18-Product Specification and Formulation Form1.pdf
PDF 269 KB Posted
- Solicitation number
- OS - 250447
- Issued by
- Dallas County, Dallas City, Texas
About this file
This is a Product Specification and Formulation Documentation Submission Form for Dallas Independent School District (Dallas ISD) Procurement Services, Food and Child Nutrition Services division. The form is designed to accompany vendor bid submissions for nutritious snack food products to be supplied on an as-needed basis to the District's Food Services warehouse located at 1515 Al Lipscomb Way, Dallas, Texas. Vendors must complete the form and submit it with their Executive Summary response, providing current manufacturer specification sheets, product formulation documentation, and nutritional breakdown sheets for each proposed item identified by bid line-item number. The document includes example specifications for Light Mozzarella String Cheese (Product Code 000000000124578) packaged as 168/1 oz. portions, detailing ingredients, allergens, nutritional information, storage and shipping requirements at 33-35°F refrigerated conditions, shelf life of 150 days from manufacture date, and meal contribution credit of 1 M/MA (Meat/Meat Alternate) per serving. The underlying RFP establishes a one-year initial contract term with two successive one-year renewal options not to exceed three years total, with either party required to provide 90 days written notice if non-renewal is intended, and the proposal is being issued in accordance with Title 2 of the Code of Federal Regulations Part 200 and USDA/TDA requirements for vendors utilizing federal dollars.
The submission form requires vendors to include all supporting documentation such as signed Product Formulation Statements (Product Analysis) for M/MA products, CN labels, and any missing document explanations. Vendors must certify that creditable amounts of meat/meat alternates and any Alternate Protein Products (APP) meet applicable regulations under 7 CFR Parts 210, 220, 225, and 226. The example product formulation statement demonstrates the calculation methodology for determining creditable M/MA amounts using Food Buying Guide yield information, with total creditable amounts rounded down to the nearest 0.25 ounce. All information must be submitted on company letterhead and signed by an official company representative. The form does not indicate specific pricing terms, set-asides, or funding amounts in the documentation provided; however, the procurement is available for use with local, state, federal, and grant-funded programs managed by Dallas ISD.
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DALLAS ISD | PROCUREMENT SERVICES | Food and Child Nutrition Services
Product Specification & Product Formulation
Documentation Submission Form Complete and return with your Executive Summary Documents. Attach all supporting specification sheets, nutrition breakdown and product formulation documents for each item submitted. Identify each attachment by bid line-item number.
Bid / RFP number Bid / RFP title
Vendor / company name Bid line-item number
Contact name Email address Phone number
Attach a current manufacturer specification sheet /Product Formulation and Nutritional Breakdown Sheet for every proposed item, including:
Product identity and code; pack size; ingredients; allergens; and nutritional information.
Manufacturer specification sheet attached
Signed PFS attached
CN label attached
Attachment filenames / explanation of any missing documents
Submitted by (vendor representative) Date
Submit this completed form and all attachments with your Executive Bid Summary response.
1 / 1
3 | Required Attachments and Smart Snack Compliance documentation
Example
Product Spec Sheet Nutrition Breakdown
Light String Cheese is the perfect individually wrapped ready-to-serve, kid-pleasing protein for meals and snacks. 168/1 oz package. Meal Contribution Credit per serving: 1 M/MA.
Product Code: 00000000012345
Light Mozzarella String Cheese
Ingredients Pasteurized Part-Skim Milk, Cheese Cultures, Salt, Enzymes, Vitamin A Palmitate.
CONTAINS: Milk
Allergens (Known to Contain): Milk and Milk Products
Specification Details GTIN-Case: 12345678910111 GTIN-Each: 00000000000001 Shipping Requirements: 33 to 35 F (Refrigerated) Storage Requirements: Refrigerated (34 to 38 F) Storage Instructions: Keep Refrigerated Label Claim: 50% Less Fat than regular Low-Moisture Part-Skim Mozzarella Cheese , Fat has been reduced from 6g to 3g per serving , Smart Snack Package Dimensions: Each Case Pallet
Height: 6.3 in Height: 5.5 in Height: 46.5 in Width: 1.3 in Width: 9.4 in Width: 40.625 in Depth: .6 in Depth: 12.5 in Depth: 48 in
Volume: .00284 Cu. Ft Volume: .34679 Cu. Ft Volume: 52.47396 Cu. Ft Net Weight: 28.35 g Net Weight: 10.5 lb Net Weight: 1344Ib
Gross 29.25 g Gross 11.5 lb Gross Weight (w/o 1590.64 lb Weight:
Tare Weight:
.9 g Weight:
Tare 1 lb Weight:
pallet):
Product Type:
Units Per Case:
Cases/Layer:
Number of Layers:
Cases/Pallet:
Whse Stacking Height:
Lot Code Format:
Product Shipping Policy:
Shelf Life:
Food Safety:
Quality Assurance:
Preparation Type:
Preparation Instructions:
Serving Suggestions:
Pallet Line 1: LOT,3 digit plant id, last 2 digits of production year, 3 digit julian date, 2 digit line #_(military time, hh:mm)_(optional plant information) Line 2: BEST_BY_mm_dd_yyyy_2 character plant code_(optional plant information) Cheese products are coded with an Expiration Date. Cheese guarantees a minimum of 60 days of freshness from the date of shipment from Cheese warehouse facilities when product is handled and stored as recommended. This product has a total shelf life of 150 days from date of manufacture.
