Hermiston SD FSMC RFP Addendum 1.pdf

PDF 19 MB Posted

Attached to
GSA Notice - Smiths Detection Inc.
Solicitation number
S-41500-00005712
Issued by
Marion County, Oregon

About this file

This is an RFP Addendum #1 issued by Hermiston School District 8R in Oregon on March 6, 2023, for Food Service Management Company (FSMC) contracting services. The addendum modifies the original RFP by establishing that meal service will commence on July 3, 2023, to coincide with the district's extensive summer learning program running from June through August. The district operates nine schools comprising six elementary schools and three secondary schools across the Hermiston area. The RFP represents a mandatory rebid of the district's current contract, which has been operating under the fourth renewal of the 2018 bid. The district has expressed satisfaction with its current FSMC provider and indicated no contract performance issues necessitated this rebid. The proposal submittal deadline remains unchanged from the original RFP.

The addendum provides clarification on operational infrastructure and meal volume expectations. The district operates a central storage facility at 505 S First Street with frozen and dry storage capacity, along with dedicated food service transportation consisting of one 2021 Ford Transit van for exclusive use and two larger box vans for shared use. Meal claims data for July 2022 through December 2022 indicates monthly reimbursable meal volumes ranging from approximately 8,197 meals in July to 53,984 meals in November across all schools. The USDA commodity entitlement for the 2023-2024 school year is $197,795, compared to $201,758 for 2022-2023. All six elementary schools utilize reusable serving trays, while the three secondary schools use disposable trays. The current fixed meal price is $3.5156 per meal equivalent. FSMCs must reimburse the district for actual processing and shipping costs of USDA commodities deducted from reimbursements, along with the commodity value received, on monthly invoices with periodic year-end reconciliations. The District Bookkeeper position remains a Hermiston School District employee, not an FSMC responsibility.

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Hermiston School District 8R 305 S.W. 11th Street, Hermiston, Oregon 97838

Phone: (541) 667-6000 Fax: (541) 667-6050 www.hermiston.k12.or.us

“Serving the needs of all children with rigorous program choices, high expectations, mutual respect, and excellence in all endeavors.”

RFP ADDENDUM #1

Date of Addendum: March 6, 2023

NOTICE TO ALL POTENTIAL RESPONDENTS

The Request for Proposals (RFP) is modified as set forth in this Addendum. The original RFP Documents and any previously issued addenda remain in full force and effect, except as modified by this addendum, which is hereby made part of the RFP. Respondent shall take this Addendum into consideration when preparing and submitting its Proposal.

PROPOSAL SUBMITTAL DEADLINE

The Proposal submittal deadline remains the same and is not changed by this Addendum.

1.0 - RFP

Item Section Description of Change

1 ARTICLE I. B.

TIMELINE

First Day of Meal Service: July 3, 2023. The District offers an extensive summer learning program for students June through August. It is the expectation that the successful proposer will be able to seamlessly offer services without interruption to the program, beginning the first day of the contract.

2.0 – QUESTIONS AND ANSWERS

The following questions and answers are provided as a matter of information to clarify issues raised about the RFP. To the extent that changes to the RFP are required based on the questions received, the RFP has been modified as noted above in the RFP section of this Addendum.

Item Questions and Answers

1 QUESTION: Is the district going out to bid because the contract terms are up, or is this an off-cycle RFP?

ANSWER: This a mandatory rebid, as we are currently operating under the fourth renewal of our 2018 bid.

2 QUESTION: Would you say you have been pleased with your current food service provider? Have there been any pain points throughout the contract that would cause you to look for another vendor?

ANSWER: We have been pleased with our current provider and there have not been any contract issues that would cause us to be looking for a different vendor.

3 QUESTION: Would you kindly confirm which schools utilize hard, washable, and reusable serving trays for service and which schools use disposable?

ANSWER: All six elementary schools utilize reusable serving trays, while the three secondary schools utilize disposable.

4 QUESTION: Does your district have a central storage facility for both frozen and dry storage?

ANSWER: The district does have a central storage location for Food Service that includes both frozen and dry storage, located at our district warehouse at 505 S First St, Hermiston.

5 QUESTION: Does the district provide delivery vehicles for transporting goods?

ANSWER: The Food Service program has exclusive use of a 2021 ford transit van and shared use of two larger box vans.

6 QUESTION: Kindly provide 2022-23 Meal Claims per school site including itemized free, reduced, and paid meal counts per month? Perhaps claims just for July 2022- December 2022?

ANSWER: Claim Details for July 2022-Dec 2022 attached.

7 QUESTION: Kindly provide Days of service for July 2022-December 2022 to match the claims?

ANSWER: Included with Meal Claim detail attachment.

8 QUESTION: Would you kindly provide the last 3 years of audited financials including the food service fund reports for each year?

ANSWER: To save email space, direct links are provided: 2021-22 Annual Financial Report, 2020-21 Annual Financial Report, 2019-20 Annual Financial Report

9 QUESTION: Would you kindly provide the current FSMC contract renewal approved by the Board for SY 2022-23?

ANSWER: Attached

10 QUESTION: Would you kindly provide the USDA Commodity Allotment to use in proforma development for the upcoming year, as well as the allotment from last school year?

ANSWER: 2022-2023 Entitlement $201,758 ; 2023-2024 Entitlement $197,795

11 QUESTION: Would you kindly provide the current wages and benefits for the food service staff to include hourly rates per employee, days worked, per year and hours worked per day?

ANSWER: The District does not manage food service staff wages, and does not have information available to provide at this time. Follow up: FSMC Planned FTE for RFP document shared.

12 QUESTION: Is this a mandatory rebid, or is this off cycle?

ANSWER: This is a mandatory rebid, as we are currently operating under the fourth renewal of our 2018 bid.

13 QUESTION: Please provide an employee staffing chart by school, including position, wage, and hours worked per day.

ANSWER: The District does not manage food service staff or their wages, and does not have information available to provide at this time. Follow up: FSMC Planned FTE for RFP document shared.

14 QUESTION: Please confirm if the District Bookkeeper position will be an employee of the FSMC or the District.

ANSWER: The District Bookkeeper is a Hermiston School District employee.

saulk Highlight saulk Highlight saulk Highlight https://4.files.edl.io/ce68/12/13/22/192733-f2bd104c-38e4-4516-8657-cd89b576af4f.pdf https://4.files.edl.io/1a38/07/07/22/165525-2b6124a9-34b7-4d4a-a915-3916c91906fc.pdf https://4.files.edl.io/f60c/07/07/22/170604-d1eb566c-8c07-4ee9-9b9b-4b6bfe7df2ab.pdf saulk Highlight saulk Highlight saulk Highlight saulk Highlight

15 QUESTION: Please provide 22-23 year to date meal claim forms by school.

ANSWER: Claim Details for July 2022-Dec 2022 attached.

