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Agreement Number: O4 -
" 'tvtv5: (1) Return Mro copies of this agreement with original
Program to Food and Nutrition Management, Summer Food Service Pruyrant, 325 West Gaines Street, Room
1032, Tallahassee, Florida 32399_
Sponsor. 0400. (2) When the agreement is approved, one
PP , COPY will be returned to the
In order to effectuate the purposes of the Summer Food Service Program for Children, the Florida Department of
Education (hereinafter referred to as the "D Mer
and the sponsor whose name and address appear on the
APPlica[on for Participation (SFSP-FI) (hereinafter referred to the so whose
on the Site Information Sheet, (SFSP-F2 "Sponsor') in behalf of each site listed
A. The DEPARTMENT )� covenant and agree as follows.
MENT AGREES TO THE extent of funds available from USDA, it shall reimburse the sponsor in
accordance with applicable requirements and regulations of the 5untmer Food Service Program for Children,
and any amendments thereto.
1. In connection with meals served to children only at approved sites during any fiscam-al year for sponsors
2. The ramountt of operas operational reimbursement sr based ce Proon meals limes' rate:
(a) Sponsors receive program payments based on the number of meals served multiplied by the
appropriate combined administrative and operating rates for reimbursement.
(b} Claims for reimbursement must reflect only meals that meet SFSP requirements and are actually
served to eligible children during the claiming period (SFSP policy, January 2, 2008; Nationwide
Expansion of Summer Food Sawicz Program Sim lifted Cost Accor
(c) Based on records that are regularly submitted by the sites, Sponsors must report the number and type
of first and second moats served nting Procedures).
eligible children only, ° tO all children; sponsors of camps need to report the meals served to
3. Reimbursements are based on the number of meals served multiplied by the sum of administrative and
Operational rates. Sponsors must maintain complete records to document all costs and meals they claim
for reimbursement.
(a) Allowable operating costs are those costs incurred by the Sponsor
lupi lie children and adults. These costs include, but are not limited to, cost of food used, nonfood
mited trproviding and serving meats to
supplies, and space For the food service.
(b) The prorated shares of the program's administrative costs are costs Incurred b
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activities related to planning, organizing, and administering the program. The SFSP has two different
levels of administrative reimbursement rates. The higher reimbursement rates are Sponsors organization
sites that prepare or assemble their own meals and for Sponsors of sites located In rural areas. The
lower rate is for all other Sponsors.
(c) An amount estimated in the Spon
4sor s approved administrative budget.
. The Sponsor must continue to am
account for any income that accrues to the program, but the income will not
be deducted from the combined operating and administrative cost to dalermine the amount of
reimbursement the Sponsor is entitled to receive.
The SPONSOR, being the authority for supervision and control over the program warrants that, it accepts final
financial and administrative responsibility for the program and that it will:
1. Operate a nonprofit food service for children on school vacation duringhe
September or during the months of FAay through
Year for 9 September and at some t timemonOr hs
May through
Y children on school vacation under a continuous school calendar system; time or times
2� For schcol food authorities, offer during the
meals which meet the requirements and provisions set forth in 7 CFR
225 during times designated as the meal service periods by the sponsor, and serve the same
children; for all other sponsors, serve meals which meet the re
CFR 225 ren;duritimes designated as the meat service periods b meals to all
requirements s and provisions set forth in l
to all children; Y the sponsor,
3. Serve meals without cost to all chfldi�n, except that camps may P and serve the same meal
are not eligible for free or reduced price school meals;
4. Issue a free meal policy statement in accordance with 7 CFR 225; charge for meals served to children who
D.
5. Meet the training requirements for its administrative and site personnel, as required under 7 CFR 225;
FLORIDA DEPARTMENT OF EDUCATION
DIVISION OF SUPPORT SERVICES
FOOD AND NUTRITION MANAGEtv1ENT
SUMMER FOOD SERVICE PROGRAM FOR CHILDREN AGREEMENT
signatures _i_ ,,_ , .
ESE 198
SFSP-F3
(continued on Reverse)
Doe Page 1 of 2
Name Of Sponsor:
Address:
6. Claim reimbursement only for the
children at approved sites duringtype PP types of meals specified in the agreement
reimbursement only for the e the a roved meal seres of mevice g mint and served tc
to children who meet the Pr grram's Income stands specified Period; except that camps shaft Clain.
P"cified in the agreement and served without chargE
7. Submit claims for reimbursement on a form provided by the Department in accordance with procedure;
established by the Department;
8. Maintain, in the storage, preparation, and service of food, Proper
conformance with all applicable state and local laws and regulatiosanitation and
health standards it
9 Accept and use, in as large quantities as may be efficiently utilized in theProgram,
Offered as donated by the Department;
10. Have access 10 facilities necessarySuch foods as may be
g.
ng
11. Maintain a financial management system es prescrriibed by hdesDepartrerving fnent;
12. Maintain on file documentation of site visits and reviews in accordance with 7 CFR 225;
13. Maintain full and accurate records of all program operations under this agreement. upon request make ai
accounts and records pertaining to the program available to state, Federal, or other authorized orticial
For audit or administrative review, at a reasonable time and place. Such records shall be retained for E
period of three years after the end of the fiscal year to which they pertain, except that, if audit findings
have not been resolved, the records shall be retained beyond the three year for the resolution of any issues raised by the audit.
