HomeMy WebLinkAbout961860.tiff RESOLUTION
RE: APPROVE RENEWAL FORM FOR CHILD AND ADULT CARE FOOD PROGRAM
BETWEEN HUMAN SERVICES FENWC AND COLORADO DEPARTMENT OF
PUBLIC HEALTH AND ENVIRONMENT 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 Renewal Form for the Child and 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 Weld County Division of Human
Services, Family Educational Network of Weld County, and the Colorado Department of Public
Health and Environment, commencing October 1, 1996, and ending September 30, 1997, with
further terms and conditions being as stated in said renewal form, and
WHEREAS, after review, the Board deems it advisable to approve said renewal form, 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 Renewal Form for the Child and 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 Weld County Division of Human Services,
Family Educational Network of Weld County, 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 renewal form.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 16th day of October, A.D., 1996, nunc pro tunc October 1, 1996.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO 4 EL��w! ' Lu Barb ra J. Kirkmeyer, Chair ,,
1861 r 2 P '.[`�.1� ty Clerk to the Board
" " ` �� Geo a E. Baxter Pro-T
Deputy Clerk t he Board
Dale K. Hall
AP V AS TO FO • 1[ r�1�� ..s..etc.e
Constance L. Harbert
o ty Attorne
W. . e ste
961860
C-' HS HR0067
LRenewal Form I
CDPHE-CACFP
October 1, 1996-September 30, 1997 (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 23, 1996. If you have any questions,
please contact Wanda Unterzuber at 303-692-2346.
1.CENTERISPONSOR INFORMATION Name and Address: FAMILY EDUCATION NETWORK
Agreement Number: 65103-05 OF WELD COUNTY
1551 NO 17TH AVE PO BOX 1805
Federal Tax ID Number: 84-6000813 L GREELEY, CO 80632-
2. have reviewed this form and certify that the information it contains is correct. p//
Print Name:Ter KP11 er—Amayn Signature: ,k2L&. /
3. MAILING ADDRESS �U
If you would like your reimbursement check mailed to an address different from the above,your W-9 form must reflect the correct address. Call the CACFP
if you have any questions.
4. Number of Centers: 15 County: Weld
Authorized Representative: 1. TERE KELLER-AMAYA 2. JANET LUNA-FLAUGHER
Center Telephone: (970)353-3800 Alternate Telephone: (970)356-0600 Fax: (970)356-3975
5 Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
Months Approved for CACFP Participation: el ita .R EA in id e
6, Child care center currently claims 4 meals per child per day? 7, bbt Cash-In-Lieu of Commodities:
(Child must be in care for 8 hours or more.) Yeshei No id
8. Number of Shifts: 2 9. License Capacity: 620 10. Does center care for infants?
Yes No
Bkfst AM Sn Lun PM Sn Sup Late Sn
License Number: N/A y
Meals Approved: Elti " License Expiration Date: 9/30/96 :. .
* �:₹ Timely Renewal: N Does Center claim infants on the CACFP?
Hours: 6:30A-6:00P (up to first birthday)
11. Is this a pricing program? Yes ti No `�Q Yespl No 3.� °`Days Open: MON-SAT r,�
12.Center contracts meal service?yes ". Mgt 13.Contractors Name:7 SCHOOL DISTRICTS 14. Food Service Contract Expiration
Awc
(please list additional contractors on the back) (please list additional dates on the back)
Date: 6/30/96
15. Meals are: Prepared at the center g'y Prepared off-site a 16. Age Range of Participants: 0 to 5
17. FOR PROFIT CENTERS ONLY
According to our records,these are the counties your center has Title XIX or XX contracts with. Please update as necessary.
County: Expiration Date: County: Expiration Date:
County: Expiration Date: County: Expiration Date:
18. Request information on advance payments. ais
Step 1',Wanda/Debbie '.: Step 2-Specialist follow-up Information
Packet Packet Incomplete
..Received: TeIEIeT ,tea - follow-up
Initial Date _
All Forms Received:—
Forms Missing: Peredti Contacted:
Card Sent: Bata or
Form Ltr Bent Renewal complete: Date: Initial
Date Card Sent(7)(see step 1): already sent ; send.
961860
Child& Adult Care Food Prograr,
SPONSOR OF CHILD CARE CENTERS APPLICATION
1. Name of Sponsoring Organization:Family Educational Network of Weld County
Contact Person:
Keller—Amaya
Phone Number: (970 1 353—'lsflfl
2. List the number of CACFP participating centers in each category under your administration:
•
Nonprofit Child Care Centers
Outside-school-hours Centers
For Profit Title XX Centers
12 Head Start Centers September — June
10 Migrant Head Start Centers June — September
3. List the total number of children enrolled at CACFP participating centers under your administration:
Nonprofit Child Care Centers
Outside-school-hours Centers
For Profit Title XX Centers
556 Head Start Centers September — June
386 Migrant Head Start Centers June — September
4. Do you participate in the Colorado Preschool Project? Yes X No
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 Office
for payment and recording purposes.
(I)
961.860
6. Sponsors must distribute CACFP arsements to centers within 5 days of receip, a CDPHE-CACFP. Please
describe how you do this:
All centers are operated under the direction of the Head Start
Program. Therefore, the CCFP Reimbursement is made to the one
program and does not need to be disbursed to the other facilities.
All costs for each of the centers are paid under the one Head Start
ucg
7. AI cen stetaff who work with CACFP must receive initial training as well as annual training regarding the food 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.
All staff involved in food service will be trained in October. When
new information is made available, training is provided to all
necessary staff, reviews are conducted monthly when all the documen-
tation is collected for reporting purposes.
8. Before you bring 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.
The pre—approval evaluation form will be used at each site.
9. All centers must be visited at least three times a year with no visit being more than six months apart. 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.
Monitoring of food service operations is done in November 1996,
February, May, June, and August , of 1997.
10. Please describe your procedure for following up on problems discovered during monitoring visits.
An action plan will be written and follow—up in thirty (30) days.
11. Will any of the centers contract with a food service management company for meals? Yes x No
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).
SEE ATTACHED
Food Service Management Company Food Service Management Company
Address Address
Contact Contact
(2)
9618€0
FOOD SERVICE CONTRACTS
GREELEY/EVANS SCHOOL DISTRICT 6
Food is prepared at the central locations, and delivered to the individual classroom. Proper
storage and food transport are used.
WELD SCHOOL DISTRICT RE-3J
Food is prepared at the central location, and delivered to the individual classroom. Proper
storage and food transport are used.
WELD SCHOOL DISTRICT RE-5J
Food is prepared at the central location, and delivered to the individual classroom. Proper
storage and food transport are used.
