Modifications to DPI Template Agreement. DPI requires the use of a “Joint Agreement” template when the Purchaser contracts with an organization to provide meals and related services. The Purchaser is allowed to make changes to the terms and conditions of the Joint Agreement with approval by DPI. In order to facilitate a process for tracking these changes, DPI requires the Purchaser to complete Attachment A titled, “Modifications to DPI’s Joint Agreement” template, if the Purchaser decides to modify the terms and conditions of the Joint Agreement template. DPI is not a party to any contractual relationship between Purchaser and Seller. DPI is not obligated, liable or responsible for any action or inaction taken by a Purchaser based on this Agreement template. DPI’s review of the Vended Meals Agreement is limited to assuring compliance with federal and state procurement requirements. The DPI does not review or judge the fairness, advisability, efficiency, or fiscal implications of the Vended Meals Agreement. Prior to submitting claims to the Department of Public Instruction (DPI), parties to this Joint Agreement shall have an agreement/ application approved by the DPI. Both parties shall submit separate claims for reimbursement to the DPI for the meals served to students on “Schedule A (respective school agencies)” of their approved agreement/application. This Joint Agreement shall not include the transfer of any responsibility that the Purchaser or Seller has under its approved DPI agreement/application. AUTHORIZED REPRESENTATIVE SIGNATURES Name of Authorized Representative / Purchaser Xxx Xxxxxx Title Food Service Director Signature of Authorized Representative / Purchaser Date Signed Mo./Day/Yr. Name of Authorized Representative / Seller Xxx Xxxxxxxxx Title Food Service Director Signature of Authorized Representative / Seller Date Signed Mo./Day/Yr. Attachment A Modifications to DPI’s “Joint Agreement” Template DPI requires the use of a template “Joint Agreement” when the SFA contracts with an organization to provide meals and related services. The SFA is allowed to make changes to the terms and conditions of the Joint Agreement with approval by DPI. In order to facilitate a process for tracking these changes, DPI requires the SFA to complete Attachment A, Modifications to DPI’s “Joint Agreement” template, if the SFA decides to modify the terms and conditions of the Joint Agreement template. Any modifications listed below as Modification Item (#) will modify the terms and conditions of the joint agreement titled, “Joint Agreement”. The SFAs wish to make to following changes; SFAs will list below any modifications to the template agreement. Modification Item 1 Section Subsection(s) Pricing Page No. 1 Modification Bag lunches will cost $2.25 each; milk not included. Modification Item 2 Section Subsection(s) Page No. Modification Modification Item 3 Section Subsection(s) Page No. Modification Modification Item 4 Section Subsection(s) Page No. Modification Attachment B Additional School Locations Check box if no additional school locations. School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address Addendum to the Joint Agreement Template For Participation in USDA Foods Program This addendum to the “Joint Agreement” template is for the purpose of participation in the USDA Foods Program. By signing this addendum to the “Joint Agreement Template for Participation in the USDA Foods Programs”, Purchaser and Seller, as defined in the Joint Agreement Template agree to the following: USDA Foods Allocation: USDA Foods allocated to both the Seller and the Purchaser will be delivered to and utilized by the Seller equitably for lunches served to students in the Seller and Purchaser schools. USDA Foods orders will be placed by the Seller. The Purchaser’s monthly USDA Foods handling charges [including storage, delivery (if applicable), administration and processing fees (if applicable)] will be deducted by DPI from the Purchaser’s monthly federal reimbursement.
Appears in 1 contract
Samples: dpi.wi.gov
Modifications to DPI Template Agreement. DPI requires the use of a “Joint Agreement” template when the Purchaser contracts with an organization to provide meals and related services. The Purchaser is allowed to make changes to the terms and conditions of the Joint Agreement with approval by DPI. In order to facilitate a process for tracking these changes, DPI requires the Purchaser to complete Attachment A titled, “Modifications to DPI’s Joint Agreement” template, if the Purchaser decides to modify the terms and conditions of the Joint Agreement template. DPI is not a party to any contractual relationship between Purchaser and Seller. DPI is not obligated, liable or responsible for any action or inaction taken by a Purchaser based on this Agreement template. DPI’s review of the Vended Meals Agreement is limited to assuring compliance with federal and state procurement requirements. The DPI does not review or judge the fairness, advisability, efficiency, or fiscal implications of the Vended Meals Agreement. Prior to submitting claims to the Department of Public Instruction (DPI), parties to this Joint Agreement shall have an agreement/ application approved by the DPI. Both parties shall submit separate claims for reimbursement to the DPI for the meals served to students on “Schedule A (respective school agencies)” of their approved agreement/application. This Joint Agreement shall not include the transfer of any responsibility that the Purchaser or Seller has under its approved DPI agreement/application. AUTHORIZED REPRESENTATIVE SIGNATURES Name of Authorized Representative / Purchaser Xxx Xxxxxx Title Food Service Director Signature of Authorized Representative / Purchaser Date Signed Mo./Day/Yr. Name of Authorized Representative / Seller Xxx Xxxxxxxxx Title Food Service Director Signature of Authorized Representative / Seller Date Signed Mo./Day/Yr. Attachment A Modifications In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (000) 000-0000. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to DPI’s “Joint Agreement” Template DPI requires File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the use of a template “Joint Agreement” when the SFA contracts with an organization to provide meals and related services. The SFA is allowed to make changes to the terms and conditions letter all of the Joint Agreement with approval by DPIinformation requested in the form. In order to facilitate To request a process for tracking these changes, DPI requires the SFA to complete Attachment A, Modifications to DPI’s “Joint Agreement” template, if the SFA decides to modify the terms and conditions copy of the Joint Agreement templatecomplaint form, call (000) 000-0000. Any modifications listed below as Modification Item (#) will modify the terms and conditions of the joint agreement titled, “Joint Agreement”. The SFAs wish Submit your completed form or letter to make to following changes; SFAs will list below any modifications to the template agreement. Modification Item 1 Section Subsection(s) Pricing Page No. 1 Modification Bag lunches will cost $2.25 each; milk not included. Modification Item 2 Section Subsection(s) Page No. Modification Modification Item 3 Section Subsection(s) Page No. Modification Modification Item 4 Section Subsection(s) Page No. Modification Attachment B Additional School Locations Check box if no additional school locations. School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address Addendum to the Joint Agreement Template For Participation in USDA Foods Program This addendum to the “Joint Agreement” template is for the purpose of participation in the USDA Foods Program. By signing this addendum to the “Joint Agreement Template for Participation in the USDA Foods Programs”, Purchaser and Seller, as defined in the Joint Agreement Template agree to the following: USDA Foods Allocation: USDA Foods allocated to both the Seller and the Purchaser will be delivered to and utilized by the Seller equitably for lunches served to students in the Seller and Purchaser schools. USDA Foods orders will be placed by the Seller. The Purchaser’s monthly USDA Foods handling charges [including storage, delivery (if applicable), administration and processing fees (if applicable)] will be deducted by DPI from the Purchaser’s monthly federal reimbursement.by:
Appears in 1 contract
Samples: dpi.wi.gov
Modifications to DPI Template Agreement. DPI requires the use of a “Joint Agreement” template when the Purchaser contracts with an organization to provide meals and related services. The Purchaser is allowed to make changes to the terms and conditions of the Joint Agreement with approval by DPI. In order to facilitate a process for tracking these changes, DPI requires the Purchaser to complete Attachment A titled, “Modifications to DPI’s Joint Agreement” template, if the Purchaser decides to modify the terms and conditions of the Joint Agreement template. DPI is not a party to any contractual relationship between Purchaser and Seller. DPI is not obligated, liable or responsible for any action or inaction taken by a Purchaser based on this Agreement template. DPI’s review of the Vended Meals Agreement is limited to assuring compliance with federal and state procurement requirements. The DPI does not review or judge the fairness, advisability, efficiency, or fiscal implications of the Vended Meals Agreement. Prior to submitting claims to the Department of Public Instruction (DPI), parties to this Joint Agreement shall have an agreement/ application approved by the DPI. Both parties shall submit separate claims for reimbursement to the DPI for the meals served to students on “Schedule A (respective school agencies)” of their approved agreement/application. This Joint Agreement shall not include the transfer of any responsibility that the Purchaser or Seller has under its approved DPI agreement/application. AUTHORIZED REPRESENTATIVE SIGNATURES Name of Authorized Representative / Purchaser Xxx Xxxxxx Title Food Service Director Signature of Authorized Representative / Purchaser ⮚ Date Signed Mo./Day/Yr. Name of Authorized Representative / Seller Xxx Xxxxxxxxx Title Food Service Director Signature of Authorized Representative / Seller ⮚ Date Signed Mo./Day/Yr. Attachment A Modifications In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (000) 000-0000. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to DPI’s “Joint Agreement” Template DPI requires File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the use of a template “Joint Agreement” when the SFA contracts with an organization to provide meals and related services. The SFA is allowed to make changes to the terms and conditions letter all of the Joint Agreement with approval by DPIinformation requested in the form. In order to facilitate To request a process for tracking these changes, DPI requires the SFA to complete Attachment A, Modifications to DPI’s “Joint Agreement” template, if the SFA decides to modify the terms and conditions copy of the Joint Agreement templatecomplaint form, call (000) 000-0000. Any modifications listed below as Modification Item (#) will modify the terms and conditions of the joint agreement titled, “Joint Agreement”. The SFAs wish Submit your completed form or letter to make to following changes; SFAs will list below any modifications to the template agreement. Modification Item 1 Section Subsection(s) Pricing Page No. 1 Modification Bag lunches will cost $2.25 each; milk not included. Modification Item 2 Section Subsection(s) Page No. Modification Modification Item 3 Section Subsection(s) Page No. Modification Modification Item 4 Section Subsection(s) Page No. Modification Attachment B Additional School Locations Check box if no additional school locations. School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address Addendum to the Joint Agreement Template For Participation in USDA Foods Program This addendum to the “Joint Agreement” template is for the purpose of participation in the USDA Foods Program. By signing this addendum to the “Joint Agreement Template for Participation in the USDA Foods Programs”, Purchaser and Seller, as defined in the Joint Agreement Template agree to the following: USDA Foods Allocation: USDA Foods allocated to both the Seller and the Purchaser will be delivered to and utilized by the Seller equitably for lunches served to students in the Seller and Purchaser schools. USDA Foods orders will be placed by the Seller. The Purchaser’s monthly USDA Foods handling charges [including storage, delivery (if applicable), administration and processing fees (if applicable)] will be deducted by DPI from the Purchaser’s monthly federal reimbursement.by:
Appears in 1 contract
Samples: Joint Agreement
Modifications to DPI Template Agreement. DPI requires the use of a “Joint Agreement” template when the Purchaser contracts with an organization to provide meals and related services. The Purchaser is allowed to make changes to the terms and conditions of the Joint Agreement with approval by DPI. In order to facilitate a process for tracking these changes, DPI requires the Purchaser to complete Attachment A titled, “Modifications to DPI’s Joint Agreement” template, if the Purchaser decides to modify the terms and conditions of the Joint Agreement template. DPI is not a party to any contractual relationship between Purchaser and Seller. DPI is not obligated, liable or responsible for any action or inaction taken by a Purchaser based on this Agreement template. DPI’s review of the Vended Meals Agreement is limited to assuring compliance with federal and state procurement requirements. The DPI does not review or judge the fairness, advisability, efficiency, or fiscal implications of the Vended Meals Agreement. Prior to submitting claims to the Department of Public Instruction (DPI), parties to this Joint Agreement shall have an agreement/ application approved by the DPI. Both parties shall submit separate claims for reimbursement to the DPI for the meals served to students on “Schedule A (respective school agencies)” of their approved agreement/application. This Joint Agreement shall not include the transfer of any responsibility that the Purchaser or Seller has under its approved DPI agreement/application. AUTHORIZED REPRESENTATIVE SIGNATURES Name of Authorized Representative / Purchaser Xxx Xxxxxx Title Food Service Director Signature of Authorized Representative / Purchaser Date Signed Mo./Day/Yr. Name of Authorized Representative / Seller Xxx Xxxxxxxxx Title Food Service Director Signature of Authorized Representative / Seller Date Signed Mo./Day/Yr. Attachment A Modifications to DPI’s “Joint Agreement” Template DPI requires the use of a template “Joint Agreement” when the SFA contracts with an organization to provide meals and related services. The SFA is allowed to make changes to the terms and conditions of the Joint Agreement with approval by DPI. In order to facilitate a process for tracking these changes, DPI requires the SFA to complete Attachment A, Modifications to DPI’s “Joint Agreement” template, if the SFA decides to modify the terms and conditions of the Joint Agreement template. Any modifications listed below as Modification Item (#) will modify the terms and conditions of the joint agreement titled, “Joint Agreement”. The SFAs wish to make to following changes; SFAs will list below any modifications to the template agreement. Modification Item 1 Section Subsection(s) Pricing Page No. 1 Modification Bag lunches will cost $2.25 each; milk not included. Modification Item 2 Section Subsection(s) Page No. Modification Modification Item 3 Section Subsection(s) Page No. Modification Modification Item 4 Section Subsection(s) Page No. Modification Attachment B Additional School Locations Check box if no additional school locations. School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address School Name Contact Person First and Last Name Title Street Address City State Zip Phone Area Code/No. Fax Area Code/No Email Address Addendum to the Joint Agreement Template For Participation in USDA Foods Program This addendum to the “Joint Agreement” template is for the purpose of participation in the USDA Foods Program. By signing this addendum to the “Joint Agreement Template for Participation in the USDA Foods Programs”, Purchaser and Seller, as defined in the Joint Agreement Template agree to the following: USDA Foods Allocation: USDA Foods allocated to both the Seller and the Purchaser will be delivered to and utilized by the Seller equitably for lunches served to students in the Seller and Purchaser schools. USDA Foods orders will be placed by the Seller. The Purchaser’s monthly USDA Foods handling charges [including storage, delivery (if applicable), administration and processing fees (if applicable)] will be deducted by DPI from the Purchaser’s monthly federal reimbursement.
Appears in 1 contract
Samples: dpi.wi.gov