16 QUESTION: Please confirm no Summer Food Service Program should be included in proposal.

ANSWER: The district utilizes the Seamless Summer Option, and that should be included in proposals. The actual and projected meal counts for SSO are included in the RFP details.

17 QUESTION: What is the current fixed price per meal?

ANSWER: The current fixed price per meal is $3.5156 per meal or $3.5156 per meal based on $3.92 equivalent rate.

18 QUESTION: The RFP provides reimbursement information but does not specifically speak to the 90/10 Free vs Paid reimbursement for CEP. Would you like the FSMCs to use this breakdown for Proforma Revenue?

ANSWER: The additional Oregon Lunch rate listed in Appendix A is the Oregon CEP Incentive, which supplements the federal free reimbursement rate up to 90%, while the remaining 10% is reimbursed at the federal paid rate as normal. This only applies to free meals K-8.

19 QUESTION: FSMCs will be presenting a FCPM rate for meal/meal equivalents as part of their proposal. This rate includes all commodities, operating costs and applicable rebates. The commodity value established in the RFP for next year about 35 cents per meal/meal equivalent.

This amount is an estimate and not a guaranteed value of commodities to be received. All vendors will have access to this same commodity amount. The district's current rate is a Gross Rate. When representing our FCPM rate for the proposal would you like the FSMC to present our Actual Rate (Gross Rate) to be charged, which will be charged regardless of the commodities received, or a Net Rate which would be charged based an estimated $.35 per meal credit?

ANSWER: Proposers should utilize the district’s 2023-2024 USDA Commodity Entitlement $197,795 in establishing rates.

20 QUESTION: Does the FSMC reimburse the District for the actual cost of processing and shipping of commodities deducted monthly by ODE from the district's reimbursements.

ANSWER: Yes, the FSMC will be required to reimburse the District for the actual cost of processing and shipping of USDA commodities, along with the value of commodities received, on monthly invoices. Periodic and year-end reconciliations will be completed by the District to correct any over or under crediting. This should be considered when setting FSMC rate.

saulk Highlight

Oregon Nutrition Web Site

NSLP

Sponsor Claim

Hermiston SD 8 (3008005) 305 SW 11th St Hermiston, OR 97838

Submitted by Naomi , Lopez-Navarre on 9/21/2022

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Meals / Milk Served (A)

Description Supper

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer 0

(5) Seamless Summer Waiver 0

) Total Reimbursable Student Meals/Milk 0

(7) Days of Operation 0

(8) Operating Sites 0

(9) Highest Day's Enrollment 0

(10) Oregon (EIG/CEPI/P2 EIG) 0

Eligibility Information (A)

(B) (C)

Severe Lunch Need

Breakfast

0 0

0 0

0 0

8,197 4,279

8,197 4,279

19 19

4 4

602 496

0 0

(B)

Oregon Department of Education

(D) (E) (F)

Regular Less 50% or than Greater

Breakfast SO% Snack Snack

0 0

0 0 0

0 0

0 0

0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

(11) Average Cost Per Half Pint

July 2022 Approved

Original Claim

(G)

Special Milk

0.21001

Description Meals Special Milk

(12) Paid Eligible Students 1,180 0

(13) Free Eligible Students 1,788 0

(14) Reduced Eligible Students 51

(15) Total Eligible Students 3,019 0

) Oregon (EIG/CEPI/P2 EIG) Eligible Students

289 0

!;zl I Certify that the information submitted is true and correct and that the claim is ready for payment. I am

(17) aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable State and Federal statutes. I certify that records are available to support this claim and that this claim is in accordance with the terms of the existing agreement(s).

Created By: Lopeznn t TOJl el fo.ll'ti

Date Created: 9/21/2022 Modified By: Lopeznn

View Summary J I Cancel

Date Modified : 9/21/2022 https://cnp.ode.state.or.us/Nslp/SponsorClaim.asp?App=SPS&Mode=View&Claimid=667... 9/21/2022

Oregon Nutrition Web Site Page 1 of 2

NSLP Oregon Department of Education

Sponsor Claim Summary

Hermiston SD 8 July 2022

3008005 Approved Submitted by Naomi , Lopez-Navarre on 9/21 /2022 Original Claim ,l llOtlo.m of ~

Supper/ Lunch Reimbursement

Meal Type Meals Served Rate Amount

Seamless Summer Supper 0 4.3500 0.00

Seamless Summer Waiver Supper 0 4.5625 0.00

Total Supper 0 0.00

Paid Lunch 0 0.7900 0.00

Free Lunch 0 4.3500 0.00

Reduced Lunch 0 3.9500 0.00

Seamless Summer Lunch 8,197 4.3500 35,656.95

Seamless Summer Waiver Lunch 0 4.5625 0.00

Menu Certification Payment 8,197 0.0800 655.76

Total Lunch 8,197 36,312.71

Oregon Paid Lunch 0 3.5600 0.00

Oregon Reduced Price Lunch 0 3.5600 0.00

Total Supper/ Lunch 8,197 36,312.71

Breakfast Reimbursement

Meal Type Meals Served Rate Amount

Severe Need Paid Breakfast 0 0.5000 0.00

Severe Need Free Breakfast 0 2.6700 0.00

Severe Need Reduced Breakfast 0 2.3700 0.00

Seamless Summer Severe Need 4,279 2.6700 11,424.93 Breakfast

Total Severe Need Breakfast 4,279 11,424.93

Regular Paid Breakfast 0 0.5000 0.00

Regular Free Breakfast 0 2.2600 0.00

Regular Reduced Breakfast 0 1.9600 0.00

Seamless Summer Regular Breakfast 0 2.2600 0.00

Seamless Summer Waiver Breakfast 0 2.6050 0.00

Total Regular Breakfast 0 0.00

Oregon Paid Breakfast Severe Need 0 2.1700 0.00

Oregon Paid Breakfast Regular Program 0 1.7600 0.00

Oregon Reduced Price Breakfast 0 1.7600 0.00 https://cnp.ode.state.or.us/Nslp/SponsorClaimRecap.asp?App=SPS&Clairn.Id=667694 9/21/2022

Total Breakfast

Snack Reimbursement

Meal Type

Less than 50% Paid Snack

Less than 50% Free Snack

Less than 50% Reduced Snack

Total Less than 50% Snack

50% or Greater Free Snack

Seamless Summer 50% or Greater Snack

Seamless Summer Waiver Snack

Total 50% or Greater Snack

Total Snack

Milk Reimbursement

Meal Type

Paid Special Milk

Free Special Milk

Total Special Milk

Total Claim Reimbursement Amount

Less Previous Reimbursement Paid

Net Claim Reimbursement Amount t Top sf 'Fisnn

4,279

Meals Served Rate

0 0.0900

0 1.0800

0 0.5400

0 1.0800

0 1.0800

0 1.0775

Meals Served Rate

0 0.2700

0 0.2100

Click here to go to the Sponsor Summary or select another option from the menu above.