ST. VRAIN SCHOOL DISTRICT RE-1J
Food is prepared at the High School and transported to the classroom, using proper storage/food
transport containers.
961860
SPONSOR STAFFING PATTERN CACFP(List all sponsor personnel who wilt solved in administering the CACFP in the
chart below. Complete chart as specified,recording duties of personnel listed in ADMINISTRATIVE DUTIES directly related to the
CACFP. Administrative duties include managing finances and operation of CACFP. Attach additional sheets if necessary.)
Percentage of iadlvidunl s Annual t ACFP-
timespenteat:ACIrP ..................... ........5alaty OnLy
Pullin SAociftCACFB77itties Annual Salary ' duties
A B C p (Carl)
Administrator
(or equivalent)
Assistant Administrator
(or equivalent) •
Clerical
(or equivalent)
Cook
Other(specify)
Total CACFP-Funded Labor$ _0-
Annual CACFP Administrative Budget(cost for CACFP related activities only)
CACFP-Funded Labor(enter total from above) $
Office Supplies(including reproduction costs)
Postage
Transportation for Facility Monitoring(include mileage multiplied by 200)
Telephone
Office Rental/Mortgage Payment and Maintenance
Utilities for Office Area
Other(specify)
Total CACFP Administrative Budget $°r
Annual CACFP Budget for Food Service Operations at Facilities under Your Administration(cost for CACFP related activities only)
Food Purchases $
Food Service Labor(salaries of staff preparing or serving meals)
Food Service Contractor Fee 180 000. 00
Nonfood Supplies(napkins,straws,dishwashing detergent,etc.) ! 1 000 00
Maintenance for Food Preparation, Storage and Service Areas
Rent/Mortgage Payment for Food Preparation, Storage and Service Areas
Utilities
Other(specify)
Total Food Service Operating Budget $ 181 000. 00
LIST SOURCES OF CASH INCOME SPECIFICALLY FOR THE FOOD SERVICE OTHER THAN CACFP REIMBURSEMENT.
N/A
I certify that the information on this application and any other application materials is true to the best of my knowledge;that I will accept final administrative and financial
responsibility for total Child and Adult Care Food Program operations at all centers under my sponsorship;and that reimbursemait will be claimed only for meals served
to enrolled participants that the CACFP will be available to all eligible participants without regard to race,color,sex,national origin,age or handicap at the approved food
service facilities and that these facilities have the capability for the meal service planned for the number of participants anticipated to be served or meals are provided by a
food service management company in compliance with CACFP regulations. I understand that this information is being given in connection with the receipt of Federal
funds and that deliberate tation may subject me to prosecution under applicable State and Federal criminal statutes 3,` /
torl Authorize
CJ'�l�
'Signature of A inistrator or Authorize epresentative Date
(CDPHE-CACFP 302) 961.8f30
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< Nttitt&,t+itt Cat ood ' 'ki s"
Certificate and Statement of Authority
This organization is a:
Nonprofit Organizations Church U For Profit Organization U
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
(Name of the Organization,Business or Church) Count y
whose address is 1551 North 17th Avenue, P.O. Box 1805 , Greeley 80632
(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.
z`.: ` :;?}emr'^:.:e f c`Xo"?..S^?Nc." : :>"^'c.>'P.'?3oY:'t?'aaY+.sc:,:3.:£::: .. S..
Earwga:3aa'ssu:aaYzvaeires4✓as,..attss»sia
I Signature l//) ��/,�� Signs
Tere Keller—Amaya h®r
Print Name Print Name
Director Site Manager
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.
40
I(we) understand that the infor f ad ....i) is being given in connection with the receipt of
Fe ral funds and that all of + :i is;jt s t�; treement (CACFP 300) apply.
/ 'i .4° A ,�� WelctiCounty Board of Commissi
f cl p
4.,� _� .� /�
t : =• ra� Kirkmeyer Chairperson
ignature of Chair of the Boar of Directors,b 'nt Name Official Title
or Pastor,or Executive Director,or Owner ,v 4
/0//O/96,
Date
(CDPHE-CACFP 306 7/96-r\forms\cert-soa.PM5)) 9616C0
Renewal
Mid& Adult Care Food Program
CIVIL RIGHTS COMPLIANCE REVIEW
The Colorado Department of Public Health and Environment, Child and Adult Care Food Program is required to conduct a preaward civil rights
compliance review of centers orsponsors of centers applying for CACFP participation. Please complete the following information below.
Rat% '.....0 irtoaHgQaea laitit 'foEno►aOgri•
I. list the for each racial/uhnic group in the community served by cater. Usually this information can be obtained from dm kx.l
Omni train ber of Conlow.ce.Census Bureau.or Public Lbrarv, If you have more than one cater,combine this information for all caters.
. 5 % American Indian or Alaskan Native 21 % Hispanic(a person of Mexican,.Puerto Rican, Cuban,Central or
South American,or other Spanish culture or origin, regardless of
i % Asian or Pacific Islander race)
1 % Black(not of Hispanic origin) 77 % White(not of Hispanic origin)
2. *Count the goal number of children enrolled in your center for each group listed below. Write the number in the space provided. If
you have more than one center, combine this information for all centers.
5 American Indian or Alaskan Native 6 5 0 Hispanic(a person of Mexican Puerto Rican, Cuban,Central or South
5 Asian or Pacific Islander American,or other Spanish culture or origin, regardless of race)
273 White(not of Hispanic origin)
9 Black(not of Hispanic origin)
*Visual identification may be used by centers or sponsors to determine the child's racialethnic category. A child may be included in the group to
which he or she appears to belong,identifies with,or is regarded in the community as belonging. Parents/Guardians may be asked to identify the
racial/ethnic group of their own child only after it has been explained,and they as well as we understand that the collection of this information is
strictly for statistical reporting requirements and has no effect on the determination of their eligibility to receive benefits under the Program. As
new children are enrolled,you will need to determine their racial/ethdc background and keep this information in a confidential place.
3. The CDPHE-CACFP annually sends a press release for your center(s)to the local newspaper. Do you do any additional activities to
assure that minority populations and grassroots organizations have an equal opportunity to participate or are informed about changes in the
Program? Ka'X ,. n.HA j If yes,please check all that apply:
Distribution of brochures of Program information at public locations
X Public service announcements in local newspaper,on radio, or on television(circle media type used)
Paid advertisements in local newspapers
Other. Please explain:
The CACFP requires all advertising about the food program to contain a non-discrimination statement. Do or will the items you checked
above include the following nondiscrimination statement?Yes X No_
In the operation of the Child and Adult Care Food Program,no child will be discriminated against because of race,color,national origin,
sex,age,or handicap. Any person who believes that he or she has been discriminated against in any USDA-related activity should write
immediately to the Secretary of Agriculture,Washington,D.C.20250.
4. Is membership in a specific organization required before children can be enrolled? Yes_ No X
If yes,please explain
5. Have you ever been found to be in noncompliance of the Civil Rights laws by any federal agency? Yes_ No X
If yes,please explain
We assure the Colorado Department of Public Health and Environment. Child and Adult Care Food Program that all enrolled participants in
the Child and Adult Care Food Program at the center(s)described on the application forms are served the same meals at no separate charee
regardless or race, color, national origin, age,sex, or handicap,and there is no discrimination m the course of the meal service.
�—uiLQ nu �h t9:3a-ilo
Signature of mwsrator or u or epresentatrve Ua[e
Administrator
Signature of the CDPHE-CACFP Title Date
Renewal
,Auld & Adult Care Food Program
CIVIL RIGHTS COMPLIANCE REVIEW
A
The Colorado Department of Public Health and Environment, Child and Adult Care Food Program is required to conduct a preaward civil rights
compliance review of centers or s nsors of centers applying for CACFP participation. Please complete the following information below.
ReattvYiug'emtetn iha ;fi or iation amt st yearforquation is onlye
1. List the, for each raciaUdhnic group in the community served by center. Usually this information can be obtained from the basil
civv,i n,Ctfltx n m'per of nmrrlemr_C tgss n r.Or YL llc ib rv, If you have more than one center,combine this information for all centers.
5 % American Indian or Alaskan Native 21 % Hispanic(a person of Mexican,,Puerto Rican, Cuban,Central or
5 % South American,or other Spanish culture or origin, regardless of
• Asian or Pacific Islander race)
1 % Black(not of Hispanic origin) 77 % White(not of Hispanic origin)
2. °Count the actual number of children enrolled in your center for each group listed below. Write the number in the space provided. If
you have more than one center, combine this information for all centers.
5 American Indian or Alaskan Native 650 Hispanic(a person of Mexican Puerto Rican,Cuban, Central or South
American,or other Spanish culture or origin, regardless of race)
5 Asian or Pacific Islander 273 White(not of Hispanic origin)
9 Black(not of Hispanic origin)
'Visual identification may be used by centers or sponsors to determine the child's racial/ethnic ry. A child may be included in the group to
which he or she appears to belong, identifies with,or is regarded in the community as belonging. Parents/Guardians may be asked to identify the
racial/ethnic group of their own child only after it has been explained,and they as well as we understand that the collection of this information is
strictly for statistical reporting requirements and has no effect on the determination of their eligibility to receive benefits under the Program. As
new children are enrolled,you will need to determine their racial/ethnic background and keep this information in a confidential place
3. The CDPHE-CACFP annually sends a press release for your center(s)to the local newspaper. Do you do any additional activities to
assure that minority po ations and grassroots organizations have an equal opportunity to participate or are informed about changes in the
Program? Yen - 0�-.. If yes,please check all that apply:
Distribution of brochures of Program information at public locations
X Public service announcements in local newspaper,on radio, or on television(circle media type used)
Paid advertisements in local newspapers
_ Other. Please explain:
The CACFP requires all advertising about the food program to ntain a non-discrimination statement. Do or will the items you checked
above include the following nondiscrimination statement?Yes A No
In the operation of the Child and Adult Care Food Program, no child will be discriminated against because of race, color,national origin,
- sex, age,or had:limp. Any person who believes that he or she has been discriminated against in any USDA-related activity should write
immediately to the Secretary of Agriculture,Washington, D.C.20250.
4. Is membership in a specific organization required before children can be enrolled? Yes_ No X
If yes, please explain
S. Have you ever been found to be in noncompliance of the Civil Rights laws by any federal agency? Yes_ No X
If yes,please explain
We assure the Colorado Department of Public Health and Environment,Child and Adult Care Food Program that all enrolled participants in
the Child and Adult Care Food Program at the center(s)described on the application forms are$ervesi the Sanw teals at no scpplate charge
regardless or race,color,national origin,age, sex, or handicap,and there is no discrimination in the course of the meal service.
♦J—ure of iwse4 G ees 93016-
Signamre of A mistrator or Au oriz epresentative bate
Administrator
Signature of the CDPHE-CACFP Title Date 9 1.63+0
( Child&AdoltCaxcgaod Prograhai
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 65103-05
Organization: Weld County Division of Human Agreement Number:
Services' Family Educational Network of Weld County
Address: 1551 N. 17th Avenue, P n tan' 1R05
.
Sreeley, rnl(-rath) 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 organisation-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 X No
4. What is the kgal name of the organization being audited?
Weld County Division of Human Sarvie e
5. What federal funds does your organisation receive other than CACFP?
(Examples:National School Lunch Program,Title XX)
Head Start Region VIII $ 1.5 _Minion
Migrant Head Start Reginn XII $ 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 organization's fiscal year begin and end?
January 1st through December 31st
8. Does your organization have fiscal year end schedules(financial statements)? Yes X No
9. Does you organliation have computerized records? Yes X No
• Questionnaire prepared by:7Ti-te ,lid gel Lit Date: Q--36-90
Tide: U Phone Number: (____)
r 4F, 9616f0
C,1 F;Etti 1, $e.# #el [ 4 . .:..
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.
•
961860
65103 05
COLORADO DEPARTMENT OF PUBLIC HEALTH FAMILY EDUCATION NETWORK
AND ENVIRONMENT Agreement Number: OF WELD COUNTY
CHILD AND ADULT CARE FOOD PROGRAM 9 — 1551 NO 17TH AVE PO BOX 1805
AGREEMENT FOR CHILD CARE CENTER GREELEY,CO 80632-
OR SPONSOR OF CHILD CARE CENTERS Nag
In order to carry out the purpose of Section 17 of the National School compile data, maintain records and submit reports as required to
Lunch Act,as amended,and the Regulations governing the Child and permit effective enforcement of Title VI and permit authorized CDPIiE
Adult Care Food Program(CACFP)issued thereunder personnel during normal working hours to review such records,bodes
(7 CFR Part 226) the Colorado Department of Public Health and and accounts as needed to ascertain compliance with Title VI. If
Environment (referred to as the Stale Agency) and the Center or there are any violations of this assurance, the State Agency shall
Sponsor,whose name appears above, agree as follows: have the right to seek judicial enforcement of this assurance.
