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HomeMy WebLinkAboutSFSP formsFLORIDA DEPARTMENT OF EDUCATION FOOD AND NUTRITION MANAGEMENT SUMMER FOOD SERVICE PROGRAM FOR CHILDREN SFS? INTERNAL CONTROLS Federal and state requirements mandate that SFSP l�e to retain ts maintain is a seriormation ous deficiency. pertaining Refer SFSP for three (3) years plus the current fiscal year. Administrative Guidance, Chapter 5 and 7 CFR 225.6 on regulations pertaining to recordkeeping regulations. Please list the name and address of the location where you will these l maintain SFSP records. Also give the name and the phone number of the individual(s) who can access ords: I City of Miami/ MRC. Building Main Office 444'SW 2 Avenue 8th Floor Contact Person: Jose Matas (305) 416-1319 Gwen Kitchen (305) 416-1308 Give the specific location of the files (i.e., "in the file cabinet in the director's office"): Recreation Office 8th Floor, File room, Middle row second and Third file cabinets from the west wall. Will ALL records be maintained at the location above? I a Yes El No If No, please list additional details about what years and where records are stored: Do you participate in the SPSP in any states other than Florida? If Yes, please indicate the other state(s) you currently have programs: Yes No I understand that if I no longer participate in the SFSP, I must still records maintain than three yea SF P r years, plus the current year. If an audit is being conducted, I will maintain the Authorized Person Page lofl Date 12/03 SFSP- F14 FLORIDA DEPARTMENT OF EDUCATION FOOD AND NUTRITION MANAGEMENT SUMMER FOOD SERVICE PROGRAM FOR CHILDREN FREE MEAL POLICY STATEMENT The Agreement of Mia.Dept. of Parks & Rec. Agreement Number: 04- 0899 assures Food and Nutrition Management sthat of race,l colordren sex�ndisability, age or ce are regardless served the same meal(s) at no charge, national origin, and there is no discrimination in the course of the food service. Assurance is hereby given .that we made available to the informational media serving the area(s) from which our Institution draws its attendance, a public release announcing the policy as stated above. Signature of Sponsor Representative Date Signature of State Representative Date Revised 12/03 S�SP-S3 FLORIDA DEPARTMENT OF EDUCATION FOOD AND NUTRITION MANAGEMENT SUMMER FOOD SERVICE PROGRAM STATEMENT OF NONDISCRIMINATION (CAMPS) The City of Miami Department of Parks and Recreation assures Food and Nutrition Management Services that all children in attendance are served the same meal(s) at no separate charge, regardless of race, color, creed, religion, sex, handicap, age or national origin, and there is no discrimination in the course of the food service. There will also be no overt identification of the recipients. Assurance is hereby given that we made available to the informational media serving the area(s) from which our Institution draws its attendance, a public release announcing the policy as stated above. Assurance is also given that reimbursement will be claimed on the basis of enrolled children whose family size and income falls within the Secretary's family and income standards for reduced price school meals. The program is similar to the National School Lunch Program. It provides nutritionally balanced meals to needy children regardless of race, color, creed, religion, sex, handicap, age, or national origin during summer vacation when school breakfasts and lunches are not available. Children 18 years old and younger who qualify for a free or reduced price breakfasts or lunch during the regular school year and children who are members of a household receiving food stamps, TANF or FDPIR benefits may receive their meals at no charge. Each child must submit an Income Eligibility Application. The eligibility standards used will conform to the Secretary's family size and income standards for reduced priced meals. Under provisions of Title 7 part 225.6(c) Code of Federal Regulations, you are permitted to appeal a denial of an application for free meals. A hearing procedure has been adopted by our agency to assist you in conducting your appeal. If you request a hearing, your child shall continue to receive free meals until a decision in rendered. Describe a method or methods to be used in accepting application(s) from families for program meals. Such methods must ensure that households are permitted to apply on behalf of children who are members of households receiving food stamp, TANF or FDPIR benefits using the categorical eligibility procedures described in 7 CFR 225.15(f). The City of Miami Department of Parks and Recreation will be using the Income Eligibility Guideline Form for the year of 2004 with family size an0 yearly income similar to the "Free and Reduce Price Meals" form that Dade County School issue to Parents'recieving Tang or Food Stamps. Signature of Sponsor Representative Date Signature of State Representative SFSP-S2 Date 04-0899 Sponsor Agreement Number Mir van nuMred ooaMeistin rensw i.q of q Ioariwta is: 1lasseneses * et leluorkwi 325 wM Oahu tow. Roes t032 'Wow Merle 32399.0100 p90j41W904. bema 239•5901 Junk .owtor few fl. FLORIDA DEPARTMENT OF EDUCATION FOOD AND NUTRITION MANAGEMENT SUMMER FOOD SERVICE PROGRAM PREAWARD NONDISCRIMINATION COMPLIANCE REVIEW Name and Address of Sponsor. City of Miami Dept. of Parks and Rec 444 SW 2 Avenue 8th Floor Miami Florida, 33130 Completion of the form is required by FNS Instruction 113-8 issued by the U.S. Department of Agriculture in order to participate in the Summer Food Service Program for Children. Failure to complete this form will result in a dental of the Summer Food Service Program _application. Please Answer the Following Questions I. Estimated Daily Meal Participation by Racial/Ethnic Group: Meal Type Breakfast A.M. Supplement Lunch P.M. Supplement Supper White Non - Hispanic 0 0 1, 000 1,300 0 Black Non - Hispanic 0 0 1,500 2;700 0 Hispasuc 0 0 2,000 1, 000 0 Asian/ Pacific Islander 0 25 40 0 American Indian or Alaskan Native 0 0 25 35 0 Multiracial 0 0 1.000 1,700 0 TOTAL 0 0 5,550 17,775 0 11. Describe efforts to be used to assure that minority populations have an equal opportunity to participate: Children from inner -City School will be introduced to the Rumn1rl lunch program through hand-outs—distr.ibiiter3 to fPAd schools. all will be graciously pcceptc_ III. Describe eff9rts to be used to contact minority and grassroots organizations about the opportunity to participate: We will advertise with the local newspaper at various Elementary Schools. in the inner -City area. IV. List federal agencies other than the U.S. Department of Agriculture that provide financial support to your organization: The City of Miami recieves'various levels of funding from other Federal Agences as U.S. Hud,The Department of Justic And 0epartmPnt of Labor Signature of Sponsor Representative Date Signed SUBMIT WITH SPONSOR SFSP-SI APPLICATION (SFSP FI) F{oiida Department of tducalion