https :// cnp.ode.state.or. us/N slp/SponsorClaimRecap.asp? App=SPS&Claimld=667 694

Page 2 of2

11,424.93

Amount

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

Amount

0.00

0.00

0.00

47,737.64

0.00

47,737.64

9/21 /2022

Site Claim

Armand Larive Middle (11122)

Submitted by Naomi, Lopez-Navarre on 9/21/2022

!, MttOM 6' FfWill

Meals / Milk Served (A)

Description Supper

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day♦s Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9l Paid Eligible Students

(10) Free Eligible Students (11 l Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: Lopeznn t Top of f'onn

Date Created: 9/21/2022

Page I of I

Oregon Department of Education

(B) (C)

Lunch Breakfast 0 0

0 0

0 0

7151 4001

7151 400 1

E3 4 E3 8

0 0

(A) (Bl

Meals Special Milk

214.510 0

438.490 0

6531 E3 149

Modified By: Lopeznn

Cancel

Hermiston SD 8 (3008005) July 2022 Complete

Original Claim

(D) (E)

Snack Special Milk

0 Fl 0

0 0

0 0

0 0

0 0

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Date Modified: 9/21/2022 https://cnp.ode.state.or.us/Nslp/SiteClaim.asp?App=SPS&Mode=View&ClmDte=7/1/2022 ... 9/21/2022

NSLP

Site Claim

Hermiston High (11121)

Submitted by Naomi, Lopez-Navarre on 9/21/2022 i IIOtiOffl of FOmi

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day♦s Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(A)

Supper

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: Lopeznn fTop Cf F0-1"111

Date Created: 9/21/2022

Oregon Department of Education

(8)

Lunch

I o I o

1 39a f

(A)

Meals

1,748

(C)

Breakfast

I o I o

1 159 1

(B)

Special Milk

I 0

I 0

B Modified By: Lopeznn

Cancel

Hermiston SD 8 (3008005) July 2022 Complete

Original Claim

(D) (E)

Snack Special Milk

0 I 0

0 I 0

0 0

0 0

0 0

0 0 https://cnp.ode.state.or. us/N slp/SiteClaim.asp? App=SPS&Mode= View&ClmDte=7 /1 /2022. .. 9/21/2022

Site Claim

Sunset Elem (11126)

Submitted by Katie, Saul on 9/21/2022

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Meals / Milk Served Description

(1 ) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day♦s Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(A)

Supper

('13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: saulk f Tot, of f 'Ol'fl

Date Created: 9/21/2022

Oregon Department of Education

(B)

Lunch

2,6841

2,6841 a 7

(A)

Meals

109.719

224.281

(C)

Breakfast

1,2881

1.28a l c=J]

(B)

Special Milk

E3i Modified By: saulk

Cancel

Hermiston SD 8 (3008005) July 2022 Complete

Original Claim

(D) (E)

Snack Special Milk

0 I 0 I

I o

Fl CEP Claiming Percentages

Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Date Modified: 9/21/2022 https://cnp.ode.state.or. us/N slp/SiteClaim.asp? App=SPS&Mode= View&ClmDte=7 /1 /2022. .. 9/21/2022

Site Claim

West Park Elem (11127)

Submitted by Katie, Saul on 9/21/2022

J. IOttCMl'I G( f<Ol'ftl

Meals I Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day♦s Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(A)

Supper

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: saulk f top of f·onn

Date Created: 9/21/2022

Oregon Department of Education

(B) (C)

Lunch Breakfast 0 0

0 0

0 0

4,4001 2,432 1

4,4001 2,432 1

B 0 B 1

0 0

(A) (8)

Meals Special Milk

93,294 0

190.706 0

2841 E3 65

Modified By: saulk

Cancel

Hermiston SD 8 (3008005) July 2022 Complete

Original Claim

(D) (E)

Snack Special Milk

0 l 0

0 I 0

0 0

0 0

0 0

0 0

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 % https://cnp.ode.state.or .us/N slp/SiteClaim.asp? App=SPS&Mode=View&ClmDte=7 /1/2022... 9/21/2022

3/6/23, 9:08 AM

Sponsor Claim

Hermiston SD 8 (3008005) 305 SW 11th St Hermiston, OR 97838

Submitted by Chantal, Davidson on 2/17/2023

.t, Bottom o f Form

Meals I Milk Served (A}

Description Supper

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(5) Seamless Summer Waiver

) Total Reimbursable Student Meals/Milk

(7) Days of Operation

(8) Operating Sites

(9) Highest Day's Enrollment

(10) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(12} Paid Eligible Students

(13) Free Eligible Students

(14) Reduced Eligible Students

(15) Total Eligible Students

) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Oregon Nutrition Web Site

Oregon Department of Education

(B)

Lunch

1,178

2,052

2,994

6,280

3,617

(C) (D) (E)

Severe Less Need Regular than

Breakfast BreakfaSt 50% Snack

295 0 0

380 0 0

3,167

2,063

2,063

(F}

50% or Greater Snack

(A)

Meals

2,559

3,940

6,575

(11} Average Cost Per Half Pint

(B}

1,120

Special Milk

August2022 Paid

Revision 3

(G)

Special Milk

0.2100 li I CertifY. that the information submitted is true and correct and that the claim is ready for payment. I am

(17) aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable State and Federal statutes. I certify that records are available to support this claim and that this claim is in accordance with the terms of the existing agreement(s).

Created By: loeblali

1'Top of Form Date Created : 2/16/2023 Modified By: loeblali

[ View Summary j [ Cancel ]

Date Modified: 2/21/2023 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSponsorClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Claimld%3D669974... 1/1

Sponsor Claim Summary

Hermiston SD 8 3008005 Submitted by Chantal, Davidson on 2/17/2023

..1, IJ.o tl o m of Form

Supper I Lunch Reimbursement

Meal Type

Seamless Summer Supper

Seamless Summer Waiver Supper

Total Supper

Paid Lunch

Free Lunch

Reduced Lunch

Seamless Summer Lunch

Seamless Summer Waiver Lunch

Menu Certification Payment

Total Lunch

Oregon Paid Lunch

Oregon Reduced Price Lunch

Total Supper/ Lunch

Breakfast Reimbursement

Meal Type

Severe Need Paid Breakfast

Severe Need Free Breakfast

Severe Need Reduced Breakfast

Seamless Summer Severe Need Breakfast

Total Severe Need Breakfast

Regular Paid Breakfast

Regular Free Breakfast

Regular Reduced Breakfast

Seamless Summer Regular Breakfast

Seamless Summer Waiver Breakfast

Total Regular Breakfast

Oregon Paid Breakfast Severe Need

Oregon Paid Breakfast Regular Program

Oregon Reduced Price Breakfast

Total Breakfast

Oregon Nutrition Web Site

Meals Served

1,178

2,052

2,994

3,286

6,280

6,280

Meals Served

2,063

2,063

2,752

Oregon Department of Education

Rate

4.3500

4.5625

0.7900

4.3500

3.9500

4.3500

4.5625

0.0800

3.5600

0.4000

Rate

0.5000

2.6700

2.3700

2.6700

0.5000

2.2600

1.9600

2.2600

2.6050

2.1700

1.7600

0.3000

August 2022 Paid

Revision 3

Amount

0.00

0.00

0.00

930.62

8,926.20

221.20

0.00

13,660.13

262.88

24,001.03

1,997.16

22.40

26,020.59

Amount

147.50

1,014.60

33.18

0.00

1,195.28

0.00

0.00

0.00

0.00

5,374.12

5,374.12

214.83

0.00

4.20

6,788.43 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSponsorClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Claimld%3D669974... 1/2

