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HomeMy WebLinkAbout982020.tiff RESOLUTION RE: APPROVE CONTRACT FOR CHILD ADULT CARE FOOD PROGRAM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Contract for the Child Adult Care Food Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Human Services Department, and the Colorado Department of Public Health and Environment, commencing October 1, 1998, and ending September 30, 1999, with further terms and conditions being as stated in said contract, and WHEREAS, after review, the Board deems it advisable 1:o approve said contract, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Contract for the Child Adult Care Food Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Human Services Department, and the Colorado Department of Public Health and Environment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said contract. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 21st day of October, A.D., 1998, nunc pro tunc October 1, 1998, BOARD OF COUNTY COMMISSIONERS WELT) COUNTY, COLORADO/ ATTEST: iii; '%'i l Constance L. Harbert, Chair Weld County Cler . th �� W racr �- A/ W. H. bster, Pro- BY: , Deputy Clerk tolj« - orge . Baxter AP" •Il D 7 ORM: P _bj IGV �i Dale K. Hall o ttorney , _ {, R Barbara J. Kirkmeyer (/ 982020 ,,L NS HR0069 APPROVED WAIVER FORM CONTRACT DEPARTMEN I OR AGENCY NUMBER Child Care Center or COLORADO DEPARTMENT OF Sponsor of Child Care Center PUBLIC HEALTH AND ENVIRONMENT \--.) �, �"\ DEPARTMENT OR AGENCY NAME FAA I _ft OCT .. j CONTRACT ROUTING NUMBER C t, (:(?" cY J(.5 65103-05 irlU"f f=it I -,\i - CACFP / , �r / SENT. O HEALTH CONTRACT This CONTRACT is made this 17th day of August 1998,by and between:the State of Colorado, for the use and benefit of the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, whose address or principal place of business is 4300 Cherry Creek Drive South.Denver,Colorado 80246,hereinafter referred to as"the State; and, FAMILY EDUCATION NETWORK OF WELD COUNTY.(A Public Entity),whose address or principal place of business its PO BOX 1805.GREELEY.CO.80632- 1805,hereinafter referred to as"the Contractor." WHEREAS, as to the State, authority exists in the Law and Funds have been budgeted, appropriated, and otherwise made available, and a sufficient uncommitted balance thereof remains available for subsequent encumbering and payment in Fund Number 100 and Appropriation Code 657 under Contract Encumbrance number , WHEREAS,the purpose of this Contract is to carry out the objectives of Section 17 of the National School Lunch Act,as amended, and the Regulations governing the Child and Adult Care Food Program (CACFP) issued thereunder(7 C.F.R.,Part 226); WHEREAS,as of the effective date of this Contract, the State has a currently valid Group II purchasing delegation agreement with the Division of Purchasing within the Colorado Department of Personnel; WHEREAS,this procurement is a Sole Source Procurement made in accordance with section 24-103-205, 8 C.R.S.,as amended,and Procurement Rule R24-103-205-01; WHEREAS, all required approvals,clearances,and coordination have been accomplished from and with all appropriate agencies. NOW THEREFORE, in consideration of their mutual promises to each other, stated below,the parties hereto agree as follows: A. EFFECTIVE DATE AND TERM. The effective date of this Contract is October I. 1998,or such date the State Controller approves this Contract,whichever is later. The initial term of this Contract shall commence on October 1. 1998,and continue through and including September 30. 1999, unless terminated earlier as provided for herein. The State may renew this Contract, by written notice to the Contractor, for two(2)additional terms of one(1)year each,so long as funds are available to carry out the objective of the CACFP. B. DEFINITIONS. For the purposes of this Contract,the following definitions shall apply: I. "Children"means(a)persons twelve(12)years of age and under,(b)children of migrant workers fifteen(15)years of age and under, and(c)mentally or physically disabled persons,as defined by the State,who are enrolled in an institution or child care facility serving a majority of persons eighteen(18)years of age and under. 2. "Enrolled child"means a child whose parent or guardian has submitted to the Contractor a signed document which indicates that the child is enrolled for child care with the Contractor. 3. "Milk"means pasteurized fluid types of unflavored or flavored whole milk, low fat milk, skim milk, or cultured buttermilk which meet State and local standards for such milk except that, in the meal pattern for infants(8 months up to the first birthday), "milk"means unflavored types of whole fluid milk or an equivalent quantity of reconstituted evaporated milk which meets such standards. All milk should contain vitamins A and D at levels Page 1 of 9 specified by the Fot .1 rug Administration and be consistent wit nd local standards for such milk. 4. "Verification" means a review of the information reported by the Contractor to the State regarding the eligibility of enrolled children for free or reduced cost meals. C. DUTIES AND OBLIGATIONS OF THE CONTRACTOR. Compliance. The Contractor shall comply with Title VI of the Civil Rights Act of 1964(Public Law 88-352)and all requirements imposed by the Regulations of the: Department of Agriculture(7 C.F.R., Part 15),the Department of Justice(28 C.F.R.,Parts 42&50),and the Food and Nutrition Service(FNS),directives or regulations issued pursuant to that Act;and,those Regulations which state that no person in the United States shall, on the basis of race,color,national origin, sex,religion,age,disability,political beliefs,and marital or family status,be excluded from participation in,or be denied the benefits of,or be otherwise subject to discrimination under any program or activity for which the Contractor received Federal financial assistance. 2. Assurances. The Contractor hereby assures the State that it shall immediately take any measures necessary to effectuate this Contract. This assurance is given in consideration of and for the purpose of obtaining: any and all Federal financial assistance,grants,or loans of Federal funds;reimbursable expenditures,grants or donations of Federal property and any interest in that property;the detail of Federal personnel;the sale and lease of, and the permission to use,Federal property or any interest in such property;the furnishing of services without consideration or at a nominal consideration;the fumishing of services at a consideration which is reduced for the purpose of assisting the Contractor;the furnishing of services to the Contractor in recognition of the public interest to be served by such sale, lease,or furnishing of services to the Contractor;or,.any improvements made with Federal financial assistance extended to the Contractor by the Federal government. This requirement includes any Federal agreement, arrangement,or other contract which,as one of its purposes the provision of assistance such as food, food stamps, cash assistance for the purchase of food,and any other financial assistance extended in reliance on the representations and agreements made in this assurance. 3. Title VI Data Collection. The Contractor agrees to compile data, maintain records,and submit reports as required to permit the effective enforcement of Title VI. The Contractor shall permit authorized State personnel,during the Contractor's normal working hours,to review such records,books, and accounts as may be needed to ascertain the Contractor's compliance with Title VI. If the Contractor fails to maintain such data and records,then the State shall have the right to seek judicial enforcement of this provision. This provision is binding upon the Contractor, its successors,transferees,and assignees so long as it receives assistance or retains possession of any assistance from the State. 