Common use of Usage of USDA Foods Clause in Contracts

Usage of USDA Foods. Renewals of the Base Contract is contingent upon adequate usage of USDA Foods. USDA Foods Entitlement Utilization: CURRENT SCHOOL YEAR Estimated: Current SY Actual: Prior SY School Year USDA Foods Entitlement Amount: $____________________ $____________________ Amount of USDA Foods credited to the SFA by the FSMC: $____________________ $____________________ USDA Foods Entitlement Utilization: $____________________ $____________________ USDA Foods Entitlement Utilization Percentage: __________________ % __________________ % Execution of Renewal: This Amendment is effective EFFECTIVE DATE and thereafter, unless otherwise amended. All other terms and conditions contained in the Base Contract shall remain unchanged and in full force and effect. SFA FSMC Name of Authorized Representative: ____________________________________ Name of Authorized Representative: ____________________________________ Signature of Authorized Representative: ____________________________________ Signature of Authorized Representative: ____________________________________ Title: _______________________________ Title: _______________________________ Date: _______________________________ Date: _______________________________ Note: A copy of this document, after executed by both Parties, along with Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transactions must be provided to: Department of Public Instruction School Nutrition Team 000 X. Xxxxxxx Street P.O. Box 7841 Madison, WI 53707-7841

Usage of USDA Foods. Renewals of the Base Contract is contingent upon adequate usage of USDA Foods. USDA Foods Entitlement Utilization: CURRENT School Year SCHOOL YEAR Estimated: Current SY Actual: Prior SY School Year USDA Foods Entitlement Amount: $____________________ $____________________ Amount of USDA Foods credited to the SFA by the FSMC: $____________________ $____________________ USDA Foods Entitlement Utilization: $____________________ $____________________ USDA Foods Entitlement Utilization Percentage: __________________ % __________________ % Execution of Renewal: This Amendment is effective EFFECTIVE DATE and thereafter, unless otherwise amended. All other terms and conditions contained in the Base Contract shall remain unchanged and in full force and effect. SFA FSMC Name of Authorized RepresentativeBy: ____________________________________ Name of Authorized RepresentativeBy: ____________________________________ Signature of Authorized Representative: ____________________________________ Signature of Authorized Representative: ____________________________________ Title: _______________________________ Title: _______________________________ Date: _______________________________ Date: _______________________________ Note: A copy of this document, after executed by both Parties, along with Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transactions Transactions, Anti-Collusion Affidavit, and Certification regarding Lobbying, Disclosure of Lobbying Activities and Instructions must be provided to: Department of Public Instruction School Nutrition Team 000 X. Xxxxxxx Street P.O. Box 7841 Madison, WI 53707-7841