Snack Reimbursement

Meal Type

Less than 50% Paid Snack

Less than 50% Free Snack

Less than 50% Reduced Snack

Total Less than 50% Snack

50% or Greater Free Snack

Seamless Summer 50% or Greater Snack

Seamless Summer Waiver Snack

Total 50% or Greater Snack

Total Snack

Milk Reimbursement

Meal Type

Paid Special Milk

Free Special Milk

Total Special Milk

Total Claim Reimbursement Amount

Less Previous Reimbursement Paid

Net Claim Reimbursement Amount

'f Top of Form

Oregon Nutrition Web Site

Meals Served Rate

0 0.0900

0 1.0800

0 0.5400

0 1.0800

0 1.0800

0 1.0775

Meals Served Rate

0 0.2700

0 0.2100

Click here to go to the Sponsor Summary or select another option from the rnenu above.

Amount

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

Amount

0.00

0.00

0.00

32,809.02

13,544.91

19,264.11 https://cnp.ode .state.or.us/frameManager.asp?NextPg=Nslp%2FSponsorClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Claimld%3D669974. .. 2/2

3/6/23, 9:09 AM

Site Claim

Armand Larive Middle (11122)

Submitted by Alicia, Loebl on 2/16/2023

,):. Bottom of form

Meals/ Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(A)

Supper

0 11

0 .__ ___ ____.

(13) Oregon (EIG/CEPI/P2 EIG} Eligible Students

Created By: loeblali

'f'T,.1p (,! r'or-m Date Created: 2/16/2023

Oregon Nutrition Web Sile

(B) (C)

Oregon Department of Education

Hermiston SD 8 (3008005) August 2022

Paid Revision 2

Lunch Breakfast (D)

Snack (E)

Special Milk

0 1

1,350

(A)

Meals

430.663

880.337

1,311

Modified By: loeblali

I Cancel I

133 ~I ~I 0 0 ol 0

198 ___ o!_! ___ oj

(B)

Special Milk oj

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Date Modified: 2/16/2023 https://cnp.ode .state .or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D8%2F1 %2F2... 1/1

Site Claim

Desert View (12792)

Submitted by Chantal, Davidson on 10/12/2022

,I,. IJ<:11 l(HTl of f<}rm

Meals / Milk Served (A)

Description Supper

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students oll oll

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch tT,;,µ M Form:

Date Created: 10/12/2022

Oregon Nutrition Web Site

Oregon Department of Education

(8)

Lunch ol ol

(A)

(C)

Breakfast oj ol

(B)

Hermiston SD 8 (3008005) August 2022

Paid Revision 1

(D) (E)

.....,...,...S ... na""'c""'k"""""~"" ' seecial Mil~, _____ ol_l ___ 01

0 0

0 0

0 0

CEP Claiming Percentages

Meals Special Milk Lunch and Breakfast

161.950 0 32.85 %

331.050 0 67.15 % 0 0.00 %

493 1 ol 100.00 %

113 0

Modified By: davidsonch Date Modified: 10/12/2022

I Cancel I https://cnp .ode .state .or.us/frameManager.asp? NextPg= Nslp%2FSiteClaim%2 Easp%3FApp%3DS PS%26Mode%3DView%26ClmDte%3D8%2F 1 %2F2.. . 1 /1

Site Claim

Hermiston High (11121)

Submitted by Alicia, Loebl on 2/16/2023

J. Bottom or Form

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(A)

Supper ol ol

Description

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: loeblali

1' Tuf-' o~ Form

Date Created: 2/16/2023

Oregon Nutrition Web Site

Oregon Department of Education

(B) (C)

Lunch Breakfast 378 158

415 100

56 14

0 0

849 272

3 4

1,766 1,766

5 4

Modified By: loeblali

I Cancel J

Hermiston SD 8 (3008005) August 2022

Paid Revision 2

(D) (E)

Snack seeeial Mil~I

01 0

§ 0

(A) (B)

Meals I seecial Mil~ I 1001 •

1,833 0

42' 0 https://cnp.ode.state.or.us/frameManager.asp?NextPg==Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D8%2F1%2F2... 1/1

3/6/23, 9:09 AM Oregon Nutrition Web Site

Site Claim

Highland Hills Elem (11124)

Submitted by Chantal, Davidson on 10/12/2022

!- Bottoni ot Form

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(A)

Supper (B)

Lunch

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

=====:0 11=====:0 1 .__ _ ___,ol .__! __ ___,o !

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

0 ._ ___ __,

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

(A)

Meals

129.100

263.900

Oregon Department of Education

(C)

Breakfast

Hermiston SD 8 (3008005) August 2022

Paid Revision 1

(D)

Snack

~I

(E)

Special Milk

~I oj ___ 0,_1 ___ 01

(B}

Special Milk ~, oj

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Created By: davidsonch

1·Top M FL:mn

Date Created: 10/12/2022 Modified By: davidsonch Date Modified: 10/12/2022

I Cancel ] https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDle%3D8%2F1 %2F2 .. . 1/1

3/6/23, 9:09 AM Oregon Nutrition Web Site

Site Claim

Oregon Department of Education

Loma Vista Elementary School (16761)

Submitted by Chantal, Davidson on 2/5/2023

J.. Dottor11 of Form

Meals/ Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(A)

Supper (B)

Lunch

(4) Seamless Summer

) Total Reimbursable Student Meals/Milk

:::======:::0 I :::I ======0

~1 ,.._ __ __,o I ,_I --~0 1

(C)

Breakfast oj al

(6) Days of Operation i,.,..-...... ....-.=oat .................. ~ 0 ~1 li-----=---

(7) Highest Day's Enrollment O . _ ~I

(8) Oregon (EIG/CEPI/P2 EIG) 0 0 0

Eligibility Information (B)

Hermiston SD 8 (3008005) August 2022

Paid Revision 2

(D)

Snack

~ I

(E)