4. Center Administration. The Contractor's governing body is responsible for the administration of the centers listed in"Attachment B", which is incorporated herein by this reference. made a part hereof,and attached to this Contract,or it is an agency to which the centers listed in Attachment B have delegated authority for the operation of the food service program. 5. Adherence to Applicable Federal Law. In order to qualify for reimbursement under this Contract,the Contractor shall conduct itself in accordance with:the regulations governing the CACFP(7 C.F.R. Part 226);all appropriate OMB circulars;and, all appropriate State regulations or policies. Additionally,the Contractor shall: A. Operate a nonprofit food service using all of the income received from the CACFP solely for the operation or improvement of such service. The Contractor shall use cash reimbursement for the purchase of food and other food service expenses. B. Serve meals which meet the minimum nutritional requirements specified in in Attachment A. C. Serve the same meal at no separate charge to enrolled children who are in attendance at meal time(non- pricing institution)and so designate on the"Application Form and Nondiscrimination Policy Statement" and abide by the terms of the"Nondiscrimination Policy Statement and Program Verification Rules" (Regulations 226.23 h.I);or,have an identifiable separate charge from tuition for meals served to enrolled children(pricing institution)and so designate on the"Application Form and Nondiscrimination Policy Page2of9 Statement"and abide by the terms of the"Non-discrimination Policy Statement and Program Verification Rules" (Regulations 226.23 h.2). D. Collect data on family size and income and record that data on the"Income Eligibility Form"(IEF)for children enrolled at all centers listed in Attachment B to determine which children are from families meeting the income eligibility guidelines for free or reduced cost meals. Children for whom family size and income data is not available shall be reported under the Paid(not eligible for free or reduced cost meals)category only. An IEF is valid for twelve(12)months. The eligibility term is calculated from the first day of the month in which the parent or guardian signed the IEF. Free or reduced cost meals may be claimed for reimbursement beginning with that date. The IEF is never retroactive from this date. Meals claimed after the expiration date of an IEF can only be claimed in the Paid category. E. Claim reimbursement only for those meals served to eligible enrolled children in each income category within the limits of the Contractor's licensed capacity or registration certificate capacity. No more than two(2)meals and one(I)snack or two(2)snacks and one(I)meal per child per day shall be claimed. F. Submit claims for reimbursement in accordance with the procedures established by the State. Claims for reimbursement which are received by the State after 12:00 p.m.on the 10th calendar day of a month,or on such other date as may be specified by the State, shall be processed for payment in the following month. Only original final claims received within sixty(60)calendar days following the last day of the claim month shall be eligible for reimbursement. Revised claims requiring an upward adjustment to the prior amount paid must be submitted within ninety(90)calendar days of the last day of the claim month. Revised claims requiring a downward adjustment may be submitted at anytime. G. Store,prepare,and serve food in conformance with all applicable State and local health laws and regulations. H. Maintain full and accurate records which pertain to the CACFP,and retain such records for a period of six (6)years after the end of the State of Colorado fiscal year to which they pertain. I. Make all accounts and records which pertaining to the CACFP available to the State and the USDA for audit or review during the Contractor's normal business hours at all times during the term of this Contract. J. Provide adequate supervisory and operational personnel for overall monitoring and management of each food service operation,and promptly take such actions as are necessary to correct deficiencies found at the time of any on-site visit,review,or audit. K. If the Contractor is acting as a sponsor,then it shall monitor all centers at least three(3)times each year, including once during the first six(6)weeks of the CACFP operation. These reviews cannot be more than six(6)months apart. All outside-school-hours centers must be monitored at least six(6)times each year, including once during the first month of CACFP operation. These reviews cannot be more than three(3) months apart. L. Schools operating outside-school-hours centers must monitor each site at least three(3)times per year. 6. Tax Exempt Status. The Contractor is:a public organization or a nonprofit organization which has tax exempt status,e.g.,under section 501(a)of the Internal Revenue Code;or,is moving toward compliance with the requirements of the aforementioned section in accordance with Section 226.15 of the Program Regulations. 7. Title XX Certification. If the Contractor is a for profit Title XX center,then it certifies that it receives funds under Title XX of the Social Security Act for at least twenty-five percent. (25%)of each center's enrolled children or license capacity,whichever is less,during the month preceding its original application to the CACFP and shall continue to certify such information in each succeeding claim month. The Contractor shall not claim reimbursement for meals served in any for profit center for any month during which the center receives Title XX Page 3 of 9 funds for less than twenty-aye percent(25%)of its enrolled children or licese capacity. 8. Licenses. The Contractor certifies that all child care centers listed in Attachment B shall have a valid license or registration certificate for providing child care. 9. Nonresidential Child Care. The Contractor certifies that it provides organized child care in nonresidential situations. 10. Operational Responsibility. The Contractor certifies that it accepts full.and final financial and administrative responsibility for all CACFP operations for each child care center under its jurisdiction. 11. Smoke Free Environment. The Contractor certifies that it shall provide services to all program participants and employees in a smoke free environment. In accordance with Public Law 103-227,also known as the Pro-Children Act of 1994,smoke free shall mean that smoking is not permitted in any portion of any indoor facility owned or leased or contracted for if said facility is routinely or regularly used for the provision of child care or health services to any child under the age of 18 when those services are funded all or in part with Federal funds. 