ADE_RFGA_Final.pdf

ATTACHMENT 1

GRANT APPLICATION

State of Arizona Department of Education

1535 W. Jefferson Street Phoenix, AZ 85007

RFGA NO.: BPM007053

The Undersigned hereby applies and agrees to furnish the materials, service(s) or construction in compliance with all the terms, conditions, specifications, and amendments in the Request for Grant Application and any written exceptions in the Application.

Applicant’s Name Name of Person Authorized to Sign Application (Please type or print)

Street Address Title of Authorized Person

City State Zip Code Signature of Authorized Person Date

Telephone Number:

E-Mail Address:

Acknowledgement of Amendment(s): Amendment No. Date Amendment No. Date (Applicant acknowledges receipt of amend-ment(s) to the Request for Grant Application and related documents numbered and dated

ACCEPTANCE OF APPLICATION AND GRANT AWARD

(For State of Arizona Use Only)

Your Application is hereby accepted as described in the Notice of Award. You are now bound to perform based upon the RFGA and your Application, as accepted by the State.

You are hereby cautioned not to commence any billable work or provide any material or service under this Grant until you receive an executed purchase order, Grant release document, or written notice to proceed, if applicable.

State of Arizona

Awarded this ________ day of ___________________________2025.

State Government Administrator

Dr. Scott Cloutier

734 W Polk St, Ste. 16 Executive Director

Phoenix AZ 85007 8/29/25

603-285-2296 scott@mollenfoundation.org

Scott Cloutier

ATTACHMENT 2

APPLICANT INFORMATION

1.1. Notices, Correspondence, Reports from the ADE to the Grantee shall be sent to:

Organization: _________________________________________________________

Attention: ____________________________________________________________

Street Address:________________________________________________________

City, State and Zip Code: ________________________________________________

Telephone: ___________________________________________________________

E-Mail: _______________________________________________________________

1.2. Payments from ADE to the Grantee shall be sent to:

Organization: __________________________________________________________

Attention: _____________________________________________________________

Street Address:_________________________________________________________

City, State and Zip Code: _________________________________________________

Telephone: ___________________________________________________________

E-Mail: _______________________________________________________________

Mollen Foundation

734 W Polk St, Ste. 16

Phoenix, AZ 85007

603-285-2296 scott@mollenfoundation.org

Mollen Foundation

Dr. Scott Cloutier

Dr. Scott Cloutier

734 W Polk St, Ste. 16

Phoenix, AZ 85007

603-285-2296 scott@mollenfoundation.org

I. Narrative Response to the Scope of Work

1. Service and Assistance Program Plan

The Arizona Farm to School Network Coordinator will implement a statewide service and assistance plan advancing ADE’s three priorities. Building on an established network of partners, leadership structures, and communication systems, the Coordinator will sustain and expand farm to school implementation across Arizona.

1. Increase Local Purchasing Capacity

● Connect producers with CNP operators through Communities of Practice, networking events, and procurement workshops.

● Share procurement tools, technical support, and guidance adapted to federal, state, and local contexts.

● Mentor piloting schools and assist existing participants with navigating local procurement.

● Collect data, track outcomes, and scale success.

2. Expand Nutrition, Agriculture, and Food Education

● Facilitate Communities of Practice and gatherings showcasing best practices in school gardens, food literacy, nutrition education, and wellness policies.

● Encouraging a peer to peer learning model, local food and school garden champions will be connected with beginners to increase capacity.

● Connect educators and partners with existing resources to integrate farm to school into daily school life without overburdening teachers.

3. Strengthen Statewide Connections and Integration

● Convene monthly leadership and practice-based meetings linking stakeholders across regions and sectors.

● Manage the Network’s organizational structure to ensure governance, decision-making, determine areas for collaboration, and succession planning with an emphasis on regional representation development.

● Align Arizona’s farm to school and ECE efforts with national initiatives, ensuring statewide contributions and benefits.

● Provide a foundation for farm to school storytelling to share across multiple media platforms and among state agencies.

Attachment 3

NARRATIVE RESPONSE TO SCOPE OF WORK

What Exists to Ensure Success The Network currently operates with leadership roles, active Communities of Practice, statewide communications (website, newsletter, social media), and proven successes such as the Annual Farm to School Gathering. The Coordinator role, housed at the Mollen Foundation, has demonstrated effectiveness in sustaining these systems along with streamlining information and developing systems to measure the effectiveness of the network initiatives.