Special Milk

~I ,_ __ __.01 ._I __ __.01

§ 0

CEP Claiming Percentages

Description

(9) Paid Eligible Students

(A)

Meals

119.902

245.098

Special Milk Lunch and Breakfast

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch

'i Tup ot Frnl'!i

Date Created: 2/5/2023

Modified By: davidsonch

I Cancel I

0 32.85 %

0 67.15 %

0.00 %

0 100.00 %

Date Modified: 2/5/2023 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D8%2F1 %2F2... 1/1

Site Claim

Rocky Heights Elem (11125)

Submitted by Chantal, Davidson on 10/12/2022

J. Bottom of Form

Meals I Milk Served (A)

Description Supper

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students oll oll

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch

1' T1)p a!° FOnti

Date Created: 10/12/2022

Oregon Nutrition Web Site

Oregon Department of Education

(B)

Lunch oj ol

(A)

(C)

Breakfast ol oj

~I

(B)

Hermiston SD 8 (3008005) August 2022

Paid Revision 1

(D) (E) i--=S ... na_.c ... k- ~"4, Special Mil~I

___ ol._l __ __.01

0 0

0 0

0 0

CEP Claiming Percentages

Meals Special Milk Lunch and Breakfast

152.095 0 32.85 %

310.905 0 67.15 % 0 0.00 %

4631 ol 100.00 %

106 0

Modified By: davidsonch Date Modified: 10/12/2022 htlps://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D8%2F1 %2F2. .. 1/1

Site Claim

Sandstone Middle (11123)

Submitted by Chantal, Davidson on 10/12/2022

J, llottom of Form

Meals/ Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(A)

Supper

Oregon Nutrition Web Site

(B) (C)

Lunch Breakfast

357 72

730 147

0 0

Oregon Department of Education

Hermiston SD 8 (3008005) August 2022

Paid Revision 1

(D) (E)

Snack I Special Mil~I

(4) Seamless Summer

(S) Total Reimbursable ;:========o:::j ____ ___.

oj 0 oj 0

011 al Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

0 ,__ ___ _.

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch Date Created: 10/12/2022

1,087 219

3 3 0 § 610 610 0

248 50 0

(A) (B) CEP Claiming Percentages

Meals Special Milk Lunch and Breakfast

214.182 0 32.85 %

437.818 0 67.15 %

0 0.00 %

652 0 100.00 %

149 0

Modified By: davidsonch Date Modified: 10/12/2022

I Cancel J https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D8%2F1 %2F2.. . 1/1

Site Claim

Sunset Elem (11126)

Submitted by Chantal, Davidson on 10/12/2022

J, B<J:lom ot Form

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Tota l Reimbursable Student Meals/Milk

(6) Days of Operation

(A)

Supper al

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG) ·-------- Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch i' Tvp of F'-.J,rii.

Date Created: 10/12/2022

Oregon Nutrition Web Site

(B)

Lunch

(A)

Meals

181.660

371.340

(C)

Breakfast

Oregon Department of Education

Hermiston SD 8 (3008005) August 2022

Paid Revision 1

(D) (E) i---S .... namcaak- ~-41 s eecial Mil~I

::========~------._ __ ~ol ._I ____ oj

0 0

0 0

0 0

(B)

Special Milk

CEP Claiming Percentages Lunch and Breakfast

32.85 %

0 67.15 %

0.00 %

0 100.00 %

Modified By: davidsonch Date Modified: 10/12/2022 https://cnp .ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D8%2F1%2F2. .. 1/1

3/6/23, 9:10AM

Site Claim

West Park Elem (11127)

Submitted by Chantal, Davidson on 10/12/2022

.J nottom of Form

Meals / Milk Served

· Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(A)

Supper

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG) .__ ___ _ Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch

1' Tup of F:..:: t'h

Date Created: 10/12/2022

Oregon Nutrition Web Site

(B)

Lunch

2,252

2,252

(A)

Meals

168.192

343.808

Oregon Department of Education

(C)

Breakfast

1,612

1,612

Hermiston SD 8 (3008005) August 2022

Paid Revision 1

(D) (E)

Snack Special Milk 0 I ~I 0

0 11 ol 23 § 0

250 0

0 0

(B)

Special Milk o!

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 % 0.00%

100.00 %

Modified By: davidsonch Date Modified: 10/12/2022 https://cnp.ode.state.or.us/frameManager.asp?NextPg==Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D8%2F1 %2F2... 1/1

3/6/23, 9:11 AM

Sponsor Claim

Hermiston SD 8 (3008005) 305 SW 11th St Hermiston, OR 97838

Submitted by Chantal, Davidson on 2/17/2023

.), Bottom of fQr-m

Meals / Milk Served (A) (B)

Oregon Nutrition Web Site

Oregon Department of Education

(C) (D) (E)

Severe Less

September 2022 Paid

Revision 3

Description Supper Lunch Regular

Br~!:f~st Breakfast 5oolh;~ack

(F)

50% or Greater Snack

(G)

Special Milk

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(5) Seamless Summer Waiver

(B) Total Reimbursable Student Meals/Milk

(7) Days of Operation

(8) Operating Sites

(9) Highest Day's Enrollment

(10) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(12) Paid Eligible Students

(13) Free Eligible Students

(14) Reduced Eligible Students

(15) Total Eligible Students

) Oregon (EIG/CEPI/P2 EIG) Eligible Students

19,111

36,916

0 599

0 57,170

0 21

0 9

0 5,643

0 11,386

6,019 1,868 0

10,426 3,819 0

160 0 0

16,605

4,815

3,143

5,894

1,300

(A)

Meals

2,223

3,333

5,643

(11) Average Cost Per Half Pint

(B)

Special Milk

0.2100 r';.t I Certi~ that the information submitted is true and correct and that the claim is ready for payment. I am

(17) aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable State and Federal statutes. I certify that records are available to support this claim and that this claim is in accordance with the terms of the existing agreement(s).

