PROGRAM DESIGNATION. The above named Contractor applies for, and agrees to operate the Program(s) listed below, which are indicated by an (X) in the applicable box(es). If Contractor decides to discontinue or begin operating any of these programs after signing this Agreement, Contractor must provide TDA advance written notice, including the proposed effective date of the change. Upon approval of the request, TDA will, at TDA’s option, enter into a new agreement with Contractor or amend this Agreement. If TDA terminates Contractor from one or more of the programs Contractor is operating, but allows Contractor to continue operating other programs, at TDA’s option, Contractor must enter into a new agreement with TDA to operate the remaining programs or amend this Agreement to state which programs Contractor will continue to operate. National School Lunch Program including: Afterschool Care Program Seamless Summer Option Fresh Fruit and Vegetable Program School Breakfast Program Summer Food Service Program Child and Adult Care Food Program Adult Day Care Centers Child Care Centers Day Care Homes Special Milk Program
PROGRAM DESIGNATION. The above named Participant applies for, and agrees to operate the Program(s) listed below, which are indicated by an (X) in the applicable box(es). If Participant decides to discontinue or begin operating any of these programs after signing this Agreement, Participant must provide KDE advance written notice, including the proposed effective date of the change. Upon approval of the request, KDE will, at KDE’s option, enter into a new agreement with Participant or amend this Agreement. If KDE terminates Participant from one or more of the programs Participant is operating, but allows Participant to continue operating other programs, at KDE’s option, Participant must enter into a new agreement with KDE to operate the remaining programs or amend this Agreement to state which programs Participant will continue to operate. National School Lunch Program School Breakfast Program Summer Food Service Program Child and Adult Care Food Program Special Milk Program
PROGRAM DESIGNATION. Strategic Alliance Lease Program --------------------- Program Applicable to: ---------------------- Equipment Model/Configuration; QDR4500C Acclaim Series (Model C) ["QDR 4500C"] ------------- Model QDR1000 Plus Series ["QDR1000"] ----------- Contract Summary: Term: 60 months Non-refundable deposit: $5,000 for Model QDR4500C; $3,000 for Model QDR1000 Free initial scans (during trial period): 100 Fee per scan (in excess of free scans during trial period and for all scans after trial period): $50.00 Trial period: 6 months Cancellation by Obligor: At any time during trial period; no fee; deposit retained. Conversion options (exercisable by Obligor):
PROGRAM DESIGNATION. The above-named Sponsor applies for, and agrees to operate the NSLP, SBP, SMP, Afterschool Snack, CACFP, and/or SFSP according to the PEARS Sponsor Application(s) and Site Application(s). PEARS, including authorized users, must be kept up to date with applicable Programs and sites and approved by PDE.
PROGRAM DESIGNATION. At the bottom of page 2, sponsors are to mark ALL programs in which the sponsor participates. For existing sponsors adding an additional Child Nutrition Program, please mark ALL programs in which the sponsor currently participates as well as the program being added. • Examples of signature required: o School Nutrition Program (school district) – superintendent and board chair if applicable. o Child and Adult Care Food Program Sponsor – superintendent, center owner or CEO, and board chair if applicable. o Summer Food Service Program Sponsor – superintendent or CEO/Executive Director, and board chair if applicable. o The Permanent Agreement CANNOT be signed by a school district Food Service Director, child care center director or manager (if not the center owner). In the event of a change in the Principal Officer, an updated agreement with the original signature of the Principal shall immediately be sent to SCN. SUBMISSION OF THE PERMANENT AGREEMENT TO SCN: Upon completion, mail originally signed the document to the address below. Scanned or faxed copies WILL NOT be accepted by SCN. Kentucky Department of Education Division of School and Community Nutrition 000 Xxxxx Xxxx, 0xx Floor Frankfort, KY 40601 FOR SCN STAFF USE ONLY – Signify with initials and date Page 1 Participant Name – Correct Legal Name and CNIPS Number Page 2 Program Designation – All Programs correctly marked and/or updated Page 16 Signatures – Correct, original signatures as listed above If any of the information submitted is incorrect, please notify the sponsor and request the corrected information. Once the information has been verified, please forward to the SCN Division Director to be signed. KENTUCKY DEPARTMENT OF EDUCATION SCHOOL AND COMMUNITY NUTRITION PERMANENT AGREEMENT Participant Name Carroll County Board of Education CNIPS Agreement Number 10026 National School Lunch Program, School Breakfast Program, Summer Food Service Program, Child and Adult Care Food Program and Special Milk Program The Kentucky Department of Education (KDE), and , hereinafter referred to as Participant, do hereby make and enter into this Agreement (Agreement), as required by the National School Lunch Act, the Child Nutrition Act, as amended, and the following program regulations: the National School Lunch Program (NSLP), 7 Code of Federal Regulations (CFR) Part 210; the School Breakfast Program (SBP), 7 CFR220; the Summer Food Service Program (SFSP), 7 CFR Part 225; the Child and Adult Care Food Program (C...
PROGRAM DESIGNATION. The above named Participant applies for, and agrees to operate the Program(s) listed below, which are indicated by an (X) in the applicable box(es). If Participant decides to discontinue or begin operating any of these programs after signing this Agreement, Participant must provide KDE advance written notice, including the proposed effective date of the change. Upon approvalof the request, KDE will, at KDE’s option, enter into a new agreement with Participant or amend this Agreement. If KDE terminates Participant from one or more of the programs Participant is operating, but allows Participant to continue operating other programs, at KDE’s option, Participant must enter into a new agreement with KDE to operate the remaining programs or amend this Agreement to state which programs Participant will continue to operate. X◻ National School Lunch Program X◻ School Breakfast Program X◻ Summer Food Service Program X◻ Child and Adult Care Food Program ◻ Special Milk Program KDE, SCN Permanent Agreement Page 2 of 19 Revised January 2021