Subject to the renewal requirements for the second year,this This assurance is binding on the center or sponsor, its successors,
Agreement made this 1st day of September 1996 shall be transferees, and assignees as long as it receives assistance or
retains possession of any assistance from the State Agency.
effective during the penoa commencing October 1. 1996 and
ending September 30 1998 unless terminated earlier as 2. The oveming body is responsible for the administration of the
herein provided. The ate Agency may renew this Agreement,by centers listed on Attachment A of this Agreement or it is an
notice in writing given to the center or sponsor,for such period asfunds agency to which the centers listed on Attachment A have dele-
are available for carrying out the Program. The State Agency gated authority for the operation of the food service program.
Agreement to reimburse the center or sponsor is contingent upon the
continued availability of funds appropriated for CACFP in a sufficient 3. In order to qualify for reimbursement under this Agreement, it
amount, and no legal liability on the part of the Government for the shall conduct the Program in accordance with regulations
payment of any money shall arise unless and until such appropriation governing the CACFP(7 CFR Part 226), appropriate OMB cir-
shall have been provided. The State's financial liability is limited to the velars,State regulations,State Agency policies, and specifically.
timely disbursement of the Federal funds available for the CACFP in shall conform to the following requirements:
Fund Number 100,Appropriation Code 657.
• Operate a nonprofit food service using all of the income
The Agreement may be terminated upon thirty(30)days written notice received from the CACFP solely for the operation or
on the part of either party hereto,and the State Agency may terminate improvement of such service.
this Agreement immediately after receipt of evidence that the terms ard
conditions of this Agreement and of the regulations governing the • Serve meals which meet the minimum nutritional requirements
Program have not been fully complied with by the center or sponsor. specified in Schedule A of this Agreement.
Any termination of this Agreement by the State Agency shall be in
accord with applicable laws and regulations(Federal Regulations 7CFR - Serve the same meal at no separate charge from tuition to
Part 226.6(c). No termination or expiration of this Agreement,however, enrolled children who are in attendance at meal time
shall affect the obligation of the center or sponsor to maintain and rein (nonpricing institution) and so designate on Application
records and to make such records available for audit. A center or Form and Nondiscrimination Policy Statement and abide by
sponsor may appeal a termination according to procedures outlined in the terms of the Nondiscrimination Policy Statement and
7CFR Part226.6(k). Program Verification Rules(Regulations 226.23 h.1).
The terms of this Agreement shall not be modified or changed in any -OR-
way other than by the consent in writing of both parties hereto.
- Have an identifiable separate charge from tuition for meals
THE STATE AGENCY AGREES THAT: served to enrolled children (pnang institution) and so
designate on Application Form and Nondiscrimination
To the extent of funds available it shall reimburse the institution for Policy Statement and abide by the terms of the Non-
creditable meals served to eligible children at child care centers listed discrimination Policy Statement and Program Verification
on Schedule A attached hereto, during the effective period of this Rules(Regulations 226.23 h.2).
Agreement During any fiscal year,the amount of reimbursement paid
to the center or sponsor shall be based on actual count of meals served • Collect family size and income information on the Income
by eligibility category. Eligibility Form(IEF)for children enrolled at all centers listed on
Schedule A to determine which children are from families
THE CENTER OR SPONSOR AGREES THAT: meeting the income eligibility guidelines for Free or Reduced
meals. Children for whom family size and income information
1. It will comply with Title VI of the Civil Rights Act of 1964(P.L.88- is not available shall be reported under the Paid(not eligible
352) and all requirements imposed by the Regulations of the for Free or Reduced meals)category only. An IEF is valid for
Department of Agriculture(7 CFR Part 15), Department of Justice 12 months from the first day of"the month In which the
(28 CFR parts 42&50),and FNS directives or regulations issued parent or guardian signed Its Free or Reduced meals may
pursuant to that Act and the Regulations, to the effect that no be claimed for reimbursement beginning with that date.
person in the United States shall, on the grounds of age, sex, The IEF is never retroactive from this date. Meals claimed
handicap, color, race, or national origin, be excluded from after the expiration date of the IEF can only be claimed in
participation in,ocbe denied the benefits of,or be otherwise subject the Paid category.
' to discrimination under any program or activity for which the • Claim reimbursement only for meals served to eligible enrolled
applicant received Federal financial assistance from the
Department; and HEREBY GIVES ASSURANCE THAT it will children in each income category within the limits of the license
immediately take any measures necessary to effectuate this or registration certificate. No more than 2 meals and 1 snack
agreement. per child shall be claimed. However, if a child is in care over
B hours,an additional meal or snack may be darned per child.
This assurance is given in consideration of and for the purpose of In this case,sign-in/sign-out sheets must show attendance of
obtaining any and all Federal financial assistance,grants and loans 8 or more hours or 8 or more hours must elapse between the
of Federal funds, reimbursable expenditures grant or donation of end of the first meal and the peoinninq of the fourth meal.
Federal property and interest in property the detain of Federal • Submit Claims for Reimbursement in accordance with pro-lepersonnel,p, the sale and interest in such
and the permission to use, •
cedures established b the State Agency. Claims that are
se vice property or da n such property coro i furnishing of by
services without consideration or at a nominal consideration or at receivedmh by the State Agency after noon a the 10th ofal the
a consideration which is reduced for the purpose of assisting the month or other days fled by the State Agency shall be
recipient, or in recognition of the public interest to be served by. processed for payment the following month. Only on9inal final
such sale, lease, with ishing of services to the recipient,or any claims received within 60 days following the dose of the claim
improvements made Federal financial assistance extended to month shall be eligible for reimbursement. Revised claims
the applicant by the Department. This includes any Federal requiring an upward adjustment to the prior amountpaid must
agreement arrangement or other contract which as one of its be submitted within 90 days of the end of the claim month.
purposes the provision of assistance such as food, food stamps Revised claims requiring a downward adjustment can be
cash assistance for the purchase of food, and any other financial submitted anytime.
assistance extended in reliance on the representations and prepare,made in this assurance. Store,• re are, and serve food in conformance with all
applicable State and local health laws and regulations.
By accepting this assurance,the center or sponsor agrees to
' • Use cash-received-in-lieu-of commodities for the purchase of
food.
r 961660
• Maintain full and accurate records of . Program and retain 3. The center or spu..0or may contract with a local school food
such records for a period of three years and four months after the authority or with a food service management company for the
end of the fiscal year to which they pertain. preparation and delivery of meals or meal components. The
center or sponsor shall remain responsible for fulfillment of
• Make all accounts and records pertaining to the Program theterms of the Agreement. The center or sponsor must submit
available to the State Agency and to USDA for audit or review at a copy of the contract to the State Agency.
all times. 4. The State Agency will annually make available on behalf of the
• Provide adequate supervisory and operational personnel for center or sponsor to the local media serving the area from which
overall monitoring and management•of each food service the center or sponsor draws its attendance a public release
operation,and to promptly take such actions that are necessary announcing the availability of meals to all eligible enrolled children
to correct deficiencies found at the time of any onsite visit, without regard to race, color, sex, national origin, age, or
review,or audit. handicap.