12. Record Keening Requirements. The Contractor shall keep full and accurate records pertaining to its food service as a basis for its claims for reimbursement and,for State and Federal audit and review purposes. These records include,but are not limited to,the following: • A. Menus and food production records which indicate the quantities of foods prepared,the number of persons for whom meals were prepared for,and the serving sizes of these meals. The food production records shall include the number of adults served. B. Daily records of the meals served to children itemized by:name,type of meal(i.e.,breakfast, lunch, supper,or snack),and income category(i.e.,free,reduced cost,or paid). This information shall be recorded on the"Record of Meals Served"form. C. Approved IEFs for enrolled children categorized as free or reduced cost. D. Documentation of income to the Contractor from funds to subsidize food service program,from State CACFP reimbursement, from payments for adult meals,and from all other sources,including loans and donations to the Contractor. E. Invoices or receipts for purchases by the Contractor,including:bills from food service management companies,payroll records including fringe benefits,equipment costs,maintenance and repair fees,office costs,utilities' costs and other administrative costs. This documentation shall be sufficient to show that all reimbursement funds are used: (1)solely for the conduct of the CACFP food service,or(2)to improve such food service operations principally for the benefit of the enrolled children. DOCUMENTATION OF ALL COSTS PERTAINING TO THE OPERATION OF THE CACFP SHALL BE SPECIFICALLY ITEMIZED. DOCUMENTATION SHALL CLEARLY SHOW THAT THE FOOD SERVICE IS NONPROFIT BASED ON ALL CACFP INCOME AND EXPENSES. F. License,registration,or certification documentation. G. Documentation of visits to child care centers to monitor compliance. This requirement pertains only to sponsors that administer more than one child care center in accordance with Federal Regulation 226.16(d). H. Documentation of enrollment. I. Documentation of attendance(class attendance records or sign-in/sign-out sheets). J. Documentation of Civil Rights racial/ethnic data. K. Documentation of staff training pertaining to the CACFP. L. Daily records of the times children are in the Contractor's facility(ies)(also known as sign-in/sign-out Page 4 of 9 records). M. Special Diet Statements documenting variances from the CACFP meal patterns. N. Any contract(s)with a food service management company or,any other food service contract(s). O. Any Colorado Department of Human Services contract(s)- For Profit Title XX centers only. P. Copies of any payment and billing records from the Department of Human Services -For Profit Title XX centers only. Q. Copies of any records of deposit of CACFP reimbursement. 13. Responsibility for Commodities. The Contractor shall properly account for, store,and use all USDA commodity foods provided to it under this Contract. The Contractor shall only use all USDA commodity foods provided to it under this Contract solely for the benefit of those persons served or assisted by the Contractor under this Contract. The Contractor shall not dispose of any USDA commodity foods without the prior express,written consent of the State. The Contractor shall promptly provide a written response to all claims related to the alleged mishandling, diversion,and/or loss of these commodity foods which allegedly resulted from the improper accounting,storage,or use of these commodity foods. If the Contractor,or third party agents of the Contractor,are responsible for any theft or other loss of any USDA commodity foods,then the State may immediately terminate this Contract for cause without any further liability to the State of any kind,including termination costs. 14. Subcontracting. The Contractor may contract with a local school food authority or with a food service management company for the preparation and delivery of meals or meal components. The Contractor shall remain responsible for the fulfillment of the terms and conditions of this Contract. The Contractor shall submit a copy of each such contract to the State. C-D DUTIES AND OBLIGATIONS OF THE STATE. G1. Compensation. During the initial or renewal terms of this Contract,and to the extent that funds are available,the State shall reimburse the Contractor for creditable meals served to eligible children at those child care centers listed in Attachment B. During any State of Colorado fiscal year,the amount of reimbursements paid to the Contractor shall be based on the actual count of meals served by eligibility category. 2. Notifications. The State shall notify the Contractor of any change in the minimum meal requirements or in the applicable rates of reimbursement as soon as possible after the State receives such notification from USDA. 3. Press Releases. The State shall annually make available on behalf of the Contractor to the local media serving the area from which the Contractor draws its attendance,a public release announcing the availability of meals to all eligible enrolled participants without regard to race,color,sex,national origin, age, religion,disability,political beliefs,and marital or familial status. Not all prohibited bases apply to all USDA programs. 4. Advance Payments. The State may authorize advance payments,at its sole discretion,as permitted by CACFP regulations. If advance payments are made,then these advance payments shall be reconciled monthly against the actual amount reimbursed. 5. Provision of Commodities. The Contractor shall receive for use in its child care centers,Head Start centers,outside- school-hours centers,or For Profit Title XX centers: vItgular Donated Commodities or, sh-in-lieu of Commodities(with bonus commodities) Page 5 of 9 XATTACHMENT REFERENCL.,. Attachment B lists those centers which ha.e b..cn approved to participate in the CACFP and, those meals which may be claimed by the Contractor for reimbursement under this Contract Centers or meals may be added to or deleted from Attachment B as the need arises. All such changes shall be confirmed in writing and sent to the State. All references to Attachment B shall be deemed to include that Attachment as subsequently supplemented or amended. f' GENERAL PROVISIONS l. The parties warrant that each possesses actual, legal authority to enter into this Contract. The parties further warrant that each has taken all actions required by its applicable law,procedures,rules,or by-laws to exercise that authority, and to lawfully authorize its undersigned signatory to execute this Contract and bind that party to its terms.The person or persons signing this Contract,or any attachments or amendments hereto,also warrant(s)that such person(s)possesses actual,legal authority to execute this Contact,and any attachments or amendments hereto,on behalf of that party. 2. THE CONTRACTOR SHALL_PERFORM i'I',S DUTIES HEREUNDERAS AN INDEPENDENT Mh ACTOR AND NOT AS AN EMPLOYEE OF THE STATE NEITHER THE CONTRACTOR NOR ANY AGENT OR EMPLOYEE OF THE CONTRACTORIHALL BE.OR SHALL BE DEEMED TO BE my G NT OR EMPLOYEE OF THE STATE THE CONTRACTOR SHALL PAY WHEN DUE ALL R "D EMPLOYMENT TAXES AND INCOME TAX AND t•OCAL HEAD TAX ON ANY MONIES PAID PURSUANT TO THIS CONTRACT. THE CONTRACTOR ACKNOWLEDGES THAT THE CONTRACTOR AND ITS EMPLOYEES ARE NOT ENTITLED TO UNEMPLOYMENT INSURANCE __ _ TH n TO O . THIRD PARTY PROVIDES SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE. THE CONTRACTOR SHALLIIAVE NO AUTHORIZATION.EXPRESS OR IMPLIED.TO BIND THE STATE TO ANY AGREEMENTS.LIABILITY.OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH REIN THE CONTRACTOR SHALL PROVIDE AND KEEP IN FORCE WORKERS' COMPENSATION(AND SHOW PROOF OF SUCH INSURANCE)AND UNEMPLO NT COMPENSATION INSURANCEIN AMOUNTS REOUIRED BY LAW.AND SHALL BE SOLELY RESPONSIBLE FOR THE ACTS OF THE CONTRACTOR.ITS EMPLOYEES AND AGENTS. 3. This Contract may be terminated by either party by giving thirty(30)calendar days written notice thereof to the other party. The State may immediately terminate this Contract if it receives evidence that the Contractor has failed to comply with the terms and conditions of this Contract or,the federal regulations governing this Contract. Any termination of this Contract by the State shall be made in accordance with all applicable laws and regulations including 7 C.F.R,Part 226.6(c). No termination or expiration of this Contact,however,shall affect the obligation of the Contractor to maintain and retain records and to make such records available for audit. The Contractor may appeal a termination according to the procedures established in 7 C:.F.R,Part 226.6(k). 