12-Appendix C Acknowledgement of Personnel Relationships.docx

Appendix C Acknowledgement of Personnel Relationships The SFA employs the same person/people that is/are employee(s) of the FSMC: (Check one)☐

Revised: 04/24/2026

Yes☐

✔ No

If yes, we the undersigned certify that the employee(s):

· Does not have a real or apparent conflict of interest.

· Will not participate in the selection, award, or administration of the contract.

· Will not have access to or control of the food service financial account.

· Will not be involved in the establishment of the selling prices for all reimbursable and non-reimbursable meals, a la carte items, adult meals, catering, or vending items.

· Will not have access to SFA’s Student information software system or foodservice software system.

· Will not be involved in the completion, distribution or collection of the parent letters and household applications for free and reduced-price meals.

· Will not be involved in the determination or verification of eligibility for free and reduced-price meals.

Syracuse Arts Academy

SFA FSMC

SFA Authorized Representative Signature FSMC Authorized Representative Signature Kellie Mudrow

Printed Name of SFA Authorized Printed Name of FSMC Authorized Lead Director

SFA Authorized Representative Title FSMC Authorized Representative Title