ESBD_489659_1771003751946_7. Attachment D - Product Substitution Request Form.pdf

PRODUCT SUBSTITUTION REQUEST FORM

Any and all product substitutions require prior written approval by McAllen ISD Child Nutrition Program (CNP).

Vendors requesting product substitutions must fill out this form in its entirety and email to Liz Montes at emontes@mcallenisd.net a minimum of 72 hours prior to the scheduled delivery date.

Vendor/Distributor:__________________________ Date of Request: __________________________

Item 1 Awarded Product Alternate Product Bid Item #:

Description of item:

Distributor Order #:

Brand/Manufacturer:

SKU/Product #:

Pack Size:

Unit of Measure:

Case Price:

Reason for substitution:

Item 2 Awarded Product Alternate Product Bid Item #:

Description of item:

Distributor Order #:

Brand/Manufacturer:

SKU/Product #:

Pack Size:

Unit of Measure:

Case Price:

Reason for substitution:

In addition to the information from above, please submit a signed Buy American Provision Certification form and CN labels, nutritional analysis and/or other product information.

COMPLETED BY MCALLEN ISD CNP ONLY

Is the product substitution request of equivalent or higher quality? YES NO

Was the request made a minimum of 72 hours prior to shipment of approved substitution? YES NO

Was a CN label or Nutritional Analysis and/or other product information provided? YES NO

Is the product substitution approved or denied? APPROVED DENIED

Notes: ______________________________________________________________________________

McAllen ISD CNP Approver Date

ATTACHMENT D

Child Nutrition Program mailto:celina.mendiola@mcallenisd.net