c. Attachment C, Macaroni and Cheese, PA180734.docx
DOCX document 38 KB Posted
- Solicitation number
- PA180734
- Issued by
- Wisconsin
About this file
This is a Nutrient Data Submission Form attachment related to Request for Bid #PA180734 issued by the Wisconsin Department of Administration on behalf of the Department of Public Instruction. The procurement seeks to process USDA Bulk Cheese, Natural American FDB Barrel (USDA Foods Material ID Code #110242) into Macaroni and Cheese with whole grain pasta for distribution to Wisconsin schools participating in the National School Lunch Program (NSLP), as well as Residential Child Care Institutions and Summer Food Service Program participants. The resulting product will be offered to all eligible Wisconsin schools, both public and private, that receive USDA Foods. The State of Wisconsin intends to award the contract to the bidder whose product passes student taste tests at the lowest total price per serving.
The Nutrient Data Submission Form requires bidders to provide comprehensive nutritional analysis of the finished macaroni and cheese product on an "as served" basis, including detailed information on serving size, calories, macronutrients (protein, fat, carbohydrates), micronutrients (calcium, iron, sodium, vitamins), and dietary fiber. Bidders must identify the source of nutrient data used for analysis—whether laboratory analysis, hand calculations, a combination of methods, nutrition labels, or other sources—and provide preparation instructions detailing ingredients, amounts, cooking methods, time, and temperature. The form includes a sample nutrition facts label for reference, demonstrating the expected format and level of detail required for submission.
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Other files
| File | Type | Posted |
|---|---|---|
| h. DOA-3478 Vendor Reference.doc | DOC document | |
| e. DOA-3027 Confidential Proprietary.doc | DOC document | |
| g. DOA-3477 Vendor Information.doc | DOC document | |
| j. DOA-3681 Standard Terms and Conditions for Services, PA150591.doc | DOC document | |
| i. DOA-3054 Standard Terms Conditions.doc | DOC document | |
| f. DOA-3333 Vendor Agreement.doc | DOC document | |
| k. Bid Document, PA180734.docx | DOCX document | |
| d. Attachment D, NPA Form, Mac and Cheese, PA180734.docx | DOCX document | |
| a. Attachment A, Price Sheet, PA180734.xlsx | XLSX spreadsheet | |
| b. Attachment B, Bidder Checklist PA180734.doc | DOC document |
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Text version
Wisconsin Department of Administration Chs. 16, 19, 51
DOA-3681 (03/99)
SUPPLEMENTAL STANDARD TERMS AND CONDITIONS
FOR PROCUREMENTS FOR SERVICES
Bidder: _________________________________
Attachment C: Nutrient Data Submission Form (See 3.1)
REQUEST FOR BID #PA180734
DPI Bulk Food Processing: Bulk Cheese, Natural American FDB Barrel, into Macaroni and Cheese
Nutrient information will be provided to the schools
Data submitted for this product is on serving size:
“As Served” basis:
“As Purchased” basis
Brand:
Product name:
Product code:
CN label number:
Package size:
lbs fluid oz.
grams
Standard serving:
Number of servings per package:
Weight per serving:
grams
Analysis based on:
Serving size
A value must be entered for each nutrient.
If the food item does not contain a specific nutrient, enter zero (0).
| Nutrients |
| Measurement |
| Fill in Nutrient |
| Unit Weight |
Calories
| kcal |
Protein
| grams |
Total fat
| grams |
Saturated fat
| grams |
Carbohydrates
| grams |
Total dietary fiber
| grams |
Cholesterol
| milligrams |
Calcium
| milligrams |
Iron
| milligrams |
Sodium
| milligrams |
Vitamin C
| milligrams |
Vitamin A
| IU |
Fat change (+/-)*
| % |
| N/A |
Moisture change (+/-)*
| % |
| N/A |
* If available
Preparation instructions to include: ingredients to be added and amounts, cooking methods, time and temperature.
What source of nutrient data was used to calculate the nutrient analysis?
| ___ 1. | Laboratory analysis (analytical). |
| ___ 2. | Hand calculations (calculated). |
| ___ 3. | Combination of 1 and 2 (analytical and calculated). |
| ___ 4. | Nutrition Label. |
| ___ 5. | Other. Please specify. |
Nutrition Facts Feathers Chicken Nuggets
Serving Size 8 Nuggets (113g) Servings Per Container about 80
Amount Per Serving
Calories 373 Calories from Fat 240
% Daily Value*
| Total Fat 27g |
| 40% |
| Saturated Fat 7g |
| 31% |
| Cholesterol 67mg |
| 23% |
| Sodium 653mg |
| 27% |
| Total Carbohydrate 19g |
| 7% |
| Dietary Fiber 3g |
| 7% |
| Sugars 5g |
| 0 |
| Protein 15g |
| 29% |
Vitamin A 3%
Not a significant source of Vitamin C and Calcium.
*Percent Daily Values are based on a 2,000 calorie diet.
RFB #PA180734 Page 2 of 2
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