4. The Contractor authorizes the State,or its authorized agents or designees,to perform audits or make inspections of its records for the purpose of evaluating its performance under this Contract at any reasonable time during the term of this Contact and for a period of three(3)years following the termination of this Contact. As such,the Contractor shall permit the State,any appropriate federal agency or agencies,or any other duly authorized governmental agent or agency,to monitor all activities conducted by the Contractor pursuant to the terms of this Contact. Such monitoring may include,but is not limited to:internal evaluation procedures,examination of program data,special analyses,on-site checks,formal audit examinations,or any other reasonable procedures. All monitoring shall be performed by the State in such a manner that it shall not unduly interfere with the work of the Contractor. 5. If the Contractor obtains access to any records,files,or information of the State in connection with,or during the performance of,this Contract,then the Contractor shall keep all such records,files,or information confidential and shall comply with all laws and regulations concerning the confidentiality of all such records,files,or information to the same extent as such laws and regulations apply to the State. Any breach of confidentiality by the Contractor or Page 6 of 9 third party agents of the Contractor shall constitute good cause for the State to cancel this Contract,without liability to the State. Any State waiver of an alleged breach of confidentiality by the Contractor,or third party agents of the Contractor,does not constitute a waiver of any subsequent breach by the Contractor,or third party agents of the Contractor. 6. To the extent that this Contract may be executed and performance of the obligations of the parties may be accomplished within the intent of this Contract,the terms of this Contract are severable. If any term or provision of this Contract is declared invalid by a court of competent jurisdiction,or becomes inoperative for any other reason, then such invalidity or failure shall not affect the validity of any other term or provision of this Contract. 7. Unless otherwise provided for in this Contract,the Contractor shall notify the State,within five(5)working days after being served with a summons,complaint,or other pleading in a case which involves any services provided under this Contract and which has been filed in any federal or state court or administrative agency.The Contractor shall immediately deliver copies of any such documents to the State. 8. This Contract is subject to such modifications as may be required by changes in applicable federal or state law,or federal or state implementing rules,regulations,or procedures of that federal or state law. Any such required modification shall be automatically incorporated into,and be made a part of,this Contract as of the effective date of such change as if that change was fully set forth herein. Except as provided above,no modification of this Contract shall be effective unless such modification is agreed to in writing by both parties in an amendment to this Contract that has been previously executed and approved in accordance with applicable law. 9. Notwithstanding any other provision of this Contract to the contrary,no term or condition of this Contract shall be construed or interpreted as a waiver,express or implied,of any of the immunities,rights,benefits,protections,or other provisions of the Colorado Governmental Immunity Act(CGIA),section 24-10-101,flaw,C.R.S.,as now or hereafter amended. The parties understand and agree that liability for claims for injuries to persons or property arising out of the alleged negligence of the State of Colorado, its departments,institutions,agencies,boards, officials,and employees is controlled and limited by the provisions of section 24-10-101 al sev..C.RS.,as now or hereafter amended. 10. This Contract shall not be modified,altered,or changed in any way except through a written amendment to this Contract executed and approved in accordance with the applicable provisions of the Fiscal Rules of the State of Colorado. 11. This Contract is the complete integration of all understandings between the parties. No prior or contemporaneous addition,deletion,or other amendment hereto shall have any force or effect whatsoever,unless embodied herein in writing. No subsequent novation,renewal,addition,deletion,or other amendment hereto shall have any force or effect unless embodied in a written contract executed and approved pursuant to the Fiscal Rules of the State of Colorado. Page 7 of 9 SPECIAL PROVISIONS CONTROLLER'S APPROVAL 1 .This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate. This provision is applicable to any contract involving the payment of money by the State. FUND AVAILABILITY 2.Financial obligations of the State of Colorado payable after the current fiscal year are contingent upon funds for that purpose being appropria d,budgeted, and otherwise made available. BOND REQUIREMENT 3.If this contract involves the payment of more than fifty thousand dollars for the construction,erection,repair,maintenance,or improvement of any building, mad.bridge,viaduct,tunnel,excavation or other public work for this State,the contractor shall,before entering upon the performance of any�ry work included in this contract,duly execute and deliver to the State official who will sign the contract,a good and sufficient bond or other acceptable to be approved by said official in a penal sum not less than one-half of the total amount payable by the terms of this contract. Such that if the contractor shall be r his uly ybcontracdoby rs aaq ualified to duld corporate surety conditioned upon the faithful performance of the contract and in addition,shall provide pay for any labor,materials,team hire,sustenance,provisions,provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work contracted to be done or fails to pay any person who supplies rental machinery,tools,or equipment in the prosecution of the work the surety will pay the same in an amount not exceeding the sum specified in the bond,together with interest at the rate of eight per cent per annum. Unless such bond is executed,delivered and filed,no claim in favor of the contractor arising under such contract shall be audited,allowed or paid. A certified or cashier's check or a bank money order payable to the Treasurer of the State of Colorado may be accepted in lieu of a bond. This provision is in compliance with CRS 38-26-106. INDEMNIFICATION 4.To the extent authorized by law,the contractor shall indemnify,save,and hold harmless the State,its employees and agents,against any and all claims, damages,liability and court awards including costs,expenses,and attorney fees incurred as a result of any act or omission by the contractor,or its employees, agents,subcontractors,or assignees pursuant to the terms of this contract. DISCRIMINATION AND AFFIRMATIVE ACTION 5.The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957,as amded,and and other Affirmative Action,law a,dated April g 16,discrimination9755. ursuan thereto,the the fol owiint gprroovisions shall be0conta contained i�USa a contracts or by Executive sder,ub-contracual Opportunity During the performance of this contract,the contractor agrees as follows: (a)The contractor will not discriminate against any employee or applicant for employment because of race,creed,color,national origin,sex,marital status, religion,ancestry,mental or physical handicap,or age.The contractor will take affirmative action to insure that applicants are employed,and that employees are treated during employment,without regard to the above mentioned characteristics.Such action shall include,but not be limited to the following:employment upgrading,demotion,or transfer,recruitment or recruitment advertisings;layoffs or terminations;rates of pay or other forms of comp ensation;and notices selection for training,including apprenticeship.The contractor agrees to post in conspicuous places,available to employees and applicants P yin