Exhibit E Food Distribution Monthly Statistical Report.pdf
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- Attached to
- Master Agreement AZ|CTR078757
- Contract number
- CTR078757
- Issued by
- Arizona
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Document Summary
Exhibit E - Food Distribution Monthly Statistical Report (HRP-1012A) is a standardized reporting form used by Regional Food Banks operating under contract with the Arizona Department of Education Services (ADES). The form serves as a monthly statistical reporting instrument for tracking food distribution activities across Arizona's counties, including Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai, and Yuma.
The report captures comprehensive data on food distribution operations across multiple programs, including TEFAP (The Emergency Food Assistance Program), CSFP (Commodity Supplemental Food Program), and other food assistance initiatives. Key metrics tracked include individuals and households served, food boxes distributed, meals served, receipted food sources (donated pounds, purchased pounds, and USDA pounds), waste documentation, transportation costs and mileage, inventory levels, and statewide and out-of-state distributions. The form requires documentation of produce and non-produce food logistics, agency distribution by county, waste categories (landfill and compost), and transportation cost per mile calculations. This standardized format enables ADES to monitor contract performance, food distribution efficiency, and service delivery across the state's regional food bank network.
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Text version
Regional Food Bank Name:
Reporting Month and Year:
VII: RECEIPTED Donated LBS Purchased LBS USDA LBS TEFAP Unique Duplicated TEFAP # TEFAP Individuals Served Individuals Households Meals CSFP # TEFAP Households Served Apache Non-USDA Produce # TEFAP Food Boxes Distributed Cochise Retail/Wholesale # TEFAP Meals Served Coconino Food Drives CSFP Unique Gila State Funds # CSFP Individuals Served Graham Other # CSFP Households Served Greenlee SUBTOTALS 0 0 0 # CSFP Food Boxes Distributed La Paz TOTAL RECEIPTED 0 Other Programs Duplicated Maricopa Other Food Banks # Other Programs Individuals Served Mohave # Other Programs Households Served Navajo VIII: COMMENTS
Pima Pinal Santa Cruz
Location Name LBS Yavapai Yuma
TOTALS 0 0 0 0 0 0
V. WASTE
SUBTOTALS 0 Category LBS Landfill Compost
USDA Commodities Submitted Approved STATEWIDE DISTRIBUTIONS LBS Non-USDA Produce To Service Area Agencies Other Food RFB Direct Distributions TOTALS 0 0 0
SUBTOTALS 0
Transfers and Distributions TOTAL 0 VI. TRANSPORTATION COSTS
OUT OF STATE DISTRIBUTIONS LBS
Produce to Out-of-State Food Banks 0 Non-Produce to Out-of-State Food Banks
#DIV/0!
III. ENDING INVENTORY LBS
TEFAP Commodities CSFP Commodities
TOTAL 0
USDA Commodity Disposals
TOTAL MILES DRIVEN
Total Transportation Costs Transportation Cost Per Mile
I. SERVICE AREA DISTRIBUTION
County Total
TEFAP LBS
IV. AGENCY DISTRIBUTION PER COUNTY
II: TRANSFERS AND DISTRIBUTIONS
STATEWIDE TRANSFERS
# Miles Driven to Pick Up Food # Miles Driven to Deliver Food
Total Produce LBS
Total Food LBS
TEFAP Commodities
ADES Contract No.:
Reporter Name:
Exhibit E - Food Distribution Monthly Statistical Report (HRP-1012A)
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