• If a sponsor, monitor all centers at least 3 times each year, 5. For the purposes of this Agreement, the following terms shall
inducing once during the first 6 weeks of CACFP operation. mean,respectively:
These reviews cannot be more than 6 months apart Alf outside-
school-hours centers must be monitored at least 6 times each "Children"means(a)persons 12 years of age and under,(b)children
year,including once during the first month of CACFP operation. of migrant workers 15 years of age and under,and(c)
These reviews cannot be more than 3 months apart. mentally or physically handicapped persons as defined by the State
Agency, enrolled in an institution or child care facility serving a
• Schools operating outside-school-hours centers must monitor majority of persons 18 years of age and under.
each site 3 times per year.
"Enrolled child" means a child whose parent or guardian has
4. It is a public organization or a nonprofit organization which has tax submitted to the center or sponsor a signed document valid'indicate
exempt status such as under section 501(a) of the Internal that the child is enrolled for child care.
Revenue Code of 1954 or is moving toward compliance with the
requirements of the aforementioned section in accordance with "Milk"means pasteurized fluid types of unflavored or flavored whole
Section 226.15 of the Program Regulations. milk lowfat milk,skim milk, or cultured buttermilk which meet State
and local standards for such milk except that, in the meal pattern for
-OR- infants(8 months u to the first birthday) "milk"means unflavored
types of whole fluid milk milk or an equivalent quantity of reconstituted
If a For Profit Title XX center,it certifies that it receves funds under evaporated milk which meets such standards. All milk should cortain
Title XX of the Social Security Act for at least 25 percent of each vitamins A and D at levels specified by the Food and Drug
center's enrolled children or license capacity, whichever is less, Administration and be consistent with State and local standards for
during the month preceding application to or renewal of the such milk.
Program and shall continue to certify such information in each
succeeding claim month. The institution shall not claim "Verification" means a review of the information reported by the
reimbursement for meals served in any For Profit center for any center or sponsor to the State Agency regarding the eligibility of
month during which the center receives Title XX funds for less than enrolled children for free or reduced meals.
25 percent of its enrolled children or license capacity. RECORDKEEPING REQUIREMENTS
5. All child care centers listed on Schedule A have a valid license or
registration certificate for providing child care. The center or sponsor must keep full and accurate records pertaining
to its food service as a basis for the Claim for Reimbursement and for
6. It provides organized child care in nonresidential situations. audit and review purposes. The records to be kept include the
following:
7. It accepts full and final financial and administrative respondbility for
all CACFP operations for each child care center under its 1. Menus and food production records indicating quantities of foods
jurisdiction. prepared, number of persons prepared for and serving sizes.
The food production records must include the number of adults
8. It understands and agrees that any material developed with served.
Program funds by the center or sponsormay be freely reproduced.
produced, or otherwise used by the USDA Food and Nutrition 2. Daily record of meals served to children broken down by name,
Service, the Colorado Department of Public Health and by type of meal (breakfast, lunch supper, or snack), and by
Environment or by other sponsors and centers under the Chld and income category - Free, Reduced, or Paid (Record of Meals
Adult Care Food Program. Served form).
9. Shall perform its duties hereunder as an independent contractor 3. Approved IEFs for enrolled children categorized as Free or
and not as an employee. Neither the center or sponsor shall be or Reduced.
shall be deemed to be an agent or employee of the state. The
n r r ns r shall a when due all r uired em to mew 4. Documentation of income to the food service operation from funds
es an income ax wt q ink.s a prow a an eeo in once to subsidize food service program, from State Agency CACFP
workers compensation and show proor of such Insurance) and reimbursement,from payments for adult meals and from all other
emplovment compensation insurance the amounts recurred by sources, including loans and donations to the food service
l he center or sponsor will be solely responsible tor its acts program.
the acts of its agents, employees, servants, and subcon-
tractors during the performance of this contract. 5. Invoices or receipts from food service operation.purchases
including bills from food service management companies payroll
10. It is in compliance with the requirements of the Drug Free records Including fringe benefits equipment costs,maintenance
Workplace Act(P.L. 100490 Title V, Subtitle D, 41 USC701 et and repair fees office costs, utilities costs and other
seq). - administrative costs.
11. It will provide services to all program participant and employees in This documentation shall ensure that all reimbursement funds are
a smoke free environment. In accordance with P.L. 103-227,also used: (1)solely for theconduct ct d the food service,or(2)toimprove
smoking ttnPpre minted n any ppf oN9ion,smoke indoor facility mean
nwned children. DOCUMENTATION OF AL LCOSTSnPERTAINING TO
or lesed or contracted for if said facility is routinely or regularly THE OPERATION OF THE CACFP MUST BE SPECIFICALLY
used for the provision of child care or health services to any child ITEMIZED. DOCUMENTATION MUST CLEARLY SHOW THAT
under the age of 18 when those services are funded all or in part THE FOOD SERVICE IS NONPROFIT BASED ON ALL CACFP
with Federal-funds. INCOME AND EXPENSES.
THE STATE AGENCY AND CENTER OR SPONSOR 6. License,registration,or certification documentation.
MUTUALLY AGREE THAT: 7. Documentation of visits to child care centers to monitor com-
1. Attachment A,listing centers approved for participation and meals pliance. This requirement pertains only.to sponsors who
to be claimed for reimbursement,shall be a part of this Agreement. administer more than one child care center in accordance with
Centers or meals may be added to or deleted from Attachment Federal Regulation 226.16(d).
A as the need arises. All such changes must be confirmed in 8. Documentation of enrollment.
writing and sent to the State Agency. All such references to
Attachment A shall be deemed to include such Attachment as 9. Documentation of attendance (rollbooks or sign-in/sign-out
supplemented and amended. sheets).
2. The State Agency shall notify the center or sponsor of any change 10. Documentation of Civil Rights racial/ethnic data.
in the minimum meal requirements or in the applicable rates of 9
reimbursement as soon as possible after it receives notification 11. Documentation of staff training pertaining to CACFP.
from USDA. (Recordkeepinq Requirements continued on page 4)
9618W
SCHEDULE A-CACFP Require ds for Meals ounces or 1/4 r of yogurt); 1/2 cup of juice or equivalent
quantity of fruit vegetables; 1/2 slice of bread or bread
Each institution participating in the Program shall serve one or more of alternate;or 1/4 cup(volume)or 1/3 ounces(weight),which-ever
the following types of meals, as prowled in its approved application: is less,of cereal; or 1/4 cup of cooked enriched or whole-grain
Breakfast, Lunch,Supper,Snacks served between such other meals. rice,macaroni,noodles or other pasta products.
1. Except as otherwise provided in this section,and in any appendix AGE 3 UP TO 6:
to this part, each meal shall contain, as a minimum, the food • Breakfast-3/4 cup of milk 1/2 cup ofjuice or fruit or vegetable.
components as follows: eegg
1/2 slice of bread or bread alternate;or 1/3 cup(volume)or 1/2
A BREAKFAST SHALL CONTAIN: ounce (weight), whichever is less, of cereal; or an equivalent
quantity of both bread and cereal.
• A serving of fluid milk as a beverage or on cereal or used in part • Lunch or supper 3l4 a of mil • 1 1/2 ounces edble portion as
for each purpose. " cup k (
served)of lean meat,poultry or fish;or 1 1/2 ounces of cheese;
•A serving of vegetable(s)or fruit(s);or full-strength vegetable or or 1 egg; or 3/8 cup of cooked dry beans or peas; or 3
fruit juice;or an equivalent quantity of any combination of these tablespoons of peanut butter; 1/2 cup of vegetables or fruits or
foods. both consisting of two or more kinds; 1/2 slice of bread or bread
alternate; or 1/4 cup of cooked enriched or whole-grain rice,
•A serving of whole-grain or enriched bread; or an equivalent macaroni,noodles or other pasta products.
serving of cornbread, biscuits, rolls, muffins, etc., made with
whole-grain or enriched meal or flour,or a serving Snack-selediwoofthefdlowinng of whole-graing components-12 cup of milk;
or enriched or fortified cereal;or a serving d cooked whole-grain 1/2 ounce of meat or meat alternate(what includes 2 ounces or
or enriched pasta or noodle products such as macaroni;or cered 1/4 cup of yogurt); 1/2 cup of juice;or an equivalent quantity of
grains such as rice,bulgur,or corn grits;or an equivalent quantity fruit or vegetables• 1/2 slice o bread or bread alternate,* or 1/3
of any combination of any of these foods. cup(volume)or 1/2 ounce(weight),whichever is less,of cereal;
or 1/4 cup of cooked enriched or whole-grain rice, macaroni,
BOTH LUNCH AND SUPPER SHALL CONTAIN: noodles,or other pasta products.
• A serving of fluid milk as a beverage. AGE 6 THROUGH 12:
• A serving of lean meat poultry or fish;or cheese;or an egg;or • Breakfast-1 cup of milk;1/2 cup of juice or fruit or vegetables; 1
cooked dry beans or peas;or nuts or nut butters;or an equivalent slice of bread or bread alternate;or 3/4 cup(volume)or 1 ounce
quantity of any combination of these foods. These foods must be (weight), whichever is less, of cereal; or equivalent quantity of
served in a main dish or in a main dish and one other menu item both bread and cereal.
to meet this requirement. Cooked dry beans or dry peas may be - 1 cup used as the meat alternate or as part of the vegetable/fruit • Lunch or supper of milk• 2 ounces (edible portion as
component,but not as both food components in the same meal. served)of lean meat,poultry or fish;or 2 ounces of cheese;or 1
egg;or 1/2 cup of cooked dry beans or pea s;or 4 tablespoons or
•A servim of two or more vegetables or fruits;or a combination of peanut butter,3/4 cup of vegetables or fruits or both consisting of
both. Full-strength vegetable or fruit juice may be counted to two or more kinds; 1 slice of bread or bread alternate;or 1/2 cup
meet not more than one-half of this requirement. of cooked enriched or whole-grain rice, macaroni, noodles or
other pasta products.
• A serving of who( rain or enriched bread or an equivalent
serving of cornbread,biscuits,rolls,muffins,etc made of wide- • Snack-select two of the fdlowing components-1 cup of milk;1
grain or enriched meal or flour; or a serving of cooked whole- ounce of meat or meat alternate(which includes 4 ounces or 1/2
grain or enriched pasta or noodle products such as macaroni'or cup of yogurt);3/4 cup of juice or an equivalent quantity of fruit or
cereal grains such as rice,bulgur,or corn grits;or an equivalent vegetables; 1 slice of bread or bread alternate; or 3/4 cup
quantity of any combination of these foods. (volume)or 1 ounce(weight),whichever is less,of cereal;or 1/2
cup of cooked enriched or whole-grain rice, macaroni, noodles,
SNACK SHALL BE SERVED BETWEEN OTHER MEAL TYPES or other pasta products.
AND CONTAIN TWO OF THE FOLLOWING FOUR COM-
PONENTS: AGE 12 AND OVER:
• A serving of fluid milk as a beverage or on cereat or used in part • Adult-size portions based on the greater food needs of olderboys
for each purpose. and girls.
• A serving of meat or meat alternate. INFANT MEAL PATTERNS:
• A serving of vegetables(s)or fruit(s);or fullstrength vegetable or • 0 through 3 months:
fruit juice;or an equivalent quantity of any combination of these
foods. Juice may not be served when milk is served as the only - Breakfast-4-6 fluid ounces of iron-fortified infant formula.
other component.
- Lunch or supper - 4-6 fluid ounces of iron-fortified infant
•A serving of whole-grain or enriched bread; or an equivalent formula.
serving of cornbread, biscuits, rolls, muffins, etc., made with Snack-4 6 fluid ounces of iron-fortified infant formula.
whole-grain or enriched meal or flour;or a serving of whole-grain
. or enriched or fortified cereal;or a serving d cooked whole-grain • 4 through 7 months:
or enriched pasta or noodle products such as macaroni;or cered 9
grains such as rice,bulgur or corn grits;or an equivabnt quantity of any combination of these foods. - Breakfast-4-8 fluid ounces of iron-fortified infant formula;0-3
tablespoons of iron-fortified dry infant cereal(optional).
?. Except as otherwise provided in this section,the minimum amount - Lunch or supper - 4-8 fluid ounces of iron-fortified infant
of component foods to serve at meals as set forth above are asP
follows: formula- 0-3 tablespoons of Iron-fortified dry infant cereal
(optional);0-3 tablespoons of fruit or vegetable of appropriate
AGE 1 UP TO 3: consistency or a combination of both(optional).
• Breakfast-12 cu of milk; 1/4 cup of juice orfruit or vegetables,' - Snack-4-6 fluid ounces of iron-fortified infant formula.
1/2 slice of bread por bread alternate;or 1/4 cup(volume)or 1/3 .s
ounce (weight), whichever is less, of cereal; or an equivalent - t
quantity of both bread and cereal. • 8 months up to the first birthday:
• Lunch or supper- 1/2 cup of milk; 1 ounce (edible portion as
served)of lean meat,poultry or fish;or 1 ounce of cheese;or 1 - Breakfast-6-8 fluid ounces of iron-fortified infant formula or 6-
egg;or 1/4 cup of cooked dry beans or peas;or 2 table- 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.
spoons of peanut butter; 1/4 cup of vegetables or fruits or both - Lunch or supper - 6-8 fluid ounces of iron-fortified infant
consisting of two or more kinds; 1/2 slice of bread or bread
alternate; or 1/4 cup of cooked enriched or whole-grain rice, formula or fluid ounces whole milk;2-4 tablespoons of iron-
macaroni, noodles or other pasta products. 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
• Snack-select two of the following four components-1/2 cup of (weight)of cheese;or 1-4 ounces(weight or volume)of cottage
milk; 1/2 ounce of meat or meal alternate (which includes 2 cheese or cheese food or cheese spread of appropriate
961860
consistency; and 1-4 tablespoons of fniit or vegetable of 6. Substitutions may h made in food listed above in this section if
appropriate consistency or a combinatic •both. individual participr children are unable,because of medical
or other.special die—ry needs,to consume such foods. Such
- Snack-2-4 fluid ounces of iron-fortified infant formula, whole substitutions shall be made only when supported by a statement
fluid milk or full-strength fruit juice;0-1/2 slice of crusty enriched from a recognized medical authonty which includes
or whole-grain bread (optional); or 0-2 cracker-type products recommended alternate foods.
(optional)made from whole-grain or enriched mead or flour that
are suitable for an infant for use as a finger food. RECORDKEEPING REQUIREMENTS(continued from
page 2)
Breasbnilk,provided by the infant's mother,may be served in place of
infant formula from birth through 11 months of age. However,meals 12. Daily records of times children are in the center(s)(also knownas
containing only breastmilk do not qualify for reimbursement sign-in/sign-out records).
Meals containing breastmilk served to infants(months of age or older
may be claimed for reimbursement when the other required meal 13. Special Diet Statements documenting variances from the CPCFP
component or components are supplied by the center. meal patterns.
3. For the purpose of this section,a cop means a standad measuring 14. Food service management company contract or other food
crrp. service contracts.
4. To improve the nutrition of participating children additional foods 15. MI Department of Social Services contacts)-For Profit Title XX
may be served with each meal. centers only.
5. If emergency conditions prevent an institution normally having a 16. Records of payment and formsbilling from Department of Social
supply of milk from temporarily obtaining delivery thereof,the State Services- or Profit Title XX centers only.
AAgqenccyy,may approve the service of breakfasts,lunches,or suppes
without milk dunng the emergency period. 17. Record of deposit of CACFP reimbursement
THE STATE AGENCY AND CENTER OR SPONSOR
FURTHER AGREE THAT:
The center or sponsor shall accept full responsibility for providing
proper accountability,storage,and use of USDA commodity foods and
in so doing, shall promptly provide a written response to claims that
mishandlings,diversions and/or losses resulting from improper use or
storage have occurred.
The center or sponsor shall use USDA commodity foods received undo-
this Agreement solely for the benefit of those persons served or
assisted by the center or sponsor and shall not otherwise dispose of
USDA commodity foods without prior written approval of the State
Agency.
TO BE COMPLETED BY THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT,CHILD
AND ADULT CARE FOOD PROGRAM.
Center or Sponsor will receive for its child care centers,Head Start centers,outside-school-hours centers,or For Profit Title XX centers:
❑ Regular Donated Commodities
-OR-
CI Cash-in-lieu of Commodities(with bonus commodities)
961860
SPECIAL PROVISIONS
CONTROLLER'S APPROVAL - - -
1.This contract shall not be domed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he maidesignate.This
provision is applicable to any contract involving the payment of money by the State
•FUND AVADABUITY •-
2.Sandal eSt5 t ma of the State of Colorado payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted,and
Otherwise made available. - - - -
-
'BOND REQUIREMENT
3.I this contract inches the payment of mote than fifty thousand dollars for die construction,erection,repair,...-- ance,orimprovementofanybuilding,seed.
bridge.viaduct,tuonel excavation a other public work for this State,the c ahaebr shall,before entering upon the perfamaucc of any such work included in this
mohact,duly scant and delivcb the State official who will sign the contract,a good and sufficient bond or other acceptable surety to be approved by said affieiel
in a penal sum not less than one-half of the total amount payable by the terms of this contract. Such bond slug be duly executed by a qualified corporate surety
conditioned upon the Gitldul performance of the contract and in addition,shall provide that if the contractor a his subcontractors M7 to duly pay Sr any labor,
materials,team hire,sustenance,provisions,provender or other supply used or consumed by sash 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 praeeution of the work the suety will pay the anti
an amount not exceedmg the sum specified in the bond,together with interest at the ram of eight pa cent per annum. Unless such bond is executed,delivered end
filed,no claim in favaofthe aaoeaemr arising under such contract shall be audited,allowed or paid. A certified or cashier's check walnut 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 theadatauthamed by law,the contractor shall indemnify,saw and hold harmless the State,its employees and agents.against any and all claims,dames,
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 Antdisaiminatan Act of 1957,as amended,and other applicable law respecting
discrimination and uofermployment practices(CRS 2434402),and as required by Executive Order,Equal Opportunity and Affirmative Action,dated April 16,
1975.Pursuant thanto,the following provisions shot!be contained in al l State ante-,asubcontracts
.
During the performance of this contract,the contractor agrees as follows:
(a)The contractor vni not dixe®mateagaianany employee or applicant for employment because of race,aced,color,national origin,see,marital statue religion,
ancestry,mental aphysial hundrap,wage.The contractor will take affirmative action to insure that applicants are employed,and that employees are treated during
employment,without regard tote tse... 4L- 1 characteristics.Such action shall include,but not be limited to the following:employment upgadmb demotion,
or transfer,recruitment or recruitment advertising;lay-offs or termination;rates of pay at other forms of compensation,and selection for training,including
apprenticeship.The contactor agrees to pmt in conspicuous places,available to employees and applicants for employment,notices to be provided by the contracting
officer setting forth provisions of this nondiscrimination clause.
(b)The contractor will,in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified applicants will receive
consideration fit employment without regard to race,treed.color,national origin,sac,marital sinus,religion,ancestry,mental or physical handicap,or age.