o be provided by the contracting officer setting forth provisions of this non-discrimination clause. (b)The contractor will,in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified mental o fi h app handicap receive age. consideration for employment without regard to race,creed,color,national origin,sex,marital status,religion,ancestry, P ysn (c)The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding,notice to be provided by the contracting officer,advising the labor union or workers'representative the Orders the tm nt under the Executive Order,Equal Opportunity and Affirmative Action,dated April 16,1975,and of the rules,regulations,and relevant r. (d)The contractor and labor unions will furnish all information and reports required by Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975,and by the rules,regulations and Orders of the Governor,or pursuant thereto,and will permit access to his books,records,and accounts by the contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules,regulations and orders. (e)A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization,or expel ,such individual from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity because ice,creed,color, sex,national origin,or ancestry. (f)A labor organization,or the employees or members thereof will not aid,abet,incite,compel or coerce the doing of any act defined in this contract ntrct directly discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder;or attempt, or indirectly,to commit any act defined in this contract to be discriminatory. (g) In the event of the contractor's non-compliance with the non-discrimination clauses of this contract or with any of such rules,regulations,or orders,this contract part and the ntractor may be tracts in accordance th may be canceled,hoe in ced or susOrder, Eq hole or and Affirmatiivve Action of April 16,975 and the rulesible for ,regulations,gulations orther State r orders promulgated with procedures,authorized in Executive Order.Equal Opportunity Font 6-AC-02B(GEN060197) Revised 06/01/92 Page 8 of 9 pages in accordance therewith,and such other sanctions as m.., oe...,posed and remedies as may be invoked as provic .n L,cecutive Order,Equal Opportunity and Affirmative Action of April 16, 1975,or by rules,regulations,or orders promulgated in accordance therewith,or as otherwise provided by law. (h) The contractor will include the provisions of paragraphs(a)through(h)in every sub-contract and subcontractor purchase order unless exempted by rules, regulations,or orders issued pursuant to Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975,so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any sub-contracting or purchase order as the contracting agency may direct,as a means of enforcing such provisions,including sanctions for non-compliance;provided,however,that in the event the contractor becomes involved in,or is threatened with,litigation,with the subcontractor or vendor as a result of such direction by the contracting agency,the contractor may request the State of Colorado to enter into such litigation to protect the interest of the State of Colorado. COLORADO LABOR PREFERENCE 6a. Provisions of CRS 8-17-101&102 for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereunder and are financed in whole or in part by State funds. b. When a construction contract for a public project is to be awarded to a bidder,a resident bidder shall be allowed a preference against a non-resident bidder from a state or foreign country equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident. If it is determined by the officer responsible for awarding the bid that compliance with the subsection.06 may cause denial of federal funds which would otherwise be available or would otherwise be inconsistent with requirements of Federal law,this subsection shall be suspended,but only to the extent necessary to prevent denial of the moneys or to eliminate the inconsistency with Federal requirements(CRS 8-19-101 and 102). GENERAL 7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,execution,and enforcement of this contract. Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra-judicial body or person or which is otherwise in conflict with said laws,rules,and regulations shall be considered null and void. Nothing contained in any provision incorporated herein by reference which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint,defense,or otherwise. Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to the extent that the contract is capable of execution. 8. At all times during the performance of this contract,the Contractor shall strictly adhere to all applicable federal and state laws,rules,and regulations that have been or may hereafter be established. 9. Pursuant to CRS 24-30-202.4(as amended),the state controller may withhold debts owed to state agencies under the vendor offset intercept system for: (a)unpaid child support debt or child support anearages;(b)unpaid balance of tax,accrued interest, or other charges specified in Article 22, Title 39, CRS; (c)unpaid loans due to the student loan division of the department of higher education;(d)owed amounts required to be paid to the unemployment compensation fund;and(e)other unpaid debts owing to the state or any agency thereof,the amount of which is found to be owing as a result of final agency determination or reduced to judgment as certified by the controller. 10. The signatories aver that they are familiar with CRS 18-8-301,et seq.,(Bribery and Corrupt Influences)and CRS 18-8-401,et seq.,(Abuse of Public Office), and that no violation of such provisions is present. II. The signatories aver that to their knowledge,no state employee has any personal or beneficial interest whatsoever in the service or property described herein. IN WITNESS WHEREOF,the parties hereto have executed this Contract on the day first.above written. Contractor: FAMILY EDUCATION NETWORK State of Colorado (Full Legal;7) OF WELD COUN / - ,,� ROY ROMER,GOVERNOR By ���123�NiJ''c/ U..Q& 0/21/98) position(rifle)Chairperson, Weld County Board of By - Commissioners 84-6000813 L Social Security Number or Federal LD_Number Department l�I i 1 of PUBLIC HEM LTH��AND ENVIRONMENT /If Corporation,Town/C oun •r • a eat• <� PROGRAM APPROVAL:1",74.4 r2 '-e • y' {� Attest(Affix Se, ) • By . Deputy Clerk to ` >:d.J• .1� *"% APPROVALS P Y � .\\ / ATTORNEY GENERAL CONTROLLER By By Gale A.Norton Clifford W. 11 Fuem 6-AC-02C(GEN06ar97) Revised 06/01/97 Page 9 which is the last of 9 pages ATTACHMENT A CACFP Requirements for Meals Each institution participating in the Program shall serve one or more of the following types of meals,as provided in its approved application: Breakfast, Lunch, Supper, Snacks served between such other meals. 