Created By: loeblali

7 To p o! Form

Date Created : 2/16/2023 Modified By: loeblali

I View Summary I [ Cancel ]

Date Modified: 2/21/2023 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSponsorClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Claimld%3D669975 ... 1/1

Sponsor Claim Summary

Hermiston SD 8 3008005 Submitted by Chantal, Davidson on 2/17/2023

,t, BMtom of Form

Supper/ Lunch Reimbursement

Meal Type

Seamless Summer Supper

Seamless Summer Waiver Supper

Total Supper

Paid Lunch

Free Lunch

Reduced Lunch

Seamless Summer Lunch

Seamless Summer Waiver Lunch

Menu Certification Payment

Total Lunch

Oregon Paid Lunch

Oregon Reduced Price Lunch

Total Supper I Lunch

Breakfast Reimbursement

Meal Type

Severe Need Paid Breakfast

Severe Need Free Breakfast

Severe Need Reduced Breakfast

Seamless Summer Severe Need Breakfast

Total Severe Need Breakfast

Regular Paid Breakfast

Regular Free Breakfast

Regular Reduced Breakfast

Seamless Summer Regular Breakfast

Seamless Summer Waiver Breakfast

Total Regular Breakfast

Oregon Paid Breakfast Severe Need

Oregon Paid Breakfast Regular Program

Oregon Reduced Price Breakfast

Total Breakfast

Oregon Nutrition Web Site

Meals Served

19,111

36,916

56,571

57,170

11 ,386

57,170

Meals Served

6,019

10,426

16,605

1,868

3,819

5,894

3,143

1,300

22,499

Oregon Department of Education

Rate

4.3500

4.5625

0.7900

4.3500

3.9500

4.3500

4.5625

0.0800

3.5600

0.4000

Rate

0.5000

2.6700

2.3700

2.6700

0.5000

2.2600

1.9600

2.2600

2.6050

2.1700

1.7600

0.3000

September 2022 Paid

Revision 3

Amount

0.00

0.00

0.00

15,097.69

160,584.60

2,148.80

0.00

2,732.94

4,525.68

185,089.71

40,534.16

217.60

225,841.47

Amount

3,009.50

27,837.42

379.20

0.00

31,226.12

934.00

8,630.94

0.00

0.00

539.24

10,104.18

6,820.31

2,288.00

48.00

50,486.61 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSponsorClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Claimld%3D669975... 1/2

Meal Type

Less than 50% Paid Snack

Less than 50% Free Snack

Less than 50% Reduced Snack

Total Less than 50% Snack

50% or Greater Free Snack

Seamless Summer 50% or Greater Snack

Seamless Summer Waiver Snack

Total 50% or Greater Snack

Total Snack

Milk Reimbursement

Meal Type

Paid Special Milk

Free Special Milk

Total Special Milk

Total Claim Reimbursement Amount

Less Previous Reimbursement Paid

Net Claim Reimbursement Amount

'f Top of form

Oregon Nutrition Web Site

Meals Served Rate

0 0.0900

0 1.0800

0 0.5400

0 1.0800

0 1.0800

0 1.0775

Meals Served Rate

0 0.2700

0 0.2100

Click here to go to the Sponsor Summary or select another option from the menu above.

Amount

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

Amount

0.00

0.00

0.00

276,328.08

265,701.22

10,626.86 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSponsorClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Claimld%3D669975... 2/2

3/6/23, 9:12AM Oregon Nutrition Web Site

Site Claim

Armand Larive Middle (11122)

Submitted by Chantal, Davidson on 1/24/2023

J Bo tt(,.m of Form

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(A)

Supper (B)

Lunch 3,496

7,145

(4) Seamless Summer

) Total Reimbursable :======:::oll._ __ _.o I ol 10,641 Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

0 ._._ ___ ___,

(13) Oregon (EIG/CEPI/P2 EIG} Eligible Students

2,431

(A)

Meals

243.747

498.253

Oregon Department of Education

(C)

Breakfast 1,004

2,052 oj

Hermiston SD 8 (3008005) September 2022

Paid Revision 1

(D)

Snack

~I

(E)

Special Milk

~I 3,056 ___ o ._I ___ 01

(B)

Special Milk ol

0 0

0 0

0 0

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Created By: davidsonch rro,:, M Form Date Created: 1/24/2023 Modified By: davidsonch Date Modified: 1/24/2023 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D9%2F1 %2F2... 1/1

3/6123, 9:12 AM Oregon Nutrition Web Site

Site Claim

Desert View (12792)

Submitted by Chantal, Davidson on 12/19/2022

.j,, fiotta.ni of Fo rm

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(A)

Supper (B)

Lunch 1,708

3,490

(4) Seamless Summer

(S) Total Reimbursable :======:::::0

I ._I ___ o I of 5,198 Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(B) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

0 -----

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

1,188

(A)

Meals

132.057

269.943

Oregon Department of Education

(C)

Breakfast

1,016

Hermiston SD 8 (3008005) September 2022

Paid Revision 1

(D) (E)

Snack Special Milk

~I ~I

1,513 ___ oH al

(B)

Special Milk

0 0

0 0

0 0

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Created By: davidsonch

1' T,:,p ot Forin

Date Created : 12/19/2022 Modified By: davidsonch Date Modified: 12/19/2022

I Cancel [ https://cnp.ode.state .or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D9%2F1%2F2... 1/1

3/6/23, 9:12 AM

Site Claim

Hermiston High (11121)

Submitted by Alicia, Loebl on 2/16/2023 l- Bottom oi Form

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG}

Eligibility Information

(A)

Supper

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG} Eligible Students

Created By: loeblali Date Created: 2/16/2023

Oregon Nutrition Web Site

Oregon Department of Education

(B)

Lunch 2,815

3,607

0 1

6,966

1,835

(C)

Breakfast

1,547

1,285

2,992

1,835

Modified By: loeblali

[ Cancel I

Hermiston SD 8 (3008005) September 2022

Paid Revision 1

(D)

Snack

(A)

Meals

1,835 :

~ I

(E)

Special Milk

~I

(B)

Special Milk oJ https://cnp.ode.state .or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D9%2F1%2F2. .. 1/1

3/6/23, 9:12AM Oregon Nutrition Web Site

Site Claim

Highland Hills Elem (11124)

Submitted by Chantal, Davidson on 12/19/2022

J, llotto, rn of F•)rm

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(A)

Supper (B)

Lunch 1,240

2,535

(4) Seamless Summer

(S) Total Reimbursable :======:::::0

I ._I __ __,o I 01 3,775 Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG}

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

0 .,__ ___ __.

(13) Oregon (EIG/CEPI/P2 EIG} Eligible Students

(A)

Meals

107.419

219.581

Oregon Department of Education

(C)

Breakfast ol

Hermiston SD 8 (3008005) September 2022

Paid Revision 1

(D) (E)

Snack Special Milk

~ I ~I

1,155 ___ 011 °1

(B)

Special Milk oj

0 0

0 0

0 0

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Created By: davidsonch

'f'Tr.>p M F•) rm

Date Created : 12/19/2022 Modified By: davidsonch Date Modified: 12/19/2022 j Cancel I https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Clmote%3O9%2F1%2F2. . . 1/1

3/6/23, 9:12 AM

Site Claim

Loma Vista Elementary School (16761)

Submitted by Chantal, Davidson on 12/19/2022

J,. 801.torn of Form

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(A)

Supper

Oregon Nutrition Web Site

Oregon Department of Education

(B)

Lunch

1,553

3,176

(C)

Breakfast

1,313

Hermiston SD 8 (3008005) September 2022

Paid Revision 1

(D) (E)

