This AGREEMENT is entered into this day of , 20 by and between and . (SPONSORING ORGANIZATION) (DAY CARE HOME PROVIDER)Cacfp Agreement • February 22nd, 2024
This AGREEMENT specifies the rights and responsibilities of the Sponsoring Organization and the Day Care Home Provider as participants in the Oregon Department of Education Child Nutrition Programs (ODE CNP) USDA Child and Adult Care Food Program (CACFP).
CHILD AND ADULT CARE FOOD PROGRAM (CACFP) AGREEMENT BETWEEN SPONSORING ORGANIZATION AND DAY CARE HOME PROVIDERCacfp Agreement • March 30th, 2021
This Agreement specifies the rights and responsibilities of the sponsoring organization and the provider as participants in the CACFP administered by the Office of Superintendent of Public Instruction (OSPI). This agreement remains in effect until terminated by either party, contingent upon availability of program funds.
ORDER FORM FOR SPONSORS OF DAY CARE CENTERSCacfp Agreement • October 6th, 2021
QUANTITY FORM # FORM NAME 1377 Crediting Foods in CACFP 1378 Spanish 1377 1258 Adult Meal Pattern 19031 Arabic 1258 19027 Chinese 1258 19028 Haitian-Creole 1258 19029 Korean 1258 19030 Russian 1258 19026 Spanish 1258 1259 Child Meal Pattern 19019 Arabic 1259 19015 Chinese 1259 19016 Haitian-Creole 1259 19017 Korean 1259 19018 Russian 1259 19014 Spanish 1259 1260 Infant Meal Pattern 19025 Arabic 1260 19021 Chinese 1260 19022 Haitian-Creole 1260 19023 Korean 1260 19024 Russian 1260 19020 Spanish 1260 AD-475A And Justice for All poster CACFP-109 Sample Infant Menus CACFP-116 Daily Meal Count Record CACFP-121 Infant Feeding Statement CACFP-124C Reimbursement Rates for Day Care Centers CACFP-127 Claim Submission Deadlines CACFP-141 Extension of Vendor Contract CACFP-142 Vendor Contract Packet for less than $100,000 CACFP-143 Invitation for Bid and Vendor Contract Packet for more than $100,000
POLICY: CACFP Agreement between the Sponsoring Organization and Unaffiliated Day Care Center(s)Cacfp Agreement • September 12th, 2014
The agreement specifies the rights and responsibilities of the Sponsoring Organization and the Center as participants in Child and Adult Care Food Program (CACFP) for the purpose of providing nutritious meals to participants in licensed day care centers. The CACFP Agreement between the Sponsoring Organization and the Day Care Center has been converted to a permanent agreement as part of the renewal process effective September 30, 2012. Therefore, BE SURE TO REVIEW AND MOVE THE 2012 SPONSOR/CENTER AGREEMENTS FORWARD WITH YOUR
CACFP New Agreement Approval ChecklistCacfp Agreement • October 27th, 2020
CACFP AGREEMENT BETWEEN SPONSORING ORGANIZATION AND DAY CARE HOMECacfp Agreement • August 5th, 2024
This agreement specifies the rights and responsibilities of the Sponsoring Organization and the Day Care Home Provider as participants in the Child and Adult Care Food Program (CACFP), and is in accordance with CACFP regulations 7 CFR 226. The CACFP is administered by the Virginia Department of Health, Division of Community Nutrition, Special Nutrition Programs: 109 Governor Street, 8th Floor, Richmond, VA 23219, (T) l-877-618-7282.
CHILD AND ADULT CARE FOOD PROGRAM (CACFP) AGREEMENT BETWEEN SPONSORING ORGANIZATION AND DAY CARE HOME PROVIDERCacfp Agreement • September 24th, 2020
This AGREEMENT specifies the rights and responsibilities of the Sponsoring Organization and the Day Care Home Provider as participants in the Oregon Department of Education Child Nutrition Programs (ODE CNP) USDA Child and Adult Care Food Program (CACFP).
CHILD AND ADULT CARE FOOD PROGRAM (CACFP) AGREEMENT TO FURNISH FOOD SERVICECacfp Agreement • August 23rd, 2011
INSTRUCTIONS: This agreement should be used when contracting for food service with an entity other than a school. A copy of this agreement must be submitted to the State Department of Education (SDE) for each institution that contracts for meals.