What is Needed Dedicated funding is required to ensure the Coordinator role is sustained at 1.0 FTE and expanded statewide. Stable support will scale proven practices, extend reach to underserved communities, and ensure Arizona’s schools, farmers, and students benefit from a strong, lasting farm to school movement.

2. Expected Reach and Timeline

Reach (Oct 2025 – Sept 2026):

● Schools/ECEs

○ Establish connection with 75 farm to school representatives, prioritizing regional, rural, tribal, and high-need districts as well as previously supported SNAP-ED sites

● Producers

○ Collect and disseminate data on local producers from when data was first collected through 2026 to understand existing local supply chain

○ Utilize data to connect producers with procurement technical support through ADE

● Leadership/Partners

○ Facilitate Leadership Chairs and engage 20+ statewide organizations—positioning AZ within the National F2SN’s 527 partners.

○ Collaborate with ADE to best promote, support, and increase participation with their Try It Local program

● Statewide Membership

○ Reach 250+ stakeholders, increasing active participation by 20%

○ Establish an Arizona Farm to School Network School Garden registry consisting of location, number of educators/students served, and local producer connections

● Marketing

○ Engage 500+ users over social media, website, and marketing communications

○ Attend workshops, forums, and conferences to spread awareness of the

Network’s initiatives and opportunities to collaborate

● Annual Gathering

○ Lead one annual gathering to bring together farm to school stakeholders

Timeline:

Ongoing activities: monthly leadership planning sessions, (2) monthly Community of Practice sessions, bi-monthly 1:1 chair meetings, monthly procurement data analysis meeting, weekly intern mentorship

● Fall 2025

○ Launch new website, host Farm to School Month campaign, recruit/train leadership

● Winter 2025

○ Develop and pilot at least one community responsive workshop, expand producer engagement, publish mid-year updates, support wellness policies

● Spring 2026

○ Track procurement data, support CNP menu planning + Farm Fresh

Challenge participation

● Summer/Fall 2026

○ Host Annual Gathering, publish Summary & Impact Report, present findings at ADE convening

3. Expected Impact

● Local Procurement

○ Local food purchase supply chain identified, analyzed data utilized for targeted marketing

○ New, additional schools source Arizona-grown food with an increased participation of local producers*

■ *percentages determined by previously mentioned analyzed data

● Education

○ Establish baseline metrics for school and ECE participation, in food literacy, school gardens, taste tests, and/or physical activity associated with school gardens

● Connections

○ 300+ engaged farm-to-school stakeholders, measured through network activities (i.e. website interaction, CoP participation); leadership succession, governance strengthened; align with national best practices.

Overall Result: The Network will work in partnership with ADE to further the strategic plan to expand local purchasing, grow student access to food and agriculture education, and sustain a replicable farm to school system.

4. Tools and Methods for Measuring Results

Evaluation will be guided by the Network Impact Tracker. Tools include:

● Procurement records, CNP self-reports, and menu reviews

● Educator surveys and student participation logs for garden and food education programs

● Event logs, pre/post surveys, and observation checklists for food literacy activities

● Producer feedback surveys and CoP attendance data

● Membership data, newsletter analytics, and website traffic reports

● Demographic data to monitor equity and inclusion

The Coordinator will compile, analyze, and report data quarterly to ensure consistent, accurate reporting to ADE.

5. Dissemination of Results

Results will be broadly shared to benefit the public and Arizona’s farm to school community through:

● Bi-weekly “Farm to School Fridays” newsletters.

● Public updates via the Network website and social media.

● Presentations at ADE’s public gathering, statewide convenings, and national conferences.

● A Mid-Year Report (April 2026) and Summary & Impact Report (October 2026), both publicly available.

II. Experience and Capability

6. Evidence-Based Programming Experience

The Arizona Farm to School Network Coordinator has direct experience in designing and delivering evidence-based programming that aligns with ADE’s priorities and national best practices.