1. Except as otherwise provided in this section,and in any appendix to this part,each meal shall contain,as a minimum,the food components as follows: A BREAKFAST SHALL CONTAIN: • A serving of fluid milk as a beverage or on cereal;or used in part for each purpose. • A serving of vegetable(s)or fruit(s);or full-strength vegetable or fruit juice;or an equivalent quantity of any combination of these foods. • A serving of whole-grain or enriched bread;or an equivalent serving of cornbread,biscuits,rolls,muffms,etc., made with whole-grain or enriched meal or flour;or a serving of whole-grain or enriched or fortified cereal;or a serving of cooked whole-grain or enriched pasta or noodle products such as macaroni;or cereal grains such as rice, bulgur,or corn grits;or an equivalent quantity of any combination of any of these foods. BOTH LUNCH AND SUPPER SHALL CONTAIN: • A serving of fluid milk as a beverage. • A serving of lean meat,poultry or fish;or cheese;or an egg;or cooked dry beans or peas;or nuts or nut butters;or yogurt or an equivalent quantity of any combination of these foods. These foods must be served in a main dish or in a main dish and one other menu item to meet this requirement Cooked dry beans or dry peas may be used as the meat alternate or as part of the vegetable/fruit component,but not as both food components in the same meal. • A serving of two or more vegetables or fruits;or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. • A serving of whole-grain or enriched bread;or an equivalent serving of cornbread,biscuits,rolls,muffins,etc., made of whole-grain or enriched meal or flour;or a serving of cooked whole-grain or enriched pasta or noodle products such as macaroni;or cereal grains such as rice,bulgur,or corn grits;or an equivalent quantity of any combination of these foods. SNACK SHALL BE SERVED BETWEEN OTHER MEAL TYPES AND CONTAIN TWO OF THE FOLLOWING FOUR COMPONENTS: • A serving of fluid milk as a beverage or on cereal;or used in part for each purpose. • A serving of meat or meat alternate. • A serving of vegetables(s)or fruit(s);or full-strength vegetable or fruit juice;or an equivalent quantity of any combination of these foods. Juice may not be served when milk is served as the only other component Vegetables and fruits are considered one meal component at snack. • A serving of whole-grain or enriched bread;or an equivalent serving of cornbread,biscuits,rolls,muffins,etc., made with whole-grain or enriched meal or flour;or a serving of whole-grain or enriched or fortified cereal;or a serving of cooked whole-grain or enriched pasta or noodle products such as macaroni;or cereal grains such as rice, bulgur or corn grits;or an equivalent quantity of any combination of these foods. 2. Except as otherwise provided in this section,the minimum amounts of component foods to serve at meals as set forth above are as follows: AGE 1 UP TO 3: • Breakfast- '/:cup of milk; 1/4 cup of juice or fruit or vegetables; '/:slice of bread or bread alternate;or 1/4 cup (volume)or 1/3 ounce(weight),whichever is less,of cereal;or an equivalent quantity of both bread and cereal. • Lunch or supper- '/ cup of milk; 1 ounce(edible portion as served)of lean meat,poultry or fish;or 1 ounce of cheese;or 1 egg;or 1/4 cup of cooked dry beans or peas;or 2 tablespoons of peanut butter;or 4 ounces or%1 cup of yogurt; 1/4 cup of vegetables or fruits or both consisting of two or more kinds; '/z slice of bread or bread alternate; or 1/4 cup of cooked enriched or whole-grain rice,macaroni,noodles or other pasta products. • Snack-select two of the following four components-1/2 cup of milk; '/1 ounce of meat or meat alternate(which includes 2 ounces or 1/4 cup of yogurt);1/2 cup of juice or equivalent quantity of fruit or vegetables; %]slice of bread or bread alternate; or 1/4 cup(volume)or 1/3 ounces(weight), whichever is less,of cereal;or 1/4 cup of cooked enriched or whole-gain rice,macaroni,noodles or other pasta products. AGE 3 UP TO 6: • Breakfast-3/4 cup of milk; '/:cup of juice or fruit or vegetable; '/1 slice of bread or bread alternate;or 1/3 cup (volume)or'/,ounce(weight),whichever is less,of cereal; or an equivalent quantity of both bread and cereal. • Lunch or supper-3/4 cup of milk; 1 %1 ounces(edible portion as served)of lean meat,poultry or fish;or 1 '/:ounces of cheese;or 1 egg;or 3/8 cup of cooked dry beans or peas;or 3 tablespoons of peanut butter;or 6 ounces or 3/4 cup of yogurt; '/3 cup of vegetables or fruits or both consisting of two or more kinds; %1 slice of bread or bread alternate;or 1/4 cup of cooked enriched or whole-grain rice,macaroni,noodles or other pasta products. • Snack-select two of the following components- '/z cup of milk;'/:ounce of meat or meat alternate(which includes 2 ounces or 1/4 cup of yogurt); '/2 cup of juice;or an equivalent quantity of fruit or vegetables;'/:slice of bread or bread alternate;or 1/3 cup(volume)or'/:ounce(weight),whichever is less,of cereal;or 1/4 cup of cooked enriched or whole-grain rice,macaroni,noodles,or other pasta products. AGE 6 THROUGH 12: • Breakfast- 1 cup of milk;'/:cup of juice or fruit or vegetables; 1 slice of bread or bread alternate;or 3/4 cup (volume)or 1 ounce(weight),whichever is less,of cereal;or equivalent quantity of both bread and cereal. • Lunch or supper- 1 cup of milk;2 ounces(edible portion as served)of lean meat,poultry or fish;or 2 ounces of cheese;or 1 egg;or%cup of cooked dry beans or peas;or 4 tablespoons of peanut butter;or 8 ounces or 1 cup of yogurt;3/4 cup of vegetables or fruits or both consisting of two or more kinds; 1 slice of bread or bread alternate;or /:cup of cooked enriched or whole-grain rice,macaroni,noodles or other pasta products. • Snack-select two of the following components- 1 cup of milk; 1 ounce of meat or meat alternate(which includes 4 ounces or 1/2 cup of yogurt);3/4 cup of juice or an equivalent quantity of fruit or vegetables: 1 slice of bread or bread alternate;or 3/4 cup(volume)or 1 ounce(weight),whichever is less,of cereal;or up of cooked enriched or whole-grain rice,macaroni,noodles,or other pasta products. AGE 12 AND OVER: • Adult-size portions based on the greater food needs of older boys and girls. INFANT MEAL PATTERNS: • 0 through 3 months: Breakfast-4-6 fluid ounces of iron-fortified infant formula. Lunch or supper-4-6 fluid ounces of iron-fortified infant formula. Snack-4-6 fluid ounces of iron-fortified infant formula. • 4 through 7 months: Breakfast-4-8 fluid ounces of iron-fortified infant formula; 0-3 tablespoons of iron-fortified dry infant cereal(optional). Lunch or supper-4-8 fluid ounces of iron-fortified infant formula;0-3 tablespoons of iron-fortified dry infant cereal(optional);0-3 tablespoons of fruit or vegetable of appropriate consistency or a combination of both(optional). Snack-4-6 fluid ounces of iron-fortified infant formula. • 8 months up to the first birthday: Breakfast-6-8 fluid ounces of iron-fortified infant formula or 6-8 fluid ounces of whole milk;2-4 tablespoons of iron-fortified dry infant cereal; 1-4 tablespoons of fruit or vegetable of appropriate consistency or a combination of both. Lunch or supper-6-8 fluid ounces of iron-fortified infant formula or 6-8 fluid ounces whole milk;2-4 tablespoons of iron-fortified dry infant cereal and/or 1-4 tablespoons of meat,fish,poultry,egg yolk or cooked dry beans or peas;or 1/2-2 ounces(weight)of cheese;or 1-4 ounces(weight or volume)of cottage cheese or cheese food or cheese spread of appropriate. consistency;and 1-4 tablespoons of fruit or vegetable of appropriate consistency or a combination of both. Snack-2-4 fluid ounces of iron-fortified infant formula,whole fluid milk or full-strength fruit juice;0-1/2 slice of crusty enriched or whole-grain bread(optional);or 0-2 cracker-type products(optional)made from whole-grain or enriched meal or flour that are suitable for an infant for use as a finger food. Breast milk,provided by the infant's mother,may be served in place of infant formula from birth through 2 years of age. However,meals containing only breast milk do not qualify for reimbursement. Meals containing breast milk served to infants 4 months of age or older may be claimed for reimbursement when the other required meal component or components are supplied by the center. 3. For the purpose of this section,a cup means a standard measuring cup. 4. To improve the nutrition of participating children additional foods may be served with each meal. 5. If emergency conditions prevent an institution normally having a supply of milk from temporarily obtaining delivery thereof, the State Agency,may approve the service of breakfasts,lunches, or suppers without milk during the emergency period. 6. Substitutions may be made in food listed above in this section if individual participating children are unable,because of medical or other special dietary needs,to consume such foods. Such substitutions shall be made only when supported by a statement from a recognized medical authority which includes recommended alternate foods. _NeC Y Y CON CON (7 N C N CO N a)E 0.E a) E a). 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C • N )O .. 0 w M ..0 h N. ••0 O Q J CU X O U O a. cox 00 a) x (1) ° Q OW g 4. #UW g n' 4 ow p d 1 UI C C CD d CO Vim) N 0) d CD V0D al 0 a (a Q a) a) a) U C a) a) W N C 0 0 0) O C U U U 0) O U U U O) O O O U 0) O JJJ H U J JJ H 0 JJ_J H U N N N N N VI N N 01 e- O 8o ._ o LO O o 0 y a) co C o' C o C 'o O � Q � i re } 1.--77 d' 0+) H O W f W V C 2 t CO o . w 2 M 00 0 0 j oU o Z ta W W Z 0 W 0 W JJ O w QID• WOW o WW o WW 0 W Mm� � I-I- �� ._ re JOJ z gg z gg z (� 2m2 N 00 N as a Qco `-Renewal Form CDPHE-CACFP October 1, 1998 - September 30. 1999 (Annually) Dear Center CACFP Representative: This form reflects the most current information the Colorado Department of Public Health and Environment, Child and Adult Care Food Program (CDPHE-CACFP) has on file concerning your center and its participation in the CACFP. Please review the form and verify the accuracy of the information. Make the necessary corrections (in red ink) to anything that is not correct and/or no longer applicable. Sign and return the form to the CDPHE-CACFP by September 18, 1998. If you have any questions. please contact Wanda Unterzuber at 303-692-2346. 1. CENTER/SPONSOR INFORMATION Name and Address: FAMILY EDUCATION NETWORK Agreement Number:65103-05 OF WELD COUNTY PO BOX 1805 Federal Tax ID Number: 84-6000813 L GREELEY. CO 80632-1805 2. I have reviewed this form and certify that the information it contains is correct. T --r— Print Name: l : <' t�.r`��.E ; -1 ).,v‘i;" i— Signature: � � ,y �-r' ( er, ✓--� ><t«—+=-- 3. MAILING ADDRESS .i If you would like your reimbursement check mailed to an address afferent from the above, your W-9 form must reflect the correct address. Call the 4. Number of Centers: 15 County: Weld Authorized Representative: 1. 'ERE KELLER-A MAYA 2:. BEVERLY SANCHEZ Center Telephone: (970)353-3800 Alternate Telephone: (970)356-0600 Fax (970)356-3975 5 Oct Nov sec Jan Feb ,.gar Apr Inaay dun dui Aug Sep Months Approved for CACFP Participation: rJ i✓I `/ A Al VI y rl . A {A 6. Commodities: Cash-In-Lieu of Commodities: 7• Number of Shifts:2 8. License Capacity: 605 9. Does center care for infants? Yes No License Number N/A Bkfst AM Sn Lun PM Sn Sup Late S License Expiration Date: 9/30/1999 Meals Approved: VI ./I A Timely Renewal: N Does Center claim infants on the CACFP? J J Hours: 6.30A-6:0OP (up to first birthday) 10. Is ;his a pricing program? Yes I No,/I Days Open: MON-SAT Yes ej No Li 11.Center contracts meal service? Yes//I Nod 12-Contractor's Name: 7 SCHOOL DISTRICTS 13. Food Service Contract Expiration J (please list additional contractors on the back) (please list additional dates on the back) Date: 6/30/1997 14. Meals are:Prepared at the center ,/I Prepared off-site I 15. Age Range of Participants: 0 to 5 16. FOR PROFIT CENTERS ONLY According to our records,these are the counties your center has Title XIX or XX contracts with. Please upaate as necessary. County: Expiration Date: County: Expiration Date: County: Expiration Date: County: Expiration Date: 17. Request Policy information on advance payments. Step 1 -Wanda/Debbie Step 2-Specialist Follow-up Intormation Packet Packet Incomplete Received: follow-up m1il3rT • nTTr mate All Forms Received: Forms Missing. Person Contacted: Card Sent: or vale Form Ltr Sent Renewal complete: _ Date: Initial vale Card Sent(?)(see step 1): already sent _send Cj7nL.-;C� Child&Adult Care Food Progrl Certificate and Statement of Authority This organization is a: For Profit Corporation Non Profit Corporation ❑ Limited Liability Corporation ❑ Sole Proprietorship ❑ Public Entity ❑ Partnership❑ Church❑ I, (We), the undersigned,state that the child care center(s) listed on Schedule A of the Agreement (CACFP 300) or the Multiple-Site Summary Sheet is an integral part of, and therefore under the direct control of, the governing body of the Weld County Division of Human Services' Family Educational Network of Weld County (Name of the Organization.Busimss or Church) whose address is .15_51 North 1' Avenue P o Box 1 Q05 Grepley R0637 (Street or Route) (City) (Zip Code) ( 970 ) 353-3800 — (Telephone Number) and that all funds relating to the Child and Adult Care Food Program (CACFP) will be subject to the control of the duly constituted governing body of the above-named organization, business, or church and that all funds received for the operation of the CACFP will be used exclusively for the purpose for which they were received. The individual(s) whose name and signature(s) appears below is authorized to sign the Claim for Reimbursement and is fully-empowered to enter into any agreement with the Colorado Department of Public Health& Environment CACFP and may act for the above-mentioned center or sponsor in preparing and signing documents and reports pertaining to the management of the CACFP. When there is a change of Authorized Representative,it shall be the responsibility of the center or sponsor to request from this office,Colorado Department of Public Health&.Environment CACFP,forms to register the change. The signature of the Authorized Representative on the Claim for Reimbursement must match the signature on this form or the Claim cannot be processed and your reimbursement will be delayed. AUTHORIZED REPRESENTATIVE(S) • I. eee., CCYYLL (L- 2. _ /2 / /44�[ Signature j Signature Tere Keller—Pmava '.3everly Sanchez Print Name Print Name Director _ Director of Operations Title Title is the duly designated Authorized Representative(s) for the Center/Sponsor listed above. Note: It is to your benefit to have two people designated as Authorized Representatives. THIS BOX MUST BE SIGNED I(we) understand that the information on this form is being given in connection with the receipt of Federal funds and that all of the provisions of the Agreement (CACFP 300) apply. ♦ j�� �. —Weld County Board of Commis. // -s-.fvv./ J Ci- < 'ons an ? Ha h rt Chairperson Signature of Chair of the Board of Directors, Print Name Official Title or Pastor,or Executive Director,or Owner /0A / 'Date (CDPHE-CACFP 306 8/98-c:\forms\cert-soa.PM5) • :hild& Adult Care.Food Progra� AUDIT QUESTIONNAIRE Organizations receiving federal funds are required to be audited. The information requested on this form will help us satisfy those requirements. It may be helpful to have someone in your accounting or business office,or someone on your board who is familiar with auditing procedures,prepare this questionnaire. Center/Sponsoring Organization: °?'eld County Division of Duman ecru,.-ns Agreement Number: 65103-05 Family Educational Network of Weld County Address: i s c i Mnrr+, 17 n.rarine P.O. Box 13Q5, Greeley, Colorado 80632 1. Do you contract*with an accounting firm to conduct an audit of your center/sponsoring organization? 'Yes x No 2. If your center/sponsor is part of another organization,does the organization have an organization-wide audit? Yes x No (The term "organization-wide audit" means an audit of all funds received by an organization, including federal, state. local, and private funds. The audit must include a random sampling of all federal funds received by the organization, and it must be `conducted by an independent auditor. 3. Is a review of the CACFP included in that organization-wide audit? Yes v No 4. What is the legal name of the organization being audited? Weld County Division of Human Services 5. What federal funds does your organization receive other than CACFP? (Examples:National School Lunch Program,Title XX) Region VIII Head Start $ 1. 5 Million Region XII Migrant Head Start $ 1. 4 Million $ $ . 