(c)The contractornilamdtoeachlaborunionorrepiesentative of workers with which he has a collecti:ve bargaining agreement—or other contract or understanding.
notice to be provided by the eoonactingoffaw,advising the labor union or workers'representative of*e aontacton commitment under the Executive Order.Equal
Opportunity and Affirmative Action,dated April 16,1975,and of the rules,regulations,and relevant Orders of the Governor.
(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,end by the rules,regulations and Orders of the Governor,or pursuant the:to,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 emplanes with such rules,regulations and orders. '
(e)A lake arpm®tim will not eabde any individual otherwise qualified from full membership rights in such labor organization,or expel any such individual from
membership in such labor organization or discriminate against any of its members in the fidl enjoyment of work opportunity because of race,creed,color,sa c
national origin,or ancestry. + .. y.. :.
(0 A labor organization,or the employe&a membesrthereof will.nor Sid,abet,.incite,oompd-aboace a doh*iifizot.Widefned,is-coatrattarbe:::;f
dnaiminatory or obstruct or prevent any person from complying with the provisions of this contact or auy order issued thereunder,or attempt,either directly or
i¢directly,to aaomit cry act defied in tltia contract to be diuriminamry. .....
•
Form 6-AC-02B(GEN070595) _. --•.
Revised 1193 �j
795.53-01.1022 961860
page 3 of 6 pages
`
(g) In the event of the coatactor'a non-compliance with the non-discrimination clauses of this comsat or with any of such rules,regulations.or order,ibis=dad
may be canceled,terminated or suspended in whole or in part and the contractor may be declared ineligible for father State contracts it axddeoa with procedures,
authorized in Executive Omer,Equal Opportunity and Affirmative Action of April 16,1975 and the rules,regulations.or ordos Promulgated in aamdaeoe therewith,
;.ad wrdr other sanctions array be imposed and remedies as may be invoked as provided inF.smdive Order.Equal Opportunity and Affirmative Action ... il-.16, .
1975,or by rules,regulations.or orders proemslgnted in accordance therewith.or a aherise provided by law.
(h) The contractor will include the provisions of paragraphs(a)through(h)in every subcontract and mbaob'actor purchase order unless exempted by rules, . -
regulations,or odes issued pumas to Executive Order,Equal Opportunity ad Affirmative Action of April 16,1975,so that with Provisions will be halal anon
each subcontractor or wads. The contractor will take such action with respect to any sub-contracting or purchase order as the contracting agency may does,as .
men of enfor ing such povisiem,including sanctions fcc nm•compliance;provide&however,that in the eve tthe contactor becomes involved in,orsthaatmed
With,litigation,with the subcontractor or vendor as areslt of such direction by the moulding agency,the contractor may request the State&colrje is etc into ••-
•
such litigation to protect the tuna of the State of Colorado.
COLORADO LABOR PREFERENCE '- .
"t"6a. Provision ofCR38-17-101&102 for reference of Colorado labor are applicable to this contract if public woks within the Stale amgadatakm hereunder r ,.
rim aefmoadinwhobainpMbySMefreda " ' .�_'_ - fc
_ - _,... _v .3. 3._
(r._b. When a construction msmad for a public project is to be awarded to a biddc,ar®dent bidder shall be allowed a reference apricot a nonresident bidder Ikon .._-
,•ou:Wte or foreign canary opal to the preference given or required by the date or&alpcoumry.mwhich the nonresident bidder is a resident If it le dae®edbythe
enauffica responsible for awndsggthe bid that compliance with the mitaection.06 may ante denial offgdaalfonds which meld otbowiae be available orwould _t.•:,.
is:tMwise be inconsistentwithRequrments of Federal law,this subsection shall be euapmded,but only to the extent necesary to prevent denial of the moneys orto .:..:
m eliminate the moom hiameywith Federal requirements(CRS 8.19-101 and 102} ._. • ::..-• ,..:..,.-..
_
7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,execution,and enforcemmddthis contract.
Any provision of this comma whether ornot incorporated herein by reference which provides for arbitration by any extra judicial body or person orwhich in otherwise
in conflict with said laws•roles,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 past 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 naIad that Ike contract is
capable of exeemion.
i At all times during the pa'fonnsnce of this contract,the Contractor shall strictly alice to all applicable Cede-al and state laws,rules,and regulations tInt have bent..'..
a may harafer be established
9.The signatures averthstthry are(stillawith CRS 184-301,et seq.,(Bnbery and Corrupt Influence)and CRS 18.8-401,at seq.,(Abuse ofPublc Office),and
•-n them violation o such prw nsis resent. - --- •...
10. The signatories avertiwtto their knowledge.no state employee has any personal or beneficial interest whatsoever in the service orpropatydesmnbedherein.
IN WITNESS W HEREOF the parties hereto have executed this Contract on the day first above Written. •
acrid= FAMILY EDUCATION NETWORK ..-
. OF WELD COUNTY Sme ofColasdo
:_1F,RteplName) Tert .- ".:......
XPathon�tic) D net o'.(' (1 By _'c—4& edf!1t - f/ , •..:..
• 84.6000813 L :,•,
Department
' Social Serenity Nurnber or Federal LD..Number __ PUBLIC HEALTH AND ENVIRONMENT _ ..
`n•elfCorporation,Towg/Citreamty or Equivalent ,: .,..r-,�; •„_r ::
Attest(Affix Seal)
Caro 1te Seasas7r or'Equivalm.TowdCay/Cardy Chit h,__.- - s _ _ ::cur -a•�,
APPROVALS
• - ATTORNEY GENERAL
BY BY
Gale A.Noreen
'a, •_••.� - �: -.l ::1: .3•.f ,...�. :'.,111 YY. ,:S^ •:'.
�,^^�1 J� /! Page _� which is the lea of A_ pages ., .•,.: /�� � �/,r
V. �� &�,C- �TFII I^ili co
PROGRAM APPROVAL- """y"� "
C71air, Boa%J ,'9
f yeteci . ATTEST:oh
--• +y
WEL
® NTY CLERK TOTHE BOARD
CV °` �Y: .e-e . 961 860
DEPUTYCLE TO THE BOARD
mEmoRAnDum
Board of County Commissioners
T Barbara Je Kirkmeyer, Chairpsa e on October 10, 1996 vs.
COLORADO F.om Walter J. Speckman, Executive Director, Human Services
Subject,Purchase of Service Agreement between FENWC and the Child
and Adult Food Program
Colorado Department of Health, Child and Adult Care Food Program
Enclosed for Board approval is an Agreement between the Colorado Department of
Health, Child and Adult Care Food Program and the Family Educational Network of
Weld County (FENWC), for reimbursement to FENWC meals served to children. This
Agreement is an on-going Agreement.
If you have any questions, please telephone Tere Keller-Amaya at 353-3800, ext. 3342.
961860
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