Attachment_A_-_Sample_FFVP_Weekly_Order_Form_Final_2.xlsx

This is a sample weekly order form for the Fresh Fruit and Vegetable Program (FFVP) operated by Hillsborough County Public Schools in Florida. The form documents orders for elementary school sites participating in the USDA-funded program, which provides free fresh fruits and vegetables to students twice weekly outside of regular meal service. The sample order covers the week of November 3, 2025, and includes 21 elementary school locations with varying enrollment sizes ranging from 80 to 733 students. The order form tracks servings and cases for two produce items: oranges and pepper slices, with accompanying pricing calculations for each school site based on per-child costs.

The pricing structure employs a cost-plus fixed fee per case model, with oranges priced at $1.11 per child and $2.72 per case, and pepper slices at $1.61 per child. The sample order totals 165 cases across both produce items, generating a combined cost of $22,407.00 for the week. The form includes columns for actual enrollment, servings ordered, case quantities, individual item costs, combined case costs, budgeted goals, and variance calculations. Several sites show budget variances, both positive and negative, indicating actual orders compared to projected spending targets. This sample order form demonstrates the operational mechanics of how schools request and track fresh produce deliveries through the contracted vendor under Hillsborough County's FFVP procurement.