Cheese, Inc. regards Hazard Analysis Critical Control Points (HACCP) as the cornerstone of a food safety system. HACCP focuses on food safety by analysis and control of potential biological, chemical, and physical hazards. An internationally recognized system that is required by many customers, HACCP has been mandated for some industries by the FDA and USDA. All Cheese, Inc. Dairy Foods manufacturing facilities have targeted assessment programs for HACCP. In addition, Cheese, Inc. provides corporate guidance, oversight and assesses compliance of the systems. Cheese maintains a quality assurance program that ensures the quality of all raw materials, process operating conditions, and finished product requirements. Please note that all information contained within this document is subject to change. Customer Service: 1- 800-328-9610 Ready to Eat Ready to eat.
Serve as a snack. Create your own bistro box with breads, vegetables, and or fruit. Breakfast, lunch or afterschool snack.
Perfect for self-serve bars.
Page 1 of2 Date: 3/30/2021
Example
Product Spec Sheet Nutrition Breakdown
Light String Cheese is the perfect individually wrapped ready-to-serve, kid-pleasing protein for meals and snacks. 168/1 oz package. Meal Contribution Credit per serving: 1 M/MA.
Product Code: 000000000124578
Page 2 of 2 Date: 3/30/2021
Nutrition - Per 100g
Vitamin A - mcg 223 mcg Added Sugars 0g Vitamin D - mcg 0mcg Moisture 57 g Sodium 700 mg Potassium 188 mg Phosphorus 548mg Iron 0.2mg Calcium 697 mg Ash 4g Cholesterol 39mg Trans Fatty Acid 0.5 g Polyunsaturated Fat 0.5 g Monounsaturated Fat 3g Saturated Fat 6g Total Fat 10 g Total Sugar 4g Dietary Fiber 0g Carbohydrates 4g Protein 25 g Calories 205 kcal
Nutrition Facts 1 servings per container Serving size
1 Stick (28g; 1 oz)
Amount per serving Calories 60
% Daily Value* Total Fat 3g 4%
Saturated Fat 2g 9% Trans Fat 0g
Cholesterol 10mg 3% Sodium 200mg 9% Total Carbohydrate 1g 0%
Dietary Fiber 0g 0% Total Suqars 1q Includes 0g Added Sugars 0%
Protein 7g 14%
Vitamin D 0mcg 0% Calcium 198mg 15% Iron 0mg 0% Potassium 110mg 2% Vitamin A 63mcg 8%
• The % Daily Value (DV) tells you how much a nutrient in a serving of food contributes to a daily diet. 2,000 calories a day is used for qeneral nutrition advice.
EXAMPLE:
Product Formulation Statement (Product Analysis) for Meat/Meat Alternate (M/MA) Products School Year 2024-2025
Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Light Mozzarella String Cheese Code No.: 12345
Manufacturer: C h e e s e I N C . Case/Pack/Count/Portion/Size: 168/1 oz. portions
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information.
Description of Creditable Ingredients per
Food Buying Guide (FBG)
Ounces per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/ Servings Per Unit
Creditable Amount *
Low-Moisture Part-Skim Mozzarella Cheese
1 oz. X 1 oz. 1 m/ma
X
A. Total Creditable M/MA Amount1 1 m/ma
II. Alternate Protein Product (APP) If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, code number
Ounces dry APP per portion
Multiply % of Protein As-Is*
Divide by 18**
Creditable Amount APP***
X ÷ by 18 X ÷ by 18 X ÷ by 18
B. Total Creditable APP Amount1 C. TOTAL CREDITABLE AMOUNT (A+B rounded down to nearest ¼ ounce) 1 m/ma
*Percent of Protein As-Is is provided on the attached APP documentation.
**18 is the percent of protein when fully hydrated.
***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18.
1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz. meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 1 oz.
Total creditable amount of product (per portion) 1 oz.
(Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a 1 ounce serving of the above product (ready for serving) contains 1 ounces of equivalent meat/meat alternate when prepared according to directions.
I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
MightyMouse VP Quality Assurance Signature Title
Mighty Mouse Printed Name Date
| Product Specification & Product Formulation |
| Documentation Submission Form |
| Attach a current manufacturer specification sheet /Product Formulation and Nutritional Breakdown Sheet for every proposed item, including: |
| Cheese spec Example'.pdf |
| Ingredients |
| Specification Details |
| Product Formulation Statement (Product Analysis) for Meat/Meat Alternate (M/MA) Products School Year 2024-2025 |
| I. Meat/Meat Alternate |
| Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate |
| II. Alternate Protein Product (APP) |
| If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used. |
| MightyMouse VP Quality Assurance |
| Mighty Mouse |
| Bid RFP number: |
| Bid RFP title: |
| Vendor company name: |
| Bid lineitem number: |
| Contact name: |
| Email address: |
| Phone number: |
| undefined: |
| Submitted by vendor representative: |
| Date: |
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