● Rooted in National Best Practices: The Coordinator works in alignment with the National Farm to School Network’s evidence base, which demonstrates that farm to school initiatives improve student nutrition, increase participation in school meal programs, strengthen local economies, and create lasting behavior change. Arizona’s Network applies these principles through procurement pilots, school gardens, and food literacy integration.

● Statewide Communities of Practice: The Coordinator has designed and facilitated ongoing Communities of Practice (CoPs) that are grounded in peer-to-peer learning research, ensuring participants not only access technical resources but also build capacity to implement programs sustainably.

● Replication and Sustainability Focus: The Coordinator emphasizes models that fit within existing resources and daily school operations. This “train-the-trainer” approach reflects implementation science principles — reducing burden on teachers and ensuring practices can be scaled and sustained.

● Evaluation-Driven Design: Using the Network Impact Tracker, programming is adjusted based on participation data, stakeholder feedback, and outcomes. For example, procurement workshops are refined each year based on operator feedback about clarity of regulatory guidance and feasibility.

● Track Record of Impact: Evidence-based strategies led by the Coordinator have resulted in successful procurement pilots, expansion of school gardens and taste test programs, and broader awareness of farm to school practices through statewide gatherings.

Together, these experiences demonstrate that the Network Coordinator is not only implementing activities but applying evidence-based approaches that ensure effectiveness, sustainability, and replicability across diverse Arizona communities.

7. Experience and Strategies with Target Populations

The Arizona Farm to School Network Coordinator has extensive experience engaging the populations this service intends to reach — schools and ECE centers operating

Attachment 4

EXPERIENCE AND CAPABILITY

Child Nutrition Programs, farmers and local food producers, and the children and families who benefit from farm to school initiatives.

Experience:

● Supported schools and ECE providers across Arizona by facilitating Communities of Practice, offering technical assistance on procurement, and curating replicable food education models.

● Worked directly with Child Nutrition Program operators to navigate procurement regulations, plan menus with seasonal Arizona products, and implement local wellness policies that connect classrooms and cafeterias.

● Engaged more than 40 local farmers and ranchers through the Network, helping them access school markets and building relationships with food hubs and districts.

● Prioritized outreach to high-need, rural, and tribal communities, ensuring that socially disadvantaged producers and schools serving students eligible for free/reduced meals are represented in Network activities.

Strategies:

● Relationship-Based Approach: Build trust with schools, producers, and agencies by maintaining consistent communication, listening to community needs, and co-designing solutions.

● Accessibility: Deliver training and resources that fit into existing workflows, reducing burden on teachers and CNP staff while making participation achievable.

● Equity Lens: Use demographic data and targeted outreach to ensure rural, tribal, and underserved schools and producers have access to opportunities and support.

● Capacity Building: Apply a “train-the-trainer” model so that educators, agencies, and nonprofits can sustain farm to school practices beyond one-time interventions.

● Statewide Reach with Local Relevance: Leverage statewide communications and convenings while tailoring technical assistance to local contexts and needs.

Through this combination of hands-on experience and deliberate strategies, the Network Coordinator has demonstrated the ability to work effectively with schools, producers, and agencies statewide — ensuring that farm to school programs are accessible, equitable, and sustainable.

8. Key Personnel Qualifications and Experience

Stacy Evans – Network Coordinator (1.0 FTE, ADE-funded) Stacy Evans serves as the Arizona Farm to School Network Coordinator, dedicating 100% of her time to this role. She has direct experience managing statewide Communities of Practice, coordinating communications (newsletter, website, social media), and facilitating the Annual Farm to School Gathering. Stacy has worked closely with schools, ECE providers, child nutrition program operators, and producers to expand local food procurement, garden integration, and food education. Her experience ensures effective technical assistance and continuity of the Network’s leadership and systems.

Dr. Scott Cloutier – Executive Director, Mollen Foundation (.25 FTE Network Support, Mollen-funded) Dr. Scott Cloutier provides strategic oversight and guidance for the Arizona Farm to School Network. With a Ph.D. in Biological and Environmental Engineering and more than 15 years of nonprofit leadership experience, he has advanced statewide and national initiatives in food systems, regenerative agriculture, and education. He has successfully managed multi-million-dollar grants and brings expertise in evaluation, capacity-building, and cross-sector collaboration. Dr. Cloutier ensures compliance, accountability, and alignment with ADE’s goals, while mentoring staff and supporting sustainability planning.

Paige Mollen – President, Mollen Foundation (.33 FTE Network Support, Mollen-funded) Paige Mollen co-founded and leads the Mollen Foundation with more than 30 years of experience in education, nonprofit leadership, and statewide farm to school initiatives.

She contributes approximately one-third of her time to supporting the Network, in kind.

Paige’s expertise includes educator professional development, curriculum design, and community engagement, particularly in underserved districts. She has built strong partnerships with state agencies, farmers, and school leaders, ensuring the Network remains inclusive, collaborative, and responsive to community needs.

9. Major Accomplishments

1. Annual Arizona Farm to School Gathering The Arizona Farm to School Network has successfully convened statewide gatherings that bring together more than 200 stakeholders — including schools, child nutrition program operators, farmers, state agencies, and nonprofit partners. Under the Coordinator’s leadership, the Gathering has expanded to a hybrid model, increasing accessibility and participation from rural and tribal communities. These events highlight best practices, build cross-sector relationships, and create momentum for statewide action, demonstrating the Network’s capacity to deliver large-scale professional learning opportunities.

2. Revitalized Network Infrastructure and Communications Since assuming her role, the Network Coordinator has brought fresh energy and new systems that are strengthening the Network’s foundation. Key accomplishments include developing a redesigned Network website, streamlining newsletter and social media communications, and expanding Communities of Practice to ensure stakeholders have ongoing opportunities for connection and learning. These improvements have increased visibility, accessibility, and engagement across the state, positioning the Network as a stronger hub for farm to school resources and collaboration.

10. Key Personnel Table

Full Name Position/Title Responsibilities

% Time Assigned to Grant

Stacy Evans

Network Coordinator

Lead implementation of the statewide service and assistance plan; facilitate

Communities of Practice and leadership meetings; oversee Network communications (website, newsletter, social media); coordinate the Annual

Gathering; provide technical assistance to schools, producers, and partners; track outcomes through the Network Impact

Tracker.

100%

Dr. Scott Cloutier

Executive Director, Mollen

Foundation

Provide strategic oversight, grant compliance, and financial accountability;

mentor and support the Network Coordinator; ensure alignment with ADE priorities and sustainability planning.

25% (not-ADE funded)

Paige Mollen

President, Mollen

Foundation

Support strategic partnerships and educator professional development; advise on statewide engagement and communications; contribute to annual planning and leadership recruitment.

33% (not-ADE funded)

III. Proposed Costs and Budget

Relative Proportion of Costs to Reach and Impact

The proposed $190,000 budget is carefully aligned with the scope of services and expected outcomes. The majority of costs (48%) support the full-time Network Coordinator, ensuring dedicated statewide leadership to convene Communities of Practice, manage communications, and provide technical assistance to schools and producers. Significant investment (27%) in the Annual Gathering and related events enables equitable participation from rural, tribal, and high-need districts, engaging more than 200 stakeholders in shared learning and collaboration. Marketing and outreach (19%) extend the Network’s reach to 250+ stakeholders and 500+ public users, ensuring visibility and accessibility of resources. Travel and professional development (4%) ensure representation across Arizona and alignment with national best practices.

Technology and subscriptions (2%) sustain communications and data tracking systems.

This distribution ensures that the majority of funds directly support service delivery and engagement, with each budget category proportionate to the reach and measurable impact on Arizona’s schools, producers, and children.

11. Budget Narrative

The proposed budget of $190,000 supports implementation of ADE’s three farm to school priorities through the Arizona Farm to School Network Coordinator role. Each category is derived from actual salary rates, federal per diem standards, and cost estimates from prior statewide farm to school events.

1. Personnel – $91,000

● Network Coordinator (1.0 FTE): Salary of $65,000 plus employer-related expenses (ERE) of $26,000. The Coordinator will convene Communities of Practice, facilitate procurement and education workshops, manage statewide communications (newsletter, website, social media), and coordinate the Annual Farm to School Gathering.

2. Marketing and Communications – $35,000

● Intern support for communications and data tracking ($10,000).

● Branded merchandise (shirts, banners, printed resources) to increase statewide visibility ($5,000).

● Annual Gathering communications (design, print materials) ($5,000).

Attachment 5

PROPOSED COSTS AND BUDGET

● Farm to School Month campaign (media design, printing) ($7,500).

● Media advertisements (radio, online ads, local outreach) targeting rural and tribal schools ($7,500).

3. Travel + Accommodations – $5,000

● Mileage reimbursement at $0.70/mile for statewide site visits.

● Lodging and meals at $178/day based on GSA per diem. Covers travel for the

Coordinator and supporting staff to conduct regional outreach and attend statewide conferences.

4. Professional Development – $4,000

● Registration and fees for farm to school professional conferences, trainings, and workshops.

● Ensures the Coordinator remains current with national best practices.

5. Annual Gathering – $50,000

● Buses for school/ECE participation ($5,000).

● Event staff for registration, facilitation, and hybrid support ($12,500).

● Catering and food, prioritizing Arizona producers ($10,000).

● Technology for livestreaming and hybrid participation ($2,500).

● Speaker stipends/honoraria ($10,000)

● Venue rental ($10,000).

6. Technology + Subscriptions – $5,000

● Zoom licenses for Communities of Practice, website hosting, graphic design software, and data management subscriptions to track procurement, membership, and event participation.

Total Budget: $190,000

All costs are reasonable, allocable, and necessary to sustain statewide farm to school coordination and align with ADE’s stated priorities.

12. Accounting Practices

The Mollen Foundation follows Generally Accepted Accounting Principles (GAAP) in all financial operations. The organization maintains its accounts on an accrual basis, ensuring that revenues are recorded when earned and expenses when incurred, regardless of when cash transactions occur.

Financial records are maintained using Quickbooks Online, which provides detailed tracking of income and expenses by funding source, grant, and program. Each grant is assigned a unique class and project code to ensure expenses are properly allocated and restricted funds are used only for their intended purposes. Payroll is also managed by the company isolved.

All expenses are supported by original source documentation (e.g., invoices, receipts, timesheets) and reviewed for compliance prior to payment. Bank reconciliations are conducted monthly. Segregation of duties is maintained: program staff initiate and document expenditures, the Executive Director reviews and codes transactions, and the Bookkeeper and Board Treasurer provide final approval.

Quarterly financial statements, including balance sheets, income statements, and budget-to-actual reports, are prepared and reviewed by senior leadership and the Board of Directors. Annual financial statements are prepared in accordance with GAAP and reviewed by an independent CPA firm.

This system ensures accurate, transparent, and auditable tracking of all grant funds, providing ADE with reliable financial reporting throughout the period of performance.

13. Proposed Costs and Budget Table

Proposed Costs and Budget Template NOTE: Allowable costs are located at 2 CFR Part 200, Subpart E

Equipment with acquisition costs of $10,000 or more is unallowable.

1. PERSONNEL TOTAL BRIEF EXPLANATION

1a. Stacy Evans $65,000 Network Coordinator

2. PERSONNEL-RELATED

EXPENSE BENEFITS

TOTAL BRIEF EXPLANATION

(Applicant Organization’s fringe benefits policy)

2a. PERSONNEL 1a. $26,000 40% fringe benefit markup

2a. PERSONNEL 1a. $4,000 Professional development

3. TRAVEL TOTAL BRIEF EXPLANATION

3a. Mileage $2,000 Statewide travel for coordinator

3b. Meals & Incidentals $1,500 Meals for coordinator and partners

3c. Lodging $1,500 Lodging for travel

4. SUPPLIES (Less than or equal to a unit cost of $10,000)

TOTAL BRIEF EXPLANATION

4a. Technology & Subscriptions

$5,000 Network tech and subscriptions

5. OTHER PURCHASED

SERVICES/PROFESSIONAL

SERVICES

TOTAL BRIEF EXPLANATION

5a. Marketing $35,000 Marketing for network

5b. Annual Gathering $50,000 Funds for one annual gathering

TOTAL COSTS TOTAL BRIEF EXPLANATION

6a. Total Direct Costs $190,000 Total Cost

6b. Total Indirect Cost (if applicant organization has an approved Indirect Cost Rate Agreement) n/a n/a

ATTACHMENT 6

DEVIATIONS AND EXCEPTIONS

State of Arizona Department of Education

Solicitation No.: BPM007053 Description: Arizona Farm to School Assistance and Services

Offeror Name: __________________________________

Offeror shall indicate any and all exceptions taken to the provisions or specifications or scope of work in this solicitation document.

Exceptions (mark one):

__________ No exceptions

__________ Exceptions taken (describe –attach additional pages if needed)

***Exceptions taken that ADE considers a material change or a large number of exceptions will impact Offeror’s susceptibility for award.***

The Undersigned hereby acknowledges that there are no deviations/exceptions to this solicitation other than those noted.:

Firm

Authorized Signature x

ATTACHMENT 7

CONFIDENTIAL/PROPRIETARY SUBMITTALS

State of Arizona Department of Education

Offeror Name: ___________________________________

Confidential/Proprietary Submittals (mark one):

__________ No confidential/proprietary materials have been included with this offer

__________ Confidential/Proprietary materials included. Offerors should identify below any portion of their offer deemed confidential or proprietary (see Uniform Terms and Conditions, paragraph 19). Identification in this section does not guarantee that disclosure will be prevented but that the item will be subject to review by the Offeror and the ADE Representative prior to any public disclosure.

***Requests to hold the entire offer or price as confidential will result in the Offer being deemed Not Susceptible for Award.***

Firm

Authorized Signature

ATTACHMENT 8

DESIGNATION OF CONFIDENTIAL, TRADE

SECRET AND PROPRIETARY INFORMATION

State of Arizona Department of Education

All materials submitted as part of a response to a solicitation are subject to Arizona public records law and will be disclosed if there is an appropriate public records request at the time of or after the award of the contract.

Recognizing there may be materials included in a solicitation response that is proprietary or a trade secret, a process is set out in A.A.C. R2-7-103 (attached) that will allow qualifying materials to be designated as confidential and excluded from disclosure. For purposes of this process the definition of “trade secret” will be the same as that set out in A.A.C. R2-7-101(52).

This form must be completed and returned with the response to the solicitation and any supporting information to assist the State in making its determination as to whether any of the materials submitted as part of the solicitation response should be designated confidential because the material is proprietary or a trade secret and therefore not subject to disclosure.

All offerors must select one of the following:

My response does not contain proprietary or trade secret information. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.

My response does contain trade secret information because it contains information that:

1. Is a formula, pattern, compilation, program, device, method, technique or process, AND

2. Derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use; AND

3. Is the subject of efforts by myself or my organization that are reasonable under the circumstances to maintain its secrecy.

Please note that failure to attach an explanation may result in a determination that the information does not meet the statutory trade secret definition. All information that does not meet the definition of trade secret as defined by A.A.C. R2-7-101(52) will become public in accordance with A.A.C. R2-7-C317. The State reserves the right to make its own determination of Proposer’s trade secret materials through a written determination in accordance with A.A.C. R2-7-103.

If the State agrees with the proposer’s designation of trade secret or confidentiality and the determination is challenged, the undersigned hereby agrees to cooperate and support the defense of the determination with all interested parties, including legal counsel or other necessary assistance.

By submitting this response, proposer agrees that the entire offer, including confidential, trade secret and proprietary information may be shared with an evaluation committee and technical advisors during the evaluation process.

Proposer agrees to indemnify and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State’s withholding of information based upon reliance on the above representations, including the payment of all costs and attorney fees incurred by the State in defending such an action.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title x

Mollen Foundation

734 W Polk St, Ste. 16

Phoenix AZ 85007

Executive Director

ATTACHMENT 9

PARTICIPATION IN BOYCOTT OF ISRAEL

State of Arizona Department of Education

All materials submitted as part of a response to a solicitation are subject to Arizona public records law and will be disclosed if there is an appropriate public records request at the time of or after the award of the contract. Recently legislation has been enacted to prohibit the state from contracting with companies currently engaged in a boycott of Israel. To ensure compliance with A.R.S. §35-

393.01 This form must be completed and returned with the response to the solicitation and any supporting information to assist the State in making its determination of compliance.

As defined by A.R.S. §35-393.01:

1."Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations with Israel or with persons or entities doing business in Israel or in territories controlled by Israel, if those actions are taken either:

(a) In compliance with or adherence to calls for a boycott of Israel other than those boycotts to which 50 United States Code section 4607(c) applies.

(b) In a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid business reason.

2. "Company" means a sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, Limited Liability Company or other entity or business association, and includes a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate.

3. "Direct holdings" means all publicly traded securities of a company that are held directly by the state treasurer or a retirement system in an actively managed account or fund in which the retirement system owns all shares or interests.

4."Indirect holdings" means all securities of a company that are held in an account or fund, including a mutual fund, that is managed by one or more persons who are not employed by the state treasurer or a retirement system, if the state treasurer or retirement system owns shares or interests either:

(a) together with other investors that are not subject to this section.

(b) that are held in an index fund.

5.”Public entity" means this State, a political subdivision of this STATE or an agency, board, commission or department of this state or a political subdivision of this state.

6.”Public fund" means the state treasurer or a retirement system.

7. "Restricted companies" means companies that boycott Israel.

8. "Retirement system" means a retirement plan or system that is established by or pursuant to title 38.

All offerors must select one of the following:

My company does not participate in, and agrees not to participate in during the term of the contract a boycott of Israel in accordance with A.R.S. §35-393.01. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.

My company does participate in a boycott of Israel as defined by A.R.S. §35-393.01. :

By submitting this response, proposer agrees to indemnify and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State’s action based upon reliance on the above representations, including the payment of all costs and attorney fees incurred by the State in defending such an action.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

734 W Polk St, Ste. 16

Phoenix AZ 85007

Executive Director

ATTACHMENT 10

FORCED LABOR OF ETHNIC UYGHURS BAN

State of Arizona Department of Education

Forced Labor of Ethnic Uyghurs Ban Please note that if any of the following apply to the Contractor, then the Contractor shall select the “Exempt Contractor” option below:

● Contractor is a sole proprietorship;

● Contractor has fewer than ten (10) employees; OR

● Contractor is a non-profit organization.

Pursuant to A.R.S. § 35-394, written certification is required to show that the company entering into a contract with a public entity does not use the forced labor, or use any contractors, subcontractors or suppliers that use the forced labor or any goods or services produced by the forced labor or any goods or services produced by the forced labor, of ethnic Uyghurs in the People's Republic of China.

Under A.R.S. § 35-394:

1. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

2. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.

In compliance with A.R.S. § 35-394, all Contractors must select one of the following:

☐ The Company does not use, and agrees not to use during the term of the contract, any of the following:

● Forced labor of ethnic Uyghurs in the People’s Republic of China;

● Any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of

China; or

● Any Contractors, Subcontractors, or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China.

☐ The Company does participate in the use of Forced Uyghurs Labor as described in A.R.S. § 35-394.

☐ Exempt Contractor: Select all statements that apply to the Contractor:

☐ Contractor is a sole proprietorship;

☐ Contractor has fewer than ten (10) employees; and/or ☐ Contractor is a non-profit organization.

Company name Signature of person authorized to sign

Address Printed name and Title

City, State, ZIP Contact email address Contact phone number

734 W Polk St, Ste. 16

Phoenix, AZ, 85007

Dr. Scott Cloutier, Executive Director scott@mollenfoundation.org 603-285-2296

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

6/25/2025

Marsh & McLennan Agency LLC Marsh & McLennan Ins. Agency LLC PO Box 85638; CA Lic #0H18131 San Diego, CA 92186

Tina Chez

(858) 222-1419 (858) 452-7530

Tina.Chez@MarshMMA.com

License#: #0H18131 United States Liability Insurance Co 25895

MOLLFOU-C1

The Mollen Foundation for Childhood Obesity 734 W Polk St Ste 16 Phoenix, AZ 85007

177098037

A X 1,000,000 X 100,000

5,000

1,000,000

2,000,000 X

NPP1566175J 6/1/2025 6/1/2026

Included

A Included

X X

NPP1566175J 6/1/2025 6/1/2026

A Professional E&O

Abuse & Molestation

NPP1566175J 6/1/2025 6/1/2026 Each Incident Aggregate Each / Agg

$1,000,000 $2,000,000 $100,000/$200,000

Proof of Insurance

Proof of Insurance