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
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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