14. Maintain children on site while meals are consumed. y Period as long as requires
C. The Sponsor hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964 (public Law 88-352
42 U.S.C. 2000d el seq.) and all requirements imposed by the regulations of the Department of Agriculture (7
CFR part 15), Department of Justice (28 CFR Parts 42 and 50
Pursuant to that Act and the regulations, to the effect that,
), and FNS directives or regulations issues
grounds of race, color, national origin, sex, age, or disability be excluded from participation in, be denial the
no person in the United States hall, on the
benefits of, or be olhennise subjected to discrimination under an
receives federal financial assistance from the Department; and hereby take anY gr es or activity for which the spcnsor
Y measures necessary to effectuate this agreement 9was assurance that it v+ill immediately
iven In
assistance, grants,This assurance is gand
loansoffedeoal fundsn of ; for reimbursabiePurpose Of obtures;aining
grant
g any and all Federal financia
property and interest in property; the detail of federal personnel; and the sale and lea__=e of, aOne nd 11°epenniof a for
to use, federal property or interest in such property or the furnishing of services without consideration or at E
nominal consideration, or at a consideration which is reduced for the purpose of assisting the recipient or it
recognition e the public Interest to be served by such sale, lease, or furnishing of services to the recipient, o,
any improvements made wills federal financial assistance extended to the program Department. This includes any federal agreement, arrangement, or other contract which has as ot by
Purposes the Provision of cash assistance for the purchase of food, and cash assistance Porllpurchaselol
rental of food service equipment or any other financial assistance extended in reliance n the or Purchase
represenlatin l
and agreements made in this assurance.
By accepting this assurance, the sponsor agrees to Compile data, maintain records, and Submit reports as
required, to permit effective enforcement of Title VI and permit authorized USDA personnel during norma
9
working hours to review such records, books, and accounts as needed to ascertain compliance with Tide VI. f
there are any violations of this assurance, the Department of Agriculture, Food and Nutrition Service, shal
have the right to seek judicial enforcement of this assurance. This assurance is binding on the sponsor, its
successors, transferees, and assignees as long as they receive assistance or retain possession of art
assistance from the Department The person or persons whose signatures appear below are authorized to
sign this assurance on (lie behalf of the sponsor.
(SFSP-Fl), and the The terms of this Agreement and the detailed information contained on the Application for Participatior
shall not be Modified oIr changed Ill any way otheSthanets (SF2by consent nwhich(writing of both parbe Considered a ties hereto.A
greemenl
Revised 1/27/09 \
SUMMER FOOD SERVICE PROGRAM FOR CHILDREN AGREEMENT
E. This Agreement may be renewed annually by the Department and the Sponsor by mutual agreement in
writing. Renewal will be contingent on the Sponsor meeting program requirements in this Agreement and
those outlined in part 225 of the Code of Federal Regulations and other pertinent instructions from the
Department or the United States Department of Agriculture and shalt pertain to programs under Sponsor's
Jurisdiction that have submitted annual applications and said applications have been given Department
approval.
F. This Agreement may be terminated upon 15 days written notice on the part of either party hereunto, and the
Department may terminate this Agreement immediately after receipt of evidence that the terms and conditions
of this Agreement and of the regulations governing the program have not been fully complied with by the
Sponsor. Any tenninalion of this Agreement by the Department shall be in accord with applicable laws and
regulations. No termination or expiration of this Agreement, however, shall affect the obligations of the
Sponsor to maintain and retain records and to make such records available for audit. Termination of this
Agreement for noncompliance with Title Vi of the Civil Rights Act of 1964 shall be in accordance with
applicable laws and regulations.
SPONSORING AGENCY
Sponsor County
G. The Department may take such action, including prosecution for fraud under applicable slate —anddera
statutes or initiate a reclaim, If any part of the money received by tire Sponsor, through improper or negiigen
action, is diminished, lost, misapplied, or diverted from the program. This liability on the part of the Sponso,
shall remain in effect for the applicable periods or limitations as called for by law after the effective dale o
termination of the Agreement.
H. The Department shall inform the Sponsor of its right to request a review of decisions made by the Departmen
which affect the participation of a sponsor in the program or the Sponsor's claim for reimbursement.
I. It is understood and agreed by and between the Department and the Sponsor, whether public or private, tha
the regulations of the United States Department of Agriculture relating to the food and Nutrition Services
Regulation number 225, attached, are made a part of this Agreement and that the Department Sponsor, anc
sites are to abide by all of the conditions and terms set forth in the regulations.
CERTIFICATION AND APPROVAL
My signature certifies that the information submitted on this form and its attachments is true and
correct. 1 am aware that deliberate misrepresentation or withholding of information may result in
prosecution under applicable state or federal statutes.
Signature and Title of Authorized Representative
Date:
ESE 1913
SFSP-F3
FLORIDA DEPARTMENT OF EDUCATION
Recommended for Approval by:
Administrator, Food a
Period of Agreement:
From:
Approved By:
Commissioner of Education or Designated Representative
Nutrition Management
To:
Date:
(Both copies must have original signatures)
(continued on Reverse)
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Revised 1/27/09
Date: