Contract Renewal 5.doc.pdf
PDF 252 KB Posted
- Attached to
- Prime Vendor Food Contract
- Contract number
- 435820-O16-FoodIndHd---01
- Issued by
- Wisconsin
About this file
This document is Contract Amendment Number 5 for a Prime Vendor Food Contract between the Wisconsin Department of Health Services and Indianhead Foodservice Distributor, Inc., located in Eau Claire, Wisconsin. The contract serves multiple Wisconsin state agencies including the Department of Health Services (DHS), Department of Corrections (DOC), Department of Veterans Affairs (DVA), Department of Public Instruction (DPI), and Department of Military Affairs (DMA). The amendment was executed on June 24, 2020, and represents a renewal extension approved due to COVID-19 circumstances.
The contract provides prime vendor food services to multiple state locations with FOB destination shipping terms and Net 30 payment arrangements. The amendment extends the contract expiration date from July 1, 2020 to December 31, 2020, utilizing a six-month renewal option that was granted through an approved Department of Administration waiver related to COVID-19 impacts. Payment methods include P-Card, Purchase Order, and CARS systems. The contract maintains all existing terms, conditions, specifications, and pricing unchanged from the original agreement, with no specified contract values or cost adjustments noted in this amendment.
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Text version
DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN
Division of Enterprise Services F-00725 (04/2013)
Contract Name: Prime Vendor Food Contract
Contract Number: 435820-O16-FoodIndHd---01
CONTRACT AMENDMENT NUMBER 5
TO RENEW CONTRACT
BETWEEN DEPARTMENT OF HEALTH SERVICES
AND
Indianhead Foodservice Distributor, Inc.
Primary Contact
Jim Kacvinsky
Telephone
715-834-2777
JKacvinsky@CALLIFD.com
Address
313 Hastings Place Eau Claire, WI 54703
Contract Summary Description of Contract
Prime Vendor Food Contract for DHS, DOC, DVA, DPI and DMA
Contract Effective Date
July 1, 2020
Contract Expiration Date
December 31, 2020
Available Renewal Options
1- (6) six month renewal Contract Expiration Date Before Changes Below
June 30, 2016
Payment Terms
Net 30
F.O.B.
Destination
Shipped To multiple locations
Shipped From
N/A
Payment Method Purchase Order
CARS
Other P-Card
Description Contract Amendment Changes Original Contract Value
$N/A
Cost Adjustments for This Amendment
$N/A
Estimated Revised Aggregate Contract Value
$N/A
Extend Contract Expiration Date Yes No Revise Contract Language Yes
Exercise Available Renewal Option Yes No Contract Addenda Yes
Length of Renewal Option or Extension six month Sub-Contractor / Contractor Yes
Expiration Date After Change Revise Resource Estimates Yes
Yes Responses must be explained in narrative below
Amendment Narrative
Renewal to extend the contract expiration to 12/31/2020 per approved DOA wiaver due to COVID-19
All other terms, conditions, specifications, and pricing shall remain unchanged.
Wisconsin DHS Contacts Business Area Name Telephone Email
Contract Administrator DCTS Linda Moore 262-878-6656 linda.moore@dhs.wis consin.gov
Business Area Supervisor
DCTS Caroline Ellercamp 608 267-2254 Caroline.Ellerkamp@ dhs.wisconsin.gov
Strategic Sourcing Agent
DES/BPC J. Michael Juarez 608-267-5156 jude.juarez@dhs.wisc onsin.gov
SIGNATURE – Contractor’s Authorized Representative Date
Printed Name Title
Jim Kacvinsky Vice President of Sales and Marketing
SIGNATURE – Wisconsin DHS Authorized Representative Date
Printed Name Title
Rose Kleman Administrator
DocuSign Envelope ID: D8ED6A7B-443E-4F17-B2EF-D519014DD51A
6/24/2020
6/24/2020
DocuSign Envelope ID: D8ED6A7B-443E-4F17-B2EF-D519014DD51A
| 2020-06-24T05:38:58-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .