5-5 Appendix C Acknowledgement of Personnel Relationships Bridge Ele.docx
DOCX document 41 KB Posted
- Attached to
- Bridge Elementary- Food Service Management
- Solicitation number
- RA26-156
- Issued by
- Weber County, Utah
About this file
This is an Acknowledgement of Personnel Relationships form for Bridge Elementary's Food Service Management contract in Utah, addressing potential conflicts of interest when the School Food Authority (SFA) and Food Service Management Company (FSMC) employ the same individual(s). The form requires certification that any shared employees do not have real or apparent conflicts of interest and will be restricted from participating in contract selection, award, and administration activities. The solicitation for this food service management contract is being issued by Bridge Elementary, with questions due by June 29, 2026 at 5:00 PM directed to janey@bridgecharter.org, and proposals due by July 22, 2026 at 5:00 PM to Janey Stoddard at 4824 Midland Drive, Roy, Utah 84067.
The form requires SFA and FSMC authorized representatives to confirm that any shared employees will have no access to food service financial accounts, student information systems, or food service software systems. Additionally, these employees cannot be involved in establishing meal pricing, processing free and reduced-price meal applications, or determining meal eligibility. The form includes a specific example listing Janey Stoddard as a School Director in the SFA position, with designated signature lines for both SFA and FSMC authorized representatives to acknowledge these personnel relationship restrictions and conflict-of-interest certifications.
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Text version
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.
| Employee Name |
| SFA Position Title and Job Duties |
| FSMC Position Title and Job Duties |
Bridge Elementary
SFA FSMC
SFA Authorized Representative Signature FSMC Authorized Representative Signature Janey Stoddard
Printed Name of SFA Authorized Printed Name of FSMC Authorized School Director
SFA Authorized Representative Title FSMC Authorized Representative Title
File details come from the government source that posted it. Updated .