01-26 EXHIBIT A SCHOOL FOOD PROGRAM~1.pdf

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Attached to
Request for Proposal School Food Program
Solicitation number
BD-26-1322-SPS08-SPS08-125463
Issued by
Essex County, Massachusetts

About this file

This is a Site Report and Claim for Reimbursement submitted by the Saugus School Committee to the Massachusetts Department of Elementary and Secondary Education for the National School Lunch Program, School Breakfast Program, and Special Milk Program for October 2025. The document provides meal service data across four school sites: Belmonte STEAM Academy, Saugus High School, Saugus Middle School, and Veterans Early Learning Center, collectively serving 2,640 students across 22 operating days. During the reporting period, the schools served 37,522 total lunches (29,830 free, 7,692 reduced-price), 12,563 total breakfasts (9,868 free, 2,695 reduced-price), and 4,720 after-school snacks at Belmonte STEAM Academy. The claim, reviewed and certified as accurate by Pola Andrews on November 4, 2025, documents the operational status of all four sites as "DONE" under Community Eligibility Provision (Provision 4) classifications. The total reimbursement amount claimed is $174,819.82, with an adjustment credit of $(2,813.56), resulting from meals served under state and federal reimbursement formulas for free, reduced-price, and paid meal categories.

The claim reflects cost-reimbursable meal operations where the School Food Authority seeks reimbursement from state and federal sources for meals provided to eligible student populations. Individual site reimbursements range from $28,273.76 at Saugus Middle School to $59,040.85 at Saugus High School, with corresponding adjustment credits applied based on rounding variations in the reimbursement calculations. All four schools operated under Community Eligibility Provision status, indicating that meals were provided at no charge to all students regardless of household income level. The document serves as the official monthly claim submission substantiating meal counts and associated reimbursement amounts due under the National School Lunch, Breakfast, Milk, and Snacks Programs administered through the Massachusetts Department of Elementary and Secondary Education.

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Text version

Site # and Name

Enroll ment

Avg Daily Att.

Operating Days

Number of Apps

Lunches Served to Students

Breakfasts Served to Students

After School Snacks Served to Students

Special Milk Reimb Amt

(State) Status

Lun. Brk. Snk. Free Redu. Free Redu. Paid Total Free Redu. Paid Total Sev.

Need Brk.

Free Redu. Paid Total All Free

Free Paid Total

262-020 Belmonte Steam Academy

818 818 22 22 0 630 0 8,912 0 2,662 11,574 3,634 0 1,086 4,720 Y 0 0 0 0 Y 0 0 0 54,557.98 (923.93)

DONE

262-505

SAUGUS

HIGH 4

702 702 22 22 0 585 0 11,026 0 2,211 13,237 1,951 0 391 2,342 Y 0 0 0 0 Y 0 0 0 59,040.85 (847.20)

DONE

262-405 Saugus Middle

School 4

612 612 22 22 0 473 0 4,644 0 1,364 6,008 1,848 0 543 2,391 Y 0 0 0 0 Y 0 0 0 28,273.76 (475.96)

DONE

262-030 Veterans Early Learning

Center 4

508 508 22 22 0 398 0 5,248 0 1,455 6,703 2,435 0 675 3,110 Y 0 0 0 0 Y 0 0 0 32,947.23 (566.48)

DONE

Additional Sponsor Reimbursement 0.00 (-0.01)

TOTALS**

2,640 2,640 22 22 0 2,086 0 29,830 0 7,692 37,522 9,868 0 2,695 12,563 0 0 0 0 0 0 0 174,819.82 (2,813.56)

**Reimbursement amounts may differ due to rounding.

Errors or No Claims

1 Provision 2 Breakfast Only 2 Provision 2 Lunch Only 3 Provision 2 Breakfast and Lunch 4 Community Eligibility Provision

Site Report

Massachusetts Department Of Elementary and Secondary Education Supplement to Claim for Reimbursement

National School Lunch, Breakfast, Milk and Snacks Programs

Claim OCT-2025 Claim 1, Rev 0 (PAID)

I have reviewed the number of meals entered and confirm them to be accurate.

Reviewed By: Pola Andrews, Date: 11/04/2025 08:56:00 AM

Sponsor: Saugus Agreement Number: 05-262 Claim Month and Year: October 2025

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