6. What is the total annual budget for the organization identified in Question#4? (include all federal,state,and"other"funds) $ 6 .000.000 00 _ 7. When does your organizations's fiscal year begin and end? January 1st through December 31gt 8. Does your organization have fiscal year end schedules(financial statements)? Yes x No__ 9. Does you organization have computerized records? Yes x No * ALL audit contracts must include the paragraph on the reverse side of this form. • Questionnaire prepared by: I -12.-t-.L ..k--«I i( -Li.-L-Lacff- - Date: /O- -t7 S." Director Title: Phone Number:(9'0 ) 353-3800 (CDPHE-CACFP 7/96 cdFonns1AuditQue.PM5) * Certification Regarding Debarment, etc.: This Certification is given by the Contractor in compliance with regulations implementing Executive Order 12549, Debarment and Suspension. 7CFR Part 3017, Section 3017.510. The Contractor hereby certifies, by execution of the contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment,declared ineligible or voluntarily excluded from participation by any federal department or agency. Renewal/New Center Child& Adult Care Food Program SPONSOR OF CENTERS APPLICATION List the number of CACFP participating centers in each category under your administration: Nonprofit Child Care Centers Early Head Start Centers Outside-school-hours Centers t n Migrant Head Start Centers June — September For Profit Title XX Centers Nonprofit Adult Day Care Centers 12 Head Start Centers September — June For Profit Title XIX Adult Day Care Centers 2. List the total number of participants enrolled at CACFP participating centers under your administration: Nonprofit Child Care Centers Early Head Start Centers Outside-school-hours Centers ?56 Migrant Head Start Centers For Profit Title XX Centers Nonprofit Adult Day Care Centers 556 Head Start Centers For Profit Title XIX Adult Day Care Centers 3. All centers must be visited at least three times a year with no visit being more than six months apart. A person from the sponsoring organization who is a recognized authority and has food program responsibility and knowledge on the CACFP should be assigned to do all site visits. The first site visit must occur during the first six weeks of operation. All non- school sponsored,outside-school-hours centers must be monitored at least six times a year. If they are in session only nine months,they must be visited four times. Please describe how you will meet this requirement,including who will be responsible for the visits and an approximate schedule of when the visits will be made. If available,attach a copy of your evaluation form and your schedule for visiting centers. 4. Please describe your procedure for following up on problems discovered during monitoring visits. 5. Sponsors are responsible for collecting,maintaining,and reviewing the following records for each center. Please describe the system you use for: A. Income Eligibility Forms(IEFs): Income Eligibility Forms are completed at the beginning of the school year. B. Record of Meals Served(ROMS): Teachers complete Record of Meals Service and turn into Family Services and the information is compiled for the Meal Claim Forms. C. Menus: At the beginning of the school year menus are formulated with the appropriate school districts and approved by Parent Policy Council. • D. Production Records: Production Records are done by the school district cooks and reviewed by the Director. E. Food Receipts and Invoices: Invoices are approved by the Director and sent to the Fiscal Officer for payment and recording purposes. (I) 6. Sponsors must distribute CACFP reimbursements to centers within 5 days of receipt from CDPHE-CACFP. Please describe how you do this: Reimbursements are made directly to Weld County - Individual centers c'.o not __oeiv direct reimbursement. 7. All center staff who work with CACFP must receive initial training as well as annual training regarding the foc program and nutrition. Please describe how you will be training staff regarding food program recordkeeping requirements, administrative and food service. Please include dates and topics to be covered. Center staff will receive training on November. 17th and cover the aforementioned topics. 8. Before you brine on a new center, you will be required to conduct a preapproval visit. Please describe how you will do this. If available, attach a copy of your preapproval evaluation form. .Ce will not be opening or operatinc new centers. 9. Will any of the centers contract with a food service management company or caterer for meals? Yes_ No x If yes,please list, for each center, the contractor and the type of delivery procedure that will be used to supply meals for the center(attach separate sheet if needed). Food Service Management Company Food Service Management Company Address Address Contact Contact t certify thattheinfoncaionont isapplir itttandaayotherapplieationmaterialsrstntetothebesteltnylmowiedge `.willaccept€ l athmttnistrativeand Bnanciattesponstb&ty fortotatChildendAdultCateFoodPtotuarnaperautnsatallrenteasmtdernty nsotship:andthat reimbutsernentwallheclaimedonlyformealssetvedsoenratedpi+ruipazns;t attheCACFPwiflbeavaslebfetaallelgu it pintswithouttcg+ud .ordisabit atttteappnwoifoddattvxcfaalidesandthatthGtefaciitieshava* iityfartheameal tomce-color,sex.natw>Blorigvr,age; tic tobeseivedormealsarepmvidedbyafoodservicemanagtmet- aatyin�� with CpCFPtefortheim Ib eruti tbamssbiaptged with CAGFP'regFt3attona, ttmdessa<tkdtatthts mfai*nanon is bevnggrvm intanitetion wtih.the tecettpt'OfFederal fiu1th:s. atGd : •a,atc a....:Awlonina4subjectmetopmsectuionyndeaapplicable.SmteandEedetalcrhnaialsatmtes. wL Cc'•t '°2'T'2k�i s./�G- l D Signature'of A. 'uistrator or Authorized R tative. ate I CDPI¢-CACFP 1:WEWCrL-FRMAPPLSPON.CFR DM) (2) MEMORANDUM TO: Weld County Board of County Commissioners WilC.O FROM: Walter J. Speckman, Executive Director, DHS J, ;t!�. DATE: October 21, 1998 COLORADO SUBJECT: FENWC/Head Start Purchase of Service Agreements Presented before the Weld County Board of Commissioners are purchase of Service Agreements between FENWC and the following: 1. The Colorado Department of Health and Environment, Child Adult Care Food Program, for reimbursement to FENWC for meals served to eligible children. 2. School District RE-3J (Hudson) for meal services and maintenance; $1.10 per child breakfast, $1.25 per adult breakfast, $1.65 per child lunch, $2.25 per adult lunch, and $.65 per snack. Maintenance will be billed at $1.34 per square foot, not to exceed $2,190.00. 3. School District RE-3J for Colorado Preschool Slots (CPP). FENWC will be reimbursed $2,052.00 ($57,456.00 maximum) to provide services for 28 CPP children, and $800.00 per child with identified special needs. 4. School District RE-1 for lunch meal service. Lunch will be provided to children for$1.50 per meal, and $2.10 per adult. 5. School District RE-I for Colorado Preschool Slots (CPP). FENWC will be reimbursed $2,118.00 ($101,664.00 maximum) to provide services for 48 CPP children. 6. School District 6 for meal service; breakfast $1.25, lunches - $2.50, and snacks - $.75. 7. Plan de Salud del Valle for Health Services (medical and dental) to children served in south county. Health services/physical $28.00 per visit, and dental services $60.00 per child. Services will be billed to medicaid and private insurance for children enrolled in these programs. 8. ' School District RE-5J for meal service and maintenance. FENWC will billed $1.75 per lunch and $3,400 for maintenance services and transportation for children off RE-5J normal route. 9. School District RE-5J for Colorado Preschool Slots (CPP). FENWC will be reimbursed $2,138.00 ($19,242.00 maximum) to provide services for 9 CPP children. 10. School District RE-1J for meal services for the Frederick Center. FENWC will be billed $1.00 per breakfast, lunches for children - $1.75, lurches for adults - $2.05 (with milk $2.30), and snacks - $.85. 11. Colorado Action for Healthy People. FENWC will be reimbursed $9,600.00 to provide services to Head Start children for year two of the Child Healthy Habits Project. 982020 Hello