Addendum_4_Signed_Dinner_Rolls.pdf

Contract Number 410014-M18-CJO6309-RFB-01

Contract Addendum Number 4

Services/Commodity: Bakery Products, Fresh, Delivered to Department of Correction and Department of Health Services

Locations

WHEREAS, the State of Wisconsin Department of Corrections, whose principal business address is 3099 E. Washington

Ave., P.O. Box 7925, Madison, WI 53707-7925, hereinafter referred to as DOC, and Pan-O-Gold Baking Company, whose principal business address is 1000 Wilburn Road, PO Box 807, Sun Prairie, WI 53590, hereinafter referred to as Contractor.

Pan-O-Gold Baking Company, entered into a Contract for delivery of Fresh Bakery Products (the “Contract”) for the initial term of October 1, 2017 through September 30, 2018; and renewed until September 30, 2022.

WHEREAS, the DOC and Contractor wish to enter into an Addendum to the original contract between the parties, Now, therefore, it is mutually agreed to remove and add contract items as follows:

A. Contractor’s specification item number 5107, Lakeland Dinner Rolls, Clear Bag Split Top Cluster Bun, 12 unsliced, plain top, circular dinner rolls, per 14-ounce package, $1.88 per package is no longer produced, and deleted from the list of available contract items. This product contained 1 gram of dietary fiber per serving.

B. Contractor’s specification item number 5040, Village Hearth Classic Dinner Roll White, 12 unsliced, plain top, square, pull-apart dinner rolls, per 18-ounce package, is added to the list of available contract items. Each 43 grams serving provides 120 Calories, 1.5 grams total fat, 250 milligrams of Sodium, 23 grams total carbohydrates, 2 grams dietary fiber, and 4 grams of protein. Sesame four is one of the product ingredients. The product is Kosher

Certified and has a “fresh” shelf life of 13 days from production, when stored at room temperature (50 – 90F).

The minimum order is one package, and the contract price is $1.88 per package.

C. Contractor’s specification item number 5152, Made with Whole Grain Tea Biscuit, 12 unsliced, plain top, cluster dinner rolls, per 12-ounce package, is added to the list of available contract items. Each 28 grams serving provides

80 Calories, 1 gram of total fat, 130 milligrams of Sodium, 14 grams total carbohydrates, 2 grams dietary fiber, and

3 grams of protein. Sesame four is one of the product ingredients. The product is Kosher Certified and has a

“fresh” shelf life of 13 days from production, when stored at room temperature (50 – 90F). Regarding the School

Nutrition Program and School Breakfast Program, this product provides 1-Bread Credit, 9 grams of whole grains per serving, and 8 grams of enriched flour per serving. The minimum order is one package, and the contract price is $2.00 per package.

All other terms and conditions of the contract shall remain in full force and effect.

In WITNESS THEREOF, the undersigned authorized officers have subscribed their names on behalf of the parties to this

Contract.

Contractor's Authorized Representative Signature Date

Brent Schmaltz, Sales Vice President

Department of Corrections Date

Kevin A. Carr, Secretary

DocuSign Envelope ID: 9FA32CA9-A705-4DC5-B030-041250CFDE9D

2/22/2022

DocuSign Envelope ID: E3C9CB79-0F81-4353-B06F-99471BF50F1F

2/23/2022