Snack Special Milk

0 0

0 0

(4) Seamless Summer

(S) Total Reimbursable :::=====:::::o!l,_ __ ...,oj 01 0

,_ ___ au 01 Student Meals/Milk 0 4,729 1,955

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

0 -----

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch

'f' T,,p oi r-onn Date Created: 12/19/2022

1,081

(A)

Meals

124.173

253.827

(B)

Special Milk

~I

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Modified By: davidsonch Date Modified: 12/19/2022 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D9%2F1 %2F2 ... 1/1

3/6/23, 9:15AM

Site Claim

Rocky Heights Elem (11125)

Submitted by Chantal, Davidson on 12/19/2022

J.. ilo Ltorn oi' Form

Meals / Milk Served (A)

Description Supper

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

0 11

0 1

(6) Days of Operation §

(7) Highest Day's Enrollment 0

(8) Oregon (EIG/CEPI/P2 EIG) 0

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch

'f'Tor) of Form Date Created: 12/19/2022

Oregon Nutrition Web Site

Oregon Department of Education

(B) (C)

Lunch Breakfast 1,820 936

3,719 1,912

0 0 oj al 5,539 2,848

19 19

464 464

1,266 651

(A) (B)

Hermiston SD 8 (3008005) September 2022

Paid Revision 1

(D) (E)

Snack I seecial Mil~, oil al

CEP Claiming Percentages

Meals Special Milk Lunch and Breakfast

152.424 ~I 32.85 %

311.576 67.15 % 0 0.00 %

464 al 100.00 %

106 0

Modified By: davidsonch Date Modified: 12/19/2022 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D9%2F1 %2F2... 1/1

3/6/23, 9:15AM

Site Claim

Sandstone Middle (11123)

Submitted by Chantal, Davidson on 12/19/2022

J. Bottom ol F<Jnn

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(A)

Supper

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG) ------ Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: davidsonch

T Top o! foun

Date Created: 12/19/2022

Oregon Nutrition Web Site

Oregon Department of Education

(B) (C)

Lunch Breakfast

2,624 810

5,363 1,656

0 0 oj ol 7,987 2,466

21 21

617 617

1,825 563

(A) (B)

Hermiston SD 8 (3008005) September 2022

Paid Revision 1

(D)

Snack

~I

(E)

Special Milk

~I ___ 01_1 ___ 01

0 § 0

CEP Claiming Percentages

Meals Special Milk Lunch and Breakfast

202.684 0 32.85 %

414.316 0 67.15 % 0 0.00 %

617 al 100.00 %

141 0

Modified By: davidsonch Date Modified: 12/19/2022 https://cnp .ode .state .or.us/frameMa nager.asp?NextPg=Nslp%2FSiteCla im%2Easp%3FApp%3 DSPS%26Mode%3DView%26ClmDle%3D9%2F 1 %2F2.. . 1 /1

3/6/23, 9:15 AM Oregon Nutrition Web Site

Site Claim

Sunset Elem (11126)

Submitted by Chantal, Davidson on 12/19/2022

J. lfottorn of Form

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(A)

Supper (B)

Lunch 1,933

3,951

(4) Seamless Summer

(S) Total Reimbursable :::=====:::a ll._ __ __,o I al 5,884 Student Meals/Milk

(6) Days of Operation §

(7) Highest Day's Enrollment 0

(8) Oregon (EIG/CEPI/P2 EIG} 0

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

1,344

(A)

Meals

140.598

287.402

Oregon Department of Education

Hermiston SD 8 (3008005) September 2022

Paid Revision 1

(D) (E) (C)

Breakfast

1,729

1--..... S ... na_,c._k ..... -a~ I Special Mil~I al 0

2,575 ,_ ___ 01 ._I __ ___.0 1

(B)

Special Milk of

0 0

0 0

0 0

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Created By: davidsonch

"fT(iJ) of Forni

Date Created: 12/19/2022 Modified By: davidsonch Date Modified: 12/19/2022 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D9%2F1%2F2... 1/1

3/6/23, 9:15 AM

Site Claim

West Park Elem (11127)

Submitted by Alicia, Loebl on 2/16/2023

.j,. 6<Jtlo rt1 of Ftwm

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(S) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day's Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(A)

Supper ol ol

0 -----

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: loeblali

-7' T1., 1j of For in

Date Created: 2/16/2023

Oregon Nutrition Web Site

(B)

Lunch 1,922

3,930

6,451

1,337

(A)

Meals

147.825

302.175

Oregon Department of Education

Hermiston SD 8 (3008005) September 2022

Paid Revision 2

(D) (E) (C)

Breakfast 1,226

2,506 t=-=S--na_.c ... k=~-t , Special Mil~, 3,939 ._ __ _,oj._! __ _.oj

(B)

Special Milk

0 0

0 0

0 0

CEP Claiming Percentages Lunch and Breakfast

32.85 %

67 .15 %

0.00 %

100.00 %

Modified By: loeblali Date Modified: 2/16/2023 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSiteClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26ClmDte%3D9%2F1 %2F2. .. 1/1

3/6/23, 9:17 AM

Sponsor Claim

Hermiston SD 8 (3008005) 305 SW 11th St Hermiston, OR 97838

Submitted by Chantal, Davidson on 2/7/2023

J, Bottom of Form

Meals I Milk Served (A) (B)

Oregon Nutrition Web Sile

Oregon Department of Education

(C) (D) (E)

Severe Less

October 2022 Paid

Revision 1

Description Supper Lunch Need Regular than Breakfast BreakfaSt 50% Snack

(F)

50% or Greater Snack

(G)

Special Milk

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

(5) Seamless Summer Waiver

) Total Reimbursable Student Meals/Milk

(7) Days of Operation

(8) Operating Sites

(9) Highest Day's Enrollment

(10) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(12) Paid Eligible Students

{13) Free Eligible Students

(14) Reduced Eligible Students

(15) Total Eligible Students

) Oregon (EIG/CEPI/P2 EIG) Eligible Students

18,267

34,905

7,373 0 0

0 0

13,235

0 53,680 20,806

0 18 18

0 9 9

0 5,525 5,525

0 10,826 4,138

(A)

{11) Average Cost Per Half Pint

(8)

Meals Special Milk

2,309 0

3,275 0

5,671

0.2100

~ I CertifY. that the information submitted is true and correct and that the claim is ready for payment. I am

(17) aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable State and Federal statutes. I certify that records are available to support this claim and that this claim is in accordance with the terms of the existing agreement(s).

