caver~ f~eral a~:on
scuss]an and/or d~mons~adan of pradu~s or s~rvices ~ nat reb~ [oa specific soIic~adan for'~ cov~r~5 a~don; or
af~iona~ and t~chnt~t se~ic~ in prep~4ng, subm~ng or negotiating any bid, proposa~ or ~ppt~don for a f~erM conua~,
~ o; COOpera:]'¢~ agreemen¢ or for meeSng l~ga[ r~quiremen~ cand~onaI to receipt 0¢ any fMar~l con~a~, grant, Io~n
~¢- .: .¢ ~gre~menL ~e prahibh~an a~so does no~ appty to such s~'ic~ provM~ by nonemp:oyt~s for ~e same purest.)
~an~ ~nd Te~m~ ~-~of~s one ~nd techn:~t se~c~ sh~II ba adwce ~nd ~naI)s:s d,,¢,:~/~221~ng ~ny ,'
~s~onai ar [~chnt~ expemu~e. No,e cn~ the p.o~sstonat and ~,.nt~l settees exemption ~ spe_~.~.) Lm,,~ to ~e me.r~.o, ~.
r ~qc,~.,'~ble A~eS-%ha prahibkion an use o~ f~era'.b/appropda~ ~nd,s does not appi'i tO in~[u~ncing ~N, hles
in connecJon v,'k~ a spec~jc cover~ f~,ra[ ~on. ~es~ ~cdvhies includ~ ~ose reta~ ~ l~$[sladan end reguIado~ for
;rcm versus a spech3c cov~r~ f~e:a[ ~ian.
:s ~r ~an Fed¢~ App~P¢~ans'l nere ~s no f~.~( r~s~on an One use of nonf~erM Fur, ds t~ lobby ~he
~b~' of ~r S~te ~nd Federal Requ]mm,:n~-NeP~er ~ gov~mmen~-Y4de ~l~ nor ~n, I~w ~e~ ~kher (1)
:~bli~.ot ~s~ principles in OMB clrcul~rs A-S7 a~d A-122, or (2) ~ders to ~e Texss Scare Appro2da:ions A~s which disa~[o'.'r use
s~e ~nds for IobbCng.
TERMS OF CER~FICATION
cem3ffic~ian ~2pii~s only to -~e inst~n~ federa'. ~on for which ~e ce~kq~don b being ob~atn¢ ~r,d b a matedM repr~en~don
upon which reliance vz~s p~ac~ v/hen dais ~nse=don v/es made or enter~ in~o. Submission of ~his ce~unc~bon is a p,e. equts~e for
~ng ar en~&~ng in~o. th~s t, ansa~io~ impos~ by s~,%ion 1352, t;~e 31, U.S. Cad~.' Any persoz, v.'ho.fa~ls to ~te ~e
]i~don sh~ft be sub,cz( ~o a civil pena~ df'no: lass than $10,¢~ ~nd no~ more dn~n ~1~,~3 for e~ch such failure.
undermgn~ cenm~, ,o the b-~( of his ar h~r k~ov4~ge and b~ti=f,
' '~:'aq appropdat~ ~nds have been P~td or will be paid, by or on behMf o~ ~-~e undem~gn~, to a~'F person for inf~ehclng or
~:empdng ~o inftuenc'e an ohi~r ar emp~o'/a~ of any ~gency, a member of Cangr~s, an o~qcer e; employee o¢ Congress, ar
emp[o'/ee of a m~mb~r of Congress in connexion vuh~ ~ a',v~rding of any fuJera[ con~, ~ m~king of any fuerai gr~nb
maung of ~n'/f~er~[ lash, ~e e~edng in~a or any cooperative ~weemenb ar the e~ension, con:i:u:ian,
If ~:'/ uunds o~her ~8n f~,Mly ~ppropda~ Funds hav~ been p~d or witl be p~d to any p~rsor, for influencing or a~emp~n~
m=mb_r of Congr~ i~ conneCtion vrhh :~s fueral]'/ ~nd¢ con~L subcon~, subgram, ar coapera~N'e agreemenL
* ~ L_.u~,ng, in eccordance v4~
undersigned shs~[ camUe(~ a~d submh St~dsrd Fo~-~, 'Disclosure Fo~ to Repo: *" ': ' .
ins~cuons. ([~ ne~ed, con~a:yourT~x~s D~pax~nt of Human SedUces , ¢ .¢ ~ 'o~merorcon~'a~ m~na~a¢~o
copy of S:end~rd
%ne undo:signed sh~[~ require th~; th~ I~ngu~2e of ~h]s cerdficedon be included in th~ e,,vsrd do:um~n:s for Mt covered suba','¢~:d s
~i d~rs (~nc~udlng s,JbconL, e~, subgran~s, ~nd con~'ac(s under gren:s, [asns, a:d cooper~:','e ~ruem~n~s) and tho: ali cove:ed
' ' :., .i~' nc .. . ~t.~
you h~','~ e~ do you ': '~ ...... ¢ ' ' ...... ~
CITY OF PORT ARTHUR, TEXAS
SUMMER FOOD PROGRAM
DELIVERY V/ILL BE IViADE WITHIN
Receipt of addenda is acknowledged:
No. 1 Dated
DAYS AFTER A\VARD OF CONTRACT.
Received
COMPANY NAME STREET ADDRESS
S'idN~.TU~E 6F'~IS~ER~
P.O. BOX
(PRINT OR TYPE NAME)
CITY STATE ZIP
·.TITLE
AREA CODE TELEPHONE NO.
.' BID OPENING DATE: MARCH 25, 2002
' CITY OF PORT ARTHUR
INSTRUCTIONS TO BIDDER
Bidders are requested to furnish their complete REMIT TO ADDRESS and
TAX IDENTIFICATION NUMBER as indicated below:
REMIT PAYMENT TO:
COMPANY ~
' A. DDRESS ~ · ' ·
SEND PURCHASE ORDER TO:
COMPANY
ADDRESS
CITY/STATE/ZIP
TAX IDENTIFICATION NUMBER
AFFIDAVIT
Alt pages in offer's bid proposal containing statements, letters, etc.,
shalt be signed by a duly attthorS, zed officer of the company, whose
signature is binding on the bid proposal.
The undersigned offers and a~ees to one of the following:
= .N~ I hereby certify that I do not have outstanding debts worth the
City of Port Arthur. Further, I agree to pay succeeding debts
as they become due during this agreement.
hereby certify that I do have outstanding debts with the
City of Port Arthur and agrees Jo pay said deb!s prior to
execution of this agreement.
I hereby certify that I do have outstanding debts with the
-- City of Port Arthur and t~grees to enter into an agreement for
the payment of said debts. I R~rther agree to pay succeeding
debts as they become due.
'NAME OF OFFERER: ~. ~----~. '~.~,.l
CITY/STATE/ZIP ~--'~t~ r~''.~*'-~t' )'-~'~
SUBSCRIBED AND SWORN ~o b~fom m~ by
NoraD, ~ublic in and for the State of
JRN THIS AFFIDAVIT AS PART OF TIlE BID PROPOSAL