Child MenuCacfp Agreement • May 19th, 2020
ny day of the PrintFood Group Date: Monday Tuesday Wednesday Thursday Friday Jun 1, 2020 Jun 2, 2020 Jun 3, 2020 Jun 4, 2020 Jun 5, 2020 Fluid Milk1 Breakfast Vegetable/Fruit2 Grains3 Meat/MeatAlternates (Optional substitute for grains ≤3x/week) Fluid Milk1 Lunch Vegetable2 Vegetable/Fruit2 Grains3 Meat/Meat Alternates Choose Two Food Groups for Snack Fluid Milk1 Snack ■ Vegetable2 Fruit2 Grains3 Meat/Meat Alternates
ContractCacfp Agreement • April 10th, 2013
CACFP regulations require that each center annually collect information on the race and ethnicity of the children or adults in care. By visual observation, using your best judgment, first count the number of children or adults in care at this center in each ethnic category. Record that number below in Section I. Then indicate the racial category for each child or adult in care at this center in Section II.
CACFP Agreement # Site #Cacfp Agreement • July 28th, 2020
Your center was granted designation as a breastfeeding friendly child care center. To renew your certificate for the next three years, please provide the following information and answer the questions. Please send the center’s current breastfeeding policy with this form.
CHILD AND ADULT CARE FOOD PROGRAM (CACFP) AGREEMENT BETWEEN SPONSORING ORGANIZATION AND DAY CARE HOME PROVIDERCacfp Agreement • March 24th, 2017
INSTRUCTIONS: An original and one copy of this agreement must be completed and signed by the day care home provider and returned to the sponsoring organization. A representative of the sponsoring organization must sign both forms, keep one, and return one to the provider.
INFANT FEEDING STATEMENTCacfp Agreement • February 17th, 2017
BREAST MILK/FORMULA (CHECK ONE) FOOD (CHECK ONE) The center can give my baby the formula they buy. I will bring breast milk or formula for my baby. The center can give my baby solid foods when I tell them the baby is ready. I will bring solid foods for my baby.
ContractCacfp Agreement • April 20th, 2017
CACFP regulations require that each center annually collect information on the race and ethnicity of the children or adults in care. By visual observation, using your best judgment, first count the number of children or adults in care at this center in each ethnic category. Record that number below in Section I. Then indicate the racial category for each child or adult in care at this center in Section II.
Instructions:Cacfp Agreement • May 19th, 2020
To start, enter your Institution Name and Agreement Number. Then enter the week's Month and Year. Then enter a Monday start date. You can start your menu item entires on any day of the week. (These instructions do not print.)
Sponsor NameCacfp Agreement • June 2nd, 2015
Board Chair or Owner Length of time on Board SALUTATION FIRST NAME LAST NAME DATE OF BIRTH EMAIL ADDRESS PHONE EXT FAX OCCUPATION CURRENT EMPLOYER EMPLOYER ADDRESS 1 ADDRESS 2 CITY STATE ZIP HOME ADDRESS 1 ADDRESS 2 CITY STATE ZIP Is this member related to another board member or staff of this organization? Yes No If Yes, please specify name and position held: Executive Director SALUTATION FIRST NAME LAST NAME DATE OF BIRTH EMAIL ADDRESS PHONE EXT FAX OCCUPATION CURRENT EMPLOYER EMPLOYER ADDRESS 1 ADDRESS 2 CITY STATE ZIP HOME ADDRESS 1 ADDRESS 2 CITY STATE ZIP Is this member related to another board member or staff of this organization? Yes No If Yes, please specify name and position held: Board Member Title Length of time on Board SALUTATION FIRST NAME LAST NAME DATE OF BIRTH EMAIL ADDRESS PHONE EXT FAX OCCUPATION CURRENT EMPLOYER EMPLOYER ADDRESS 1 ADDRESS 2 CITY STATE ZIP HOME ADDRESS 1 ADDRESS 2 CITY STATE ZIP Is this member related to another board
Provider’s Name:Cacfp Agreement • February 23rd, 2010
CACFP REQUIREMENTS MONDAY/DATE TUESDAY/DATE WEDNESDAY/DATE THURSDAY/DATE FRIDAY/DATE SATURDAY/DATE SUNDAY/DATE BREAKFAST Fluid Milk (specify type of milk) Fruit or Vegetable Bread* or Bread Alternate* Other AM SNACKServe 2 of 4 groups Fluid Milk (specify type of milk) Fruit or Vegetable Bread* or Bread Alternate* Meat or Meat Alternate Water LUNCH Fluid Milk (specify type of milk) Meat or Meat Alternate 2 Servings of Fruit and/or Vegetables Bread or Bread Alternate Other PM SNACKServe 2 of 4 groups Fluid Milk (specify type of milk) Fruit or Vegetable Bread* or Bread Alternate* Meat or Meat Alternate Water SUPPER Fluid Milk (specify type of milk) Meat and Meat Alternate 2 Servings of Fruit and/or Vegetables
DAY CARE CENTER ENROLLMENT FORMCacfp Agreement • April 6th, 2016
Breakfast am to am Lunch am/pm and pm Afternoon Snack pm to pm If your child is in care during these times, he/she will receive the meal or snack that is being served.
Instructions: An original and two copies of this agreement must be completed and signed by the Facility Authorized Representative and returned to the sponsoring organization. The SO must sign the three forms, keep one, return one to the provider and...Cacfp Agreement • November 4th, 2019
This Agreement specifies the right and responsibilities of the SO and the Family Day Care Provider as participants in the U.S. Department of Agriculture’s (USDA) Child and Adult Care Food Program.
CACFP Agreement #__________Cacfp Agreement • July 7th, 2020
NOTE: Sponsoring Organizations have this opportunity to order Program memoranda related to administration of your CACFP program.
CACFP Agreement # Provider CIPS #Cacfp Agreement • May 11th, 2015
Monitors should select five consecutive operating days, including weekends and holidays, when the day care home was open and serving meals. Using enrollment and attendance, determine if the meal counts are consistent.
CHILD AND ADULT CARE FOOD PROGRAM (CACFP) AGREEMENT TO FURNISH FOOD SERVICECacfp Agreement • August 17th, 2017
INSTRUCTIONS: This agreement should be used when contracting for food service with a school food authority (SFA). A copy of this agreement must be submitted to the State Depart- ment of Education (SDE) for each institution that contracts for meals.
CACFP Agreement #__________Cacfp Agreement • July 7th, 2020
PLEASE NOTE: These Program memoranda were sent to Sponsoring Organizations of Day Care Homes at the time of initial distribution and should be kept in the Sponsor’s CACFP files. To ensure that Sponsoring Organizations maintain a complete file, once a year Sponsors have the opportunity to order any items from the last fiscal year that have been misplaced. The description column provides information on the content of the policy memo (DOH-CACFP #) or informational mailing (Year – Number).
MEAL PATTERN FOOD ITEMS SERVING SIZE # SERVINGS PREPARED TYPE AND AMOUNTS USEDCacfp Agreement • February 23rd, 2017
Add-a-Site Checklist Administrative or Center Sponsors Adding At-Risk orCacfp Agreement • July 20th, 2021
Instructions: Use this checklist as a guide for completing and submitting all documents that are needed to seek approval to add a new At-Risk Only facility or Outside School Hours Care Center to the CACFP.
BRIGHT FROM THE STARTCacfp Agreement • May 5th, 2020
Agreement Between the State and Sponsors of Day Care CentersCacfp Agreement • March 10th, 2022
This assurance is given in consideration of and for the purpose of obtaining any and all Federal financial assistance, grants, and loans of Federal funds, reimbursable expenditures, grant, or donation of Federal property and interest in property, the detail of Federal personnel, the sale and lease of, and the permission to use Federal property or interest in such property or the furnishing of services without consideration or at a nominal consideration, or at a consideration that is reduced for the purpose of assisting the recipient, or in recognition of the public interest to be served by such sale, lease, or furnishing of services to the recipient, or any improvements made with Federal financial assistance extended to the Program applicant by USDA. This includes any Federal agreement, arrangement, or other contract that has as one of its purposes the provision of cash assistance for the purchase of food, and cash assistance for purchase or rental of food service equipment or any othe
Instructions: The press release to be submitted is on the reverse side of this page. There are three blank areas – please write or type in the date, the name of your organization and the name(s) and address(es) of the center(s) you sponsor. Copy the...Cacfp Agreement • February 11th, 2008
To document that you completed this requirement, write the name of the media organization and the date it was sent below and keep a copy for your records.
AGREEMENT BETWEEN THE STATECacfp Agreement • October 4th, 2010
In order to carry out the purpose of Section 17 of the National School Lunch Program, as amended, and the Regulations governing the Child and Adult Care Food Program (referred to as "CACFP") set forth in 7 CFR Part 226 and Section 3 of the Child Nutrition Act of 1966, as amended, the New York State Department of Health (referred to as the "State") and the Sponsoring Organization (referred to as the "Sponsor") whose name and address appear above, enter into the following agreement effective . This agreement is binding on the Sponsor as long as it receives funds from the State or has a program fund balance. The agreement may be terminated by mutual consent between the State and the Sponsor or by the State for breach of this agreement or other reasons of cause.
CHILD AND ADULT CARE FOOD PROGRAM (CACFP) AGREEMENT TO FURNISH FOOD SERVICECacfp Agreement • August 25th, 2014
INSTRUCTIONS: This agreement should be used when contracting for food service with a school food authority (SFA). A copy of this agreement must be submitted to the State Department of Education (SDE) for each institution that contracts for meals.