Created By: davidsonch

·7'"r,.,µ M Form Date Created: 2/5/2023 Modified By: davidsonch j View Summary I [ Cancel I

Date Modified: 2/7/2023 https:1/cnp.ode .state .or.us/frameManager.asp? NextPg=Nslp%2FSponsorClaim%2Easp%3 FApp%3DS PS%26Mode%3DView%26Claim ld%3D669717... 1 /1

Sponsor Claim Summary

Hermiston SD 8 3008005 Submitted by Chantal, Davidson on 2/7/2023

.j,. Bottom of Form

Supper/ Lunch Reimbursement

Meal Type

Seamless Summer Supper

Seamless Summer Waiver Supper

Total Supper

Paid Lunch

Free Lunch

Reduced Lunch

Seamless Summer Lunch

Seamless Summer Waiver Lunch

Menu Certification Payment

Total Lunch

Oregon Paid Lunch

Oregon Reduced Price Lunch

Total Supper I Lunch

Breakfast Reimbursement

Meal Type

Severe Need Paid Breakfast

Severe Need Free Breakfast

Severe Need Reduced Breakfast

Seamless Summer Severe Need Breakfast

Total Severe Need Breakfast

Regular Paid Breakfast

Regular Free Breakfast

Regular Reduced Breakfast

Seamless Summer Regular Breakfast

Seamless Summer Waiver Breakfast

Total Regular Breakfast

Oregon Paid Breakfast Severe Need

Oregon Paid Breakfast Regular Program

Oregon Reduced Price Breakfast

Total Breakfast

Oregon Nutrition Web Site

Oregon Department of Education

Meals Served

18,267

34,905

53,680

53,680

10,826

53,680

Meals Served

7,373

13,235

20,806

4,138

20,806

Rate

4.3500

4.5625

0.7900

4.3500

3.9500

4.3500

4.5625

0.0800

3.5600

0.4000

Rate

0.5000

2.6700

2.3700

2.6700

0.5000

2.2600

1.9600

2.2600

2.6050

2.1700

1.7600

0.3000

October 2022 Paid

Revision 1

Amount

0.00

0.00

0.00

14,430.93

151,836.75

2,006.60

0.00

0.00

4,294.40

172,568.68

38,540.56

203.20

211,312.44

Amount

3,686.50

35,337.45

469.26

0.00

39,493.21

0.00

0.00

0.00

0.00

0.00

0.00

8,979.46

0.00

59.40

48,532.07 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSponsorClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Claimld%3D669717... 1/2

Meal Type

Less than 50% Paid Snack

Less than 50% Free Snack

Less than 50% Reduced Snack

Total Less than 50% Snack

50% or Greater Free Snack

Seamless Summer 50% or Greater Snack

Seamless Summer Waiver Snack

Total 50% or Greater Snack

Total Snack

Milk Reimbursement

Meal Type

Paid Special Milk

Free Special Milk

Total Special Milk

Total Claim Reimbursement Amount

Less Previous Reimbursement Paid

Net Claim Reimbursement Amount fTop of Form

Oregon Nutrition Web Site

Meals Served

Meals Served

Rate

0.0900

1.0800

0.5400

1.0800

1.0800

1.0775

Rate

0.2700

0.2100

Click here to go to the Sponsor Summary or select another option from the menu above.

Amount

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

Amount

0.00

0.00

0.00

259,844.51

251,145.82

8,698.69 https://cnp.ode.state.or.us/frameManager.asp?NextPg=Nslp%2FSponsorClaim%2Easp%3FApp%3DSPS%26Mode%3DView%26Claimld%3D669717... 2/2

Site Claim

Armand Larive Middle (11122)

Submitted by Naomi, Lopez-Navarre on 12/15/2022

,l llOUOlfl (M f()mti

Meals / Milk Served (A)

Description Supper

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

) Total Reimbursable

Student Meals/Milk

(6) Days of Operation I

(7) Highest Day♦s Enrollment Fl (8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: Lopeznn t t@p ol f'orm Date Created: 12/15/2022

Oregon Department of Education

(B)

Lunch

3,130

6,398

9,5281

B 3

2,177

(A)

Meals

240.790

492.210

(C)

Breakfast

1,972

2,936 1

B 3

(B)

Special Milk

B Modified By: Lopeznn

Cancel

Hermiston SD 8 (3008005) October 2022

Complete Original Claim

(D) (E)

Snack Special Milk

0 I 0 I

I o

Fl CEP Claiming Percentages

Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Date Modified: 12/15/2022 https://cnp.ode.state.or.us/Nslp/SiteClaim.asp?App=SPS&Mode=View&ClmDte=l0/1/20... 12/15/2022

Site Claim

Desert View (12792)

Submitted by Naomi, Lopez-Navarre on 12/15/2022

J, IIOttO>m 6' Kl'l'III

Meals / Milk Served (A)

Description Supper

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

) Total Reimbursable Student Meals/Milk

(6) Days of Operation I

(7) Highest Day♦s Enrollment Fl (8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information

Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: Lopeznn t TOI) of FO.lr'lnl

Date Created: 12/15/2022

Oregon Department of Education

(B)

Lunch

1,753

3,582

5,3351

B 9

1,219

(A)

Meals

131 .071

267.929

(C)

Breakfast

1,027

I 0

I 1,5301

B 9

(B)

Special Milk

Modified By: Lopeznn

Cancel

Hermiston SD 8 (3008005) October 2022

Complete Original Claim

(D) (E)

Snack Special Milk 0 I 0

0 I 0

0 0

Fl----~ CEP Claiming Percentages

Lunch and Breakfast

32.85 %

67.15 %

0.00 %

100.00 %

Date Modified: 12/15/2022 https:/ /cnp.ode.state.or. us/N slp/SiteClaim.asp? App=SPS&Mode=View&ClmDte= 10/1/20... 12/15/2022

Site Claim

Hermiston High (11121)

Submitted by Naomi, Lopez-Navarre on 12/15/2022

_J, llk>Uo-"'l of F6t"l'II

Meals / Milk Served Description

(1) Paid

(2) Free

(3) Reduced

(4) Seamless Summer

) Total Reimbursable Student Meals/Milk

(6) Days of Operation

(7) Highest Day♦s Enrollment

(8) Oregon (EIG/CEPI/P2 EIG)

Eligibility Information Description

(9) Paid Eligible Students

(10) Free Eligible Students

(11) Reduced Eligible Students

(12) Total Eligible Students

(A)

Supper

(13) Oregon (EIG/CEPI/P2 EIG) Eligible Students

Created By: Lopeznn f Top o-f f'O-fl"lll

Date Created: 12/15/2022

(B)

Lunch

2,867

3,423

6,798 1

1,769

(A)

Meals

1,915

Oregon Department of Education

(C)

Breakfast 1,515

1,257

2,970 [

1,769

(B)

Specia_l __ Milk 0 I

I 0

B

Hermiston SD 8 (3008005) October 2022

Complete Original Claim

(D) (E)

Snack Special Milk

0 Fl 0

0 0

0 0

0 0

0 0

Modified By: Lopeznn Date Modified: 12/15/2022

Cancel

Site Claim

Highland Hills Elem (11124)

Submitted by Naomi, Lopez-Navarre on…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .