Question 7. ODE Approved Phoenix-Talent SD_24-25 SDX Renewal.pdf

PHOENIX-TALENT SCHOOL DISTRICT

AND

SODEXO AMERICA, LLC

This Amendment No. 4 to Contract No. 2020-1 is entered into and between the Local Educational Agency (LEA) Phoenix-Talent School District and Food Service Management Company (FSMC) Sodexo America, LLC a Delaware limited liability company (herein referred to as the “Parties”).

This Amendment is effective July 1, 2024 and thereafter, unless otherwise amended. All other terms and conditions contained in the Base Contract shall remain unchanged and in full force and effect.

In consideration of the promises contained herein and for other goods and valuable consideration, the Parties hereto agree as follows:

The Contract is hereby amended as follows:

A. 1.3 Term of the Agreement. The initial term of this Agreement commences on July 1, 2024, and continues until June 30, 2025. This Agreement is not subject to any additional annual one year annual renewals. Extensions or renewals are contingent upon the fulfillment of all Contract provisions related to USDA Foods.

B 2.2 Responsibilities of FSMC.

N. The FSMC agrees to use all other donated foods, or will use commercially purchased foods of the same generic identity, of U.S. origin, and of equal or better quality than the donated foods as specified in 7 CFR Part 250.53.

O. The FSMC agrees to provide the LEA with food cost data needed to determine its compliance with the revenue from nonprogram foods in accordance with 7 CFR 210.14(f) and USDA Memo SP 20-2016.

C. 6.1 Billing for Fixed Price Per Meal (last year’s prices along with adding new prices.)

SBP

Breakfast [$4.39] $4.57 per meal (3 breakfasts = 1 meal) Meal Equivalents [$4.39] $4.57 per meal based on $3.86 rate

NSLP

Lunch [$4.39] $4.57 per meal (1 lunch = 1 meal) Snack [$4.39] $4.57 per snack (4 snacks = 1 meal)

SFSP/SSO

Lunch [$4.39] $4.57 per meal (1 lunch = 1 meal)

CACFP

Lunch [$4.39] $4.57 per meal (1 lunch = 1 meal) Supper [$4.39] $4.57 per meal (1 Supper = 1 meal)

Vended Meal Programs and all other Meal and Meal Equivalents Served

Lunch [$4.39] $4.57 per meal (1 lunch = 1 meal)

Supper [$4.39] $4.57 per meal (1 Supper = 1 meal)

D. 7.1 Compliance with the Law

A. Assurances. The FSMC agrees that it will comply with:

Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.);

Title IX of the Education Amendments of 1972 (20 U.S.C. 1681 et seq.);

Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794);

Age Discrimination Act of 1975 (42 U.S.C. 6101 et seq.);

Title II and Title III of the Americans with Disabilities Act (ADA) of 1990 as amended by the ADA Amendment Act of 2008 (42 U.S.C. 12131-12189);

Executive Order 13166, "Improving Access to Services for Persons with Limited English Proficiency." (August 11, 2000);

All provisions required by the implementing regulations of the Department of Agriculture (USDA) (7 CFR Part 15 et seq.);

Department of Justice Enforcement Guidelines (28 CFR Parts 35, 42 and 50.3);

Food and Nutrition Service (FNS) directives and guidelines to the effect that, no person shall, on the grounds of race, color, national origin, sex (including gender identity and sexual orientation), age, or disability, be excluded from participation in, be denied the benefits of, or otherwise be subject to discrimination under any program or activity for which the Program applicant receives Federal financial assistance from USDA; and hereby gives assurance that it will immediately take measures necessary to effectuate this Agreement

The USDA non-discrimination statement that in accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs)

B. Purpose. This assurance is given in consideration of and for the purpose of obtaining any and all

Federal financial assistance, grants, and loans of Federal funds, reimbursable expenditures, grant, or donation of Federal property and interest in property, the detail of Federal personnel, the sale and lease of, and the permission to use Federal property or interest in such property or the furnishing of services without consideration or at a nominal consideration, or at a consideration that is reduced for the purpose of assisting the recipient, or in recognition of the public interest to be served by such sale, lease, or furnishing of services to the recipient, or any improvements made with Federal financial assistance extended to the Program applicant by USDA. This includes any Federal agreement, arrangement, or other contract that has as one of its purposes the provision of cash assistance for the purchase of food, and cash assistance for purchase or rental of food service equipment or any other financial assistance extended in reliance on the representations and agreements made in this assurance.

C. Recordkeeping. By accepting this assurance, the FSMC agrees to compile data, maintain records, and submit records and reports as required, to permit effective enforcement of nondiscrimination laws and permit authorized USDA personnel during hours of program operation to review and copy such records, books, and accounts, access such facilities and interview such personnel as needed to ascertain compliance with the nondiscrimination laws. If there are any violations of this assurance, the Department of Agriculture, FNS, shall have the right to seek judicial enforcement of this assurance. This assurance is binding on the FSMC, its successors, transferees and assignees as long as it receives assistance or retains possession of any assistance from USDA. The person or persons whose signatures appear below are authorized to sign this assurance on behalf of the

FSMC.

Nondiscrimination. In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g.

Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410;

(2) fax: (202) 690-7442; or

(3) email: program.intake@usda.gov.

This institution is an equal opportunity provider.

Except as expressly amended above, all other terms and conditions of original Contract are still in full force and effect. FSMC certifies that the representations, warranties, and certification contained in the original Contract are true and correct as of the effective date of this Amendment and with the same effect as though made at the time of this Amendment.

Sodexo America, LLC

Authorized Signature:

Title: Sr. Vice President

Date:

Print Signature: Wendy Surak

Phoenix-Talent School District

Authorized Signature:

Title:

Date:

http://www.ocio.usda.gov/sites/default/files/docs/2012/Complain_combined_6_8_12.pdf http://www.ascr.usda.gov/complaint_filing_cust.html

Attachment A: MINIMUM FOOD SPECIFICATIONS

Summer Food Service Program Meal Pattern

Food Components Breakfast Lunch or Supper

Snack1

(Choose two of the four)

Milk

Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2

Vegetables and/or Fruits

Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup

An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz)

Grains and Breads5

Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6

Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup

Meat and Meat Alternates (Optional)

Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz

Cheese 1 oz 2 oz 1 oz

Eggs ½ large egg 1 large egg ½ large egg

Cooked dry beans or peas ¼ cup ½ cup ¼ cup

Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp

Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz

An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup

For the purpose of this table, a cup means a standard measuring cup.

1 Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component.

2 Shall be served as a beverage, or on cereal, or use part of it for each purpose.

3 Shall be served as a beverage.

4 Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement.

5 All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, or if it is a cereal, the product must be whole-grain, enriched or fortified. Bran and germ are credited the same as enriched or whole grain meal or flour.

6 Either volume (cup) or weight (oz) whichever is less.

7 Must meet the requirements in Appendix A of the SFSP regulations.

8 No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish.

Attachment A (continued): MINIMUM FOOD SPECIFICATIONS

Infant Meal Pattern Requirements

Child and Adult Care Food Program

EFFECTIVE OCTOBER 1, 2021

Infants should be fed on demand when they show hunger signals

Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF)

The tables below list minimum serving sizes to meet meal pattern requirements

Breakfast, Lunch, and Supper:

Food Components and Food Items Birth – 5 Months 6 – 11 Months

Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz.

Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp.

Iron-Fortified Infant Cereal (IFIC)5,6 or

Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or

Cheese, or

Cottage Cheese, or Yogurt7

0 – ½ oz. eq. (0-4 Tbsp.)

0-4 Tbsp.

0-2 oz.

0-4 oz. or ½ cup 0-4 oz. or ½ cup

Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and

Supper. Infants that do not consume IFIC can be served a M/MA item instead.

Snack:

Food Components and Food Items Birth – 5 Months 6 – 11 Months

Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz.

Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp.

Iron-Fortified Infant Cereal (IFIC) 5,6 or

Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8

Bread, Tortilla, or Biscuit, or

Waffle, Pancake, or English Muffin, or

Savory Crackers, or

Sweet Crackers, or

RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9

0 – ½ oz. eq. (0-4 Tbsp.)

0 – ½ oz. eq.

14 grams

17 grams

6 grams 7 grams

7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup

Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only.1

Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.

2 All infant formula must be FDA-regulated and iron-fortified with 1 mg of iron or more per 100 calories of formula.

3 A serving of this component is required once an infant is developmentally ready for solid foods. A combination of different food items within the component is allowed.

4 Fruit and vegetable juices, including 100% juices, are not allowed for infants.

5 All infant cereal must be iron-fortified (IFIC).

6 Grains must be one of the following: enriched meal/flour or whole grain-rich. Ounce equivalent serving sizes will be used to determine the quantity of creditable grains starting October 1, 2021. One ounce equivalent serving size is equal to one serving size. For more sample serving sizes on creditable infant Grains, refer to the Feeding

Infants Using Ounce Equivalents for Grains Worksheet.

7Yogurt must contain no more than 23 grams of total sugars per 6 ounces. Refer to the Yogurt Sugar Limit Wallet Card.

8 Grain-based desserts do not count towards meeting the Grains component requirement.

9 Breakfast cereals must be whole grain-rich, fortified, or enriched, and contain no more than 6 grams of sugar per dry ounce (no more than 21 grams Total Sugars per 100 grams of dry cereal). Refer to the Cereal Sugar Limit

Wallet Card and the WIC Cereal List.

Additional Resources: Feeding Infants in the Child and Adult Care Food Program (USDA)

Abbreviations:

Fl. oz. = Fluid Ounces

Oz. eq. = Ounce Equivalent Oz. = Ounce (weight) Tbsp. = Tablespoon https://www.fns.usda.gov/tn/feeding-infants-using-ounce-equivalents-grains-cacfp https://www.fns.usda.gov/tn/feeding-infants-using-ounce-equivalents-grains-cacfp https://www.fns.usda.gov/tn/feeding-infants-using-ounce-equivalents-grains-cacfp https://www.fns.usda.gov/tn/grain-based-desserts-cacfp https://www.fns.usda.gov/tn/feeding-infants-child-and-adult-care-food-program

CACFP Meals for Children 1 - 18 years

Breakfast1: Serve all 3 components for a reimbursable Breakfast2

Food Components and Food Items Ages 1-2 Ages 3-5 Ages 6-12 Ages 13-183

Fluid Milk4 4 fl oz (½ cup) 6 fl oz (¾ cup) 8 fl oz (1 cup) 8 fl oz (1 cup)

Vegetables, Fruits, or portions of both5 ¼ cup ½ cup ½ cup ½ cup

Grains6, using ounce equivalent (oz. eq.)7 ½ oz. eq. ½ oz. eq. 1 oz. eq. 1 oz. eq.

Bread, Biscuit, or Roll 14 grams 14 grams 28 grams 28 grams

Waffle, Pancake, Croissant 17 grams 17 grams 34 grams 34 grams

Oatmeal and other cooked cereal grains8 ¼ cup cooked ¼ cup cooked ½ cup cooked ½ cup cooked

Cereal, Ready-to-Eat Flakes or Rounds8 ½ cup ½ cup 1 cup 1 cup

Cereal, Ready-to-Eat Granola8 ⅛ cup ⅛ cup ¼ cup ¼ cup

Cereal, Ready-to-eat Puffed8 ¾ cup ¾ cup 1 ¼ cup 1 ¼ cup

Snack1: Select 2 of the 5 components for a reimbursable snack9

Meat or Meat Alternate (M/MA) ½ oz. eq. ½ oz. eq. 1 oz. eq. 1 oz. eq.

Cheese ½ oz. ½ oz. 1 oz. 1 oz.

Peanut butter or other nut/seed butters 1 Tbsp. 1 Tbsp. 2 Tbsp. 2 Tbsp.

Yogurt (including soy yogurt)10 2 oz. (¼ cup) 2 oz. (¼ cup) 4 oz. (½ cup) 4 oz. (½ cup)

Vegetables5 ½ cup ½ cup ¾ cup ¾ cup

Fruits5 ½ cup ½ cup ¾ cup ¾ cup

Grains6, using ounce equivalent (oz. eq.) 7 ½ oz. eq. ½ oz. eq. 1 oz. eq. 1 oz. eq.

Bread, Biscuit, or Roll 14 grams 14 grams 28 grams 28 grams

Cracker, Graham (about 5” by 2½”) 14 grams/ 1 cracker

14 grams/ 1 cracker

28 grams/ 2 crackers

28 grams/ 2 crackers

Crackers (various) 11 grams 11 grams 22 grams 22 grams

Lunch or Supper1: Serve all 5 components for a reimbursable Lunch or Supper11

Meat or Meat Alternate (M/MA) 1 oz. eq. 1 ½ oz. eq. 2 oz. eq. 2 oz. eq.

Lean meat, poultry, or fish 1 oz. eq. 1 ½ oz. eq. 2 oz. eq. 2 oz. eq.

Tofu12 2.2 oz. or ¼ c 3.3 oz. or ⅜ c 4.4 oz. or ½ c 4.4 oz. or ½ c

Cheese 1 oz. 1 ½ oz. 2 oz. 2 oz.

Large egg ½ egg ¾ egg 1 egg 1 egg

Cooked dry beans/peas ¼ cup ⅜ cup ½ cup ½ cup

Peanut butter or other nut/seed butters 2 Tbsp. 3 Tbsp. 4 Tbsp. 4 Tbsp.

Peanuts, soy nuts, tree nuts, or seeds (may only credit up to 50% M/MA)

½ oz. = 50% ¾ oz. = 50% 1 oz. = 50% 1 oz. – 50%

Vegetables5, 13, 14 ⅛ cup ¼ cup ½ cup ½ cup

Fruits5 ⅛ cup ¼ cup ¼ cup ¼ cup

Grains6, using ounce equivalent (oz. eq.) 7 ½ oz. eq. ½ oz. eq. 1 oz. eq. 1 oz. eq.

Bread, Biscuit, or Roll 14 grams 14 grams 28 grams 28 grams

Pasta, Rice, or Grits 14 grams dry/ ¼ cup cooked

14 grams dry/ ¼ cup cooked

28 grams dry/ ½ cup cooked

28 grams dry/ ½ cup cooked

Tortilla, Soft, Flour or Corn 14 grams 14 grams 28 grams 28 grams

CACFP Meals for Children 1-18 Years

1 Water must be offered to children throughout the day. Water is not part of a reimbursable meal and may not be served instead of fluid milk.

2 All three components must be served for a reimbursable breakfast. Meat and Meat Alternates (M/MA) may be used to meet the entire grains component requirement a maximum of three times a week at breakfast. One ounce equivalent of M/MA is equal to one ounce equivalent of Grains. Offer Versus Serve is an option only for At-Risk Afterschool Sponsors.

3 Larger portion sizes than specified may need to be served to children ages 13 through 18 years old to meet their nutritional needs.

4 Milk type served must be unflavored whole milk for children one year of age (12-23 months). Milk must be unflavored low-fat (1%) or unflavored fat-free (skim) for children 2-5 years of age. Milk must be unflavored low-fat (1%) or fat-free (skim) milk or flavored fat-free (skim) milk for children 6 years old and older.

5 Pasteurized 100% juice may only be used to meet the vegetable or fruit requirement one time per day.

6 At least one serving of grains per day must be whole-grain rich across all meals and snacks served at each site. Grain- based desserts do not count towards meeting the Grains component requirement.

7 Ounce equivalent serving sizes will be used to determine the quantity of creditable grains starting October 1, 2021. One ounce equivalent serving size is equal to one serving size. See Exhibit A for comparisons between the previous serving sizes and ounce equivalents. For more sample serving sizes and an explanation of ounce equivalent measurements, refer to the ‘Using Ounce Equivalents for Grains in the CACFP Worksheet.’

8 Breakfast cereals must be whole grain-rich, fortified, or enriched, and contain no more than 6 grams of sugar per dry ounce (no more than 21 grams Total Sugars per 100 grams of dry cereal). Refer to the Cereal Sugar

Limit Wallet Card and the WIC Cereal List.

9 Only one of the two required components for snack may be a beverage. Offer versus serve is not an option for snack.

10Yogurt must contain no more than 23 grams of total sugars per 6 ounces. Refer to the Yogurt Sugar Limit Wallet

Card.

11All five components must be served for a reimbursable lunch and/or supper. Offer Versus Serve is an option only for At- Risk Afterschool Sponsors.

12Tofu must contain at least 5 grams of protein for every 2.2 oz (¼ cup) serving.

13Lunch and supper must include one Fruit and one Vegetable OR two Vegetables. When two Vegetables are served, two different kinds of vegetables must be served.

14Leafy greens, such as lettuce or spinach, only credit for half of the volume served. ½ cup of spinach will credit for ¼ cup of Vegetables.

https://www.oregon.gov/ode/students-and-family/childnutrition/MemoDocuments/Offer%20Versus%20Serve%20Handout.pdf https://www.fns.usda.gov/tn/serving-milk-cacfp https://www.fns.usda.gov/tn/grain-based-desserts-cacfp https://www.fns.usda.gov/tn/grain-based-desserts-cacfp https://www.oregon.gov/ode/students-and-family/childnutrition/cacfp/Documents/CACFP16-2017_Exhibit%20A%20Only_Accessible.pdf https://www.fns.usda.gov/tn/using-ounce-equivalents-grains-cacfp https://www.oregon.gov/ode/students-and-family/childnutrition/MemoDocuments/Offer%20Versus%20Serve%20Handout.pdf

Attachment A (continued): MINIMUM FOOD SPECIFICATIONS

CACFP Meals for Adults in Care

Breakfast: Serve all 3 components for a reimbursable Breakfast1

Food Components and Food Items Minimum Serving Sizes

Fluid Milk2 8 fl. oz. (1 cup)

Vegetables, Fruits, or portions of both3 ½ cup

Grains4, using ounce equivalent (oz. eq.)5 2 oz. eq.

Bread, Biscuit, or Roll 56 grams

Waffle, Pancake, Croissant 68 grams

Oatmeal and other cooked cereal grains6 1 cup cooked

Cereal, Ready-to-Eat Flakes or Rounds6 2 cups

Cereal, Ready-to-Eat Granola6 ½ cup

Cereal, Ready-to-eat Puffed6 2 ½ cups

Snack: Select 2 of the 5 components for a reimbursable snack7

Fluid Milk2 8 fl. oz. (1 cup)

Meat or Meat Alternate (M/MA) 1 oz. eq.

Cheese 1 oz.

Cottage Cheese 2 oz. or ¼ cup

Peanut butter or other nut/seed butters 2 Tbsp.

Yogurt (including soy yogurt)8 4 oz. (½ cup)

Vegetables3 ½ cup

Fruits3 ½ cup

Grains4, using ounce equivalent (oz. eq.) 5 1 oz. eq.

Bread, Biscuit, or Roll 28 grams

Cracker, Graham (about 5” by 2½”) 28 grams/ 2 crackers

Crackers (various) 22 grams

Lunch or Supper: Serve all 5 components for a reimbursable Lunch or Supper9

Fluid Milk2,10 8 fl. oz. (1 cup)

Meat or Meat Alternate (M/MA) 2 oz. eq.

Lean meat, poultry, or fish 2 oz. eq.

Tofu11 4.4 oz. or ½ c

Cheese 2 oz.

Large egg 1 egg

Cooked dry beans/peas ½ cup

Peanut butter or other nut/seed butters 4 Tbsp.

Peanuts, soy nuts, tree nuts, or seeds (may only credit up to 50% M/MA) 1 oz. – 50%

Vegetables3, 12, 13 ½ cup

Fruits3 ½ cup

Grains4, using ounce equivalent (oz. eq.) 5 2 oz. eq.

Bread, Biscuit, or Roll 56 grams

Pasta, Rice, or Grits 56 grams dry/1 cup cooked

Tortilla, Soft, Flour or Corn 56 grams

Insert LEA Name Page 1 of 20 Agency Form Updated June 2019

CACFP Meals for Adults

1 All three components must be served for a reimbursable breakfast. Meat and Meat Alternates (M/MA) may be used to meet the entire grains component requirement a maximum of three times a week at breakfast. One ounce equivalent of M/MA is equal to one ounce equivalent of Grains. Offer Versus

Serve is an option.

2 Milk type served must be unflavored low-fat (1%) or fat-free (skim) milk, or flavored fat-free (skim) milk for adult participants. For adult CACFP participants, 6 ounces (weight) or ¾ cup (volume) yogurt may be used to meet the equivalent of 8 ounces fluid milk once per day when yogurt is not served as a meat alternate in the same meal. Water is recommended at meals or snacks when yogurt is substituted for milk. Refer to the ODE CNP Meal Accommodations and Modifications page for more information on Nutritionally Equivalent Milk Substitutes and Medically-Required Accommodations.

3 Pasteurized 100% juice may only be used to meet the vegetable or fruit requirement one time per day.

4 At least one serving of grains per day must be whole-grain rich across all meals and snacks served at each site. Grain- based desserts do not count towards meeting the Grains component requirement.

5 Ounce equivalent serving sizes will be used to determine the quantity of creditable grains starting

October 1, 2021. One ounce equivalent serving size is equal to one serving size. See Exhibit A for comparisons between the previous serving sizes and ounce equivalents. For more sample serving sizes and an explanation of ounce equivalent measurements, refer to the ‘Using Ounce Equivalents for

Grains in the CACFP Worksheet.’

6 Breakfast cereals must be whole grain-rich, fortified, or enriched, and contain no more than 6 grams of sugar per dry ounce (no more than 21 grams Total Sugars per 100 grams of dry cereal). Refer to the Cereal Sugar Limit Wallet Card and the WIC Cereal List.

7 Only one of the two required components for snack may be a beverage. Offer versus serve is not an option for snack. 8 Yogurt must contain no more than 23 grams of total sugars per 6 ounces. Refer to the Yogurt Sugar Limit Wallet Card. 9 All five components must be served for a reimbursable lunch and/or supper. Offer Versus Serve is an option.

10Fluid milk is optional at supper only for adult participants.

11Tofu must contain at least 5 grams of protein for every 2.2 oz (¼ cup) serving.

12Lunch and supper must include one Fruit and one Vegetable OR two Vegetables. When two

Vegetables are served, two different kinds of vegetables must be served.

13Leafy greens, such as lettuce or spinach, only credit for half of the volume served. ½ cup of spinach will credit for ¼ cup of Vegetables.

https://www.oregon.gov/ode/students-and-family/childnutrition/MemoDocuments/Offer%20Versus%20Serve%20Handout.pdf https://www.oregon.gov/ode/students-and-family/childnutrition/MemoDocuments/Offer%20Versus%20Serve%20Handout.pdf https://www.fns.usda.gov/tn/serving-milk-cacfp https://www.oregon.gov/ode/students-and-family/childnutrition/Pages/MealAccommodationsandModifications.aspx https://www.oregon.gov/ode/students-and-family/childnutrition/Pages/MealAccommodationsandModifications.aspx https://www.fns.usda.gov/tn/grain-based-desserts-cacfp https://www.fns.usda.gov/tn/grain-based-desserts-cacfp https://www.oregon.gov/ode/students-and-family/childnutrition/cacfp/Documents/CACFP16-2017_Exhibit%20A%20Only_Accessible.pdf https://www.fns.usda.gov/tn/using-ounce-equivalents-grains-cacfp https://www.fns.usda.gov/tn/using-ounce-equivalents-grains-cacfp https://www.oregon.gov/ode/students-and-family/childnutrition/MemoDocuments/Offer%20Versus%20Serve%20Handout.pdf

Insert LEA Name Page 2 of 20

Grain Requirements For Child Nutrition Programs1, 2

Color Key: Footnote 5 = Blue, Footnote 3 or 4 = Red

Group A Ounce Equivalent (oz eq) for Group A Minimum Serving Size for Group A

Bread type coating Bread sticks

(hard) Chow Mein noodles

Savory Crackers (saltines and snack crackers) Croutons

Pretzels (hard)

Stuffng (dry) Note: weights apply to bread in stuffng

1 oz eq = 22 gm or 0.8 oz 3/4 oz eq = 17 gm or 0.6 oz 1/2 oz eq = 11 gm or 0.4 oz 1/4 oz eq

= 6 gm or 0.2 oz

1 serving = 20 gm or 0.7 oz 3/4 serving = 15 gm or 0.5 oz 1/2 serving = 10 gm or 0.4 oz 1/4 serving = 5 gm or

0.2 oz

Group B Ounce Equivalent (oz eq) for Group B Minimum Serving Size for Group B

Bagels

Batter type coating Biscuits

Breads - all (for example sliced, French, Italian) Buns

(hamburger and hot dog)

Sweet Crackers5 (graham crackers - all shapes, animal crackers)

Egg roll skins English muffns

Pita bread Pizza crust

Pretzels (soft) Rolls

Tortillas Tortilla chips

Taco shells

1 oz eq = 28 gm or 1.0 oz 3/4 oz eq = 21 gm or 0.75 oz 1/2 oz eq = 14 gm or 0.5 oz 1/4 oz eq

= 7 gm or 0.25

1 serving = 25 gm or 0.9 oz 3/4 serving = 19 gm or 0.7 oz 1/2 serving = 13 gm or 0.5 oz 1/4 serving = 6 gm or

0.2 oz

Group C Ounce Equivalent (oz eq) for Group C Minimum Serving Size for Group C

Cookies3 (plain - includes vanilla wafers) Cornbread

Corn muffns Croissants

Pancakes

Pie crust (dessert pies3, cobbler3, fruit turnovers4, and meats/meat alternate pies)

Waffes

1 oz eq = 34 gm or 1.2 oz 3/4 oz eq = 26 gm or 0.9 oz 1/2 oz eq = 17 gm or 0.6 oz 1/4 oz eq

= 9 gm or 0.3 oz

1 serving = 31 gm or 1.1 oz 3/4 serving = 23 gm or 0.8 oz 1/2 serving = 16 gm or 0.6 oz 1/4 serving = 8 gm or

0.3 oz

Group D Ounce Equivalent (oz eq) for Group D Minimum Serving Size for Group D

Doughnuts4 (cake and yeast raised, unfrosted) Cereal bars, breakfast bars, granola bars4 (plain) Muffns (all, except corn)

Sweet roll4 (unfrosted)

Toaster pastry4 (unfrosted)

1 oz eq = 55 gm or 2.0 oz 3/4 oz eq = 42 gm or 1.5 oz 1/2 oz eq = 28 gm or 1.0 oz 1/4 oz eq

= 14 gm or 0.5 oz

1 serving = 50 gm or 1.8 oz 3/4 serving = 38 gm or 1.3 oz 1/2 serving = 25 gm or 0.9 oz 1/4 serving = 13 gm or

0.5 oz

1 In the NSLP and SBP (grades K-12), at least half of the weekly grains offered must meet the whole grain-rich criteria and the remaining grain items offered must be made from whole-grain four, whole-grain meal, corn masa, masa harina, hominy, enriched four, enriched meal, bran, germ, or be an enriched product, such as enriched bread, or a fortifed cereal. Please note:

State agencies have the discretion to set stricter requirements than the minimum nutrition standards for school meals. For additional guidance, please contact your State agency. For all other Child Nutrition Programs, grains must be made from whole-grain four, whole-grain meal, corn masa, masa harina, hominy, enriched four, enriched meal, bran, germ, or be an enriched product, such as enriched bread, or a fortifed cereal. Under the CACFP child and adult meal patterns, and in the

NSLP/SBP preschool meals, at least one grains serving per day must meet whole grain-rich criteria.

2 For the NSLP and SBP (grades K-12), grain quantities are determined using ounce equivalents (oz eq). All other Child

Nutrition Programs determine grain quantities using grains/breads servings. Beginning Oct. 1, 2021, grain quantities in the

CACFP and NSLP/SBP infant and preschool meals will be determined using oz eq. Some of the following grains may contain more sugar, salt, and/or fat than others. This should be a consideration when deciding how often to serve them.

3 Allowed in NSLP (up to 2.0 oz eq grain-based dessert per week in grades K-12) as specifed in §210.10 and at snack service in SFSP. Considered a grain-based dessert and cannot count towards the grains component in CACFP or NSLP/SBP infant and preschool meals as specifed in §§226.20(a)(4) and 210.10.

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4 Allowable in NSLP (up to 2.0 oz eq grain-based dessert per week for grades K-12) as specifed in §210.10. May count towards the grains component in SBP (grades K-12) and at snack and breakfast meals in SFSP. Considered a grain-based dessert and cannot count towards the grains component in the CACFP and NSLP/SBP infant and preschool meals as specifed in §§226.20(a)(4) and 210.10.

5 Allowed in NSLP (up to 2.0 oz eq grain-based dessert per week in grades K-12) as specifed in §210.10. May count toward the grains component in the SBP (grades K-12), CACFP, NSLP/SBP infant and preschool meals, and SFSP.

Group E Ounce Equivalent (oz eq) for Group E Minimum Serving Size for Group E

Cereal bars, breakfast bars, granola bars4 (with nuts, dried fruit, and/or chocolate pieces) Cookies3 (with nuts, raisins, chocolate pieces and/or fruit purees)

Doughnuts4 (cake and yeast raised, frosted or glazed) French toast

Sweet rolls4 (frosted)

Toaster pastry4 (frosted)

1 oz eq = 69 gm or 2.4 oz 3/4 oz eq = 52 gm or 1.8 oz 1/2 oz eq = 35 gm or 1.2 oz 1/4 oz eq = 18 gm or

0.6 oz

1 serving = 63 gm or 2.2 oz 3/4 serving =

47 gm or 1.7 oz 1/2 serving = 31 gm or 1.1 oz 1/4 serving = 16 gm or 0.6 oz

Group F Ounce Equivalent (oz eq) for Group F Minimum Serving Size for Group F

Cake3 (plain, unfrosted) 1 oz eq = 82 gm or 2.9 oz 1 serving = 75 gm or 2.7 oz

Coffee cake4 3/4 oz eq = 62 gm or 2.2 oz 3/4 serving = 56 gm or 2 oz

1/2 oz eq = 41 gm or 1.5 oz 1/2 serving = 38 gm or 1.3 oz 1/4 oz eq = 21 gm or 0.7 oz 1/4 serving = 19 gm or 0.7 oz

Group G Ounce Equivalent (oz eq) for Group G Minimum Serving Size for Group G

Brownies3 (plain) 1 oz eq = 125 gm or 4.4 oz 1 serving = 115 gm or 4 oz

Cake3 (all varieties, frosted) 3/4 oz eq = 94 gm or 3.3 oz 3/4 serving = 86 gm or 3 oz 1/2 oz eq = 63 gm or 2.2 oz 1/2 serving = 58 gm or 2 oz 1/4 oz eq = 32 gm or 1.1 oz 1/4 serving = 29 gm or 1 oz

Group H Ounce Equivalent (oz eq) for Group H Minimum Serving Size for Group H

Cereal Grains (barley, quinoa, etc.) 1 oz eq = 1/2 cup cooked 1 serving = 1/2 cup cooked

Breakfast cereals (cooked)6,7 or 1 ounce (28 gm) dry or 25 gm dry

Bulgur or cracked wheat

Macaroni (all shapes)

Noodles (all varieties)

Pasta (all shapes)

Ravioli (noodle only)

Rice

Group I Ounce Equivalent (oz eq) for Group I Minimum Serving Size for Group I

Ready to eat breakfast cereal (cold, dry)6,7 1 oz eq = 1 cup or 1 ounce 1 serving = 3/4 cup or 1 oz, for flakes and rounds whichever is less 1 oz eq = 1.25 cups or 1 ounce for puffed cereal

1 oz eq = 1/4 cup or 1 ounce for granola

3 Allowed in NSLP (up to 2.0 oz eq grain-based dessert per week in grades K-12) as specifed in §210.10 and at snack service in SFSP. Considered a grain-based dessert and cannot count towards the grains component in CACFP or NSLP/SBP infant and preschool meals as specifed in §§226.20(a)(4) and 210.10.

4 Allowable in NSLP (up to 2.0 oz eq grain-based dessert per week for grades K-12) as specifed in §210.10. May count towards the grains component in SBP (grades K-12) and at snack and breakfast meals in SFSP. Considered a grain-based dessert and cannot count towards the grains component in the CACFP and NSLP/SBP infant and preschool meals as specifed in §§226.20(a)(4) and 210.10.

6 Refer to program regulations for the appropriate serving size for supplements served to children aged 1 through 5 in the

NSLP; breakfast served in the SBP, and meals served to children ages 1 through 5 and adult participants in the CACFP.

Breakfast cereals are traditionally served as a breakfast menu item but may be served in meals other than breakfast.

7 In the NSLP and SBP, cereals that list a whole grain as the frst ingredient must be fortifed, or if the cereal is 100 percent whole grain, fortifcation is not required. For all Child Nutrition Programs, cereals must be whole-grain, enriched, or fortifed; cereals served in CACFP and NSLP/SBP infant and preschool meals must contain no more than 6 grams of sugar per dry ounce.

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ATTACHMENT B

Certificate of Independent Price Determination

Both the Local Educational Agency (LEA) and Food Service Management Company (offeror) shall execute this

Certificate of Independent Price Determination.

NAME OF FOOD SERVICE MANAGEMENT COMPANY NAME OF LOCAL EDUCATIONAL AGENCY

(A) By submission of this offer, the offeror certifies, and in the case of a joint offer, each party thereto certifies as to its own organization, that in connection with this procurement:

(1) The prices in this offer have been arrived at independently, without consultation, communication or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other offeror or with any competitor;

(2) Unless otherwise required by law, the prices which have been quoted in this offer have not been knowingly disclosed by the offeror and will not knowingly be disclosed by the offeror prior to opening in the case of an advertised procurement or prior to award in the case of a negotiated procurement, directly or indirectly to any other offeror or to any competitor; and

(3) No attempt has been made or will be made by the offeror to induce any person or firm to submit or not to submit, an offer for the purpose of restricting competition.

(B) Each person signing this offer on behalf of the Food Service Management Company certifies that:

(1) He or she is the person in the offeror's organization responsible within the organization for the decision as to the prices being offered herein and has not participated, and will not participate, in any action contrary to (A)(1) through (A)(3) above; or

(2) He or she is not the person in other offeror's organization responsible within the organization for the decision as to the prices being offered herein, but that he or she has been authorized in writing to act as agent for the persons responsible for such decision in certifying that such persons have not participated and will not participate, in any action contrary to (A)(1) through (A)(3) above, and as their agent does hereby so certify; and he or she has not participated, and will not participate, in any action contrary to (A)(1) through (A)(3) above.

To the best of my knowledge, this Food Service Management Company, its affiliates, subsidiaries, officers, directors and employees are not currently under investigation by any governmental agency and have not in the last three years been convicted or found liable for any act prohibited by State or Federal law in any jurisdiction, involving conspiracy or collusion with respect to bidding on any public contract, except as follows:

SIGNATURE OF FSMC AUTHORIZED REPRESENTATIVE TITLE DATE

In accepting this offer, the LEA certifies that no representative of the LEA has taken any action that may have jeopardized the independence of the offer referred to above.

SIGNATURE OF LEA AUTHORIZED REPRESENTATIVE TITLE DATE

Insert LEA Name Page 5 of 20

ATTACHMENT C

Clean Air and Water Certificate

NOTE: This certificate must be completed for all new and renewal contract years when the contract exceeds $100,000.

Applicable if the contract exceeds $100,000 or the Contracting Officer has determined that the orders under an indefinite quantity contract in any one year will exceed $100,000 or a facility to be used has been the subject of a conviction under the Clean Air Act (41 U.S.C. 1857c-8(c)(1) or the Federal Water Pollution Control Act 33

1319(d) and is listed by EPA or the contract is not otherwise exempt. Both the Local Educational Agency (LEA) and Food Service Management Company (offeror) shall execute this Certificate.

NAME OF FOOD SERVICE MANAGEMENT COMPANY NAME OF LOCAL EDUCATIONAL AGENCY

THE FOOD SERVICE MANAGEMENT COMPANY AGREES AS FOLLOWS:

A. To comply with all the requirements of Section 114 of the Clean Air Act, as amended (41 U.S.C. 1857, et seq., as amended by Public Law 91-604) and Section 308 of the Federal Water Pollution Control Act (33

U.S.C. 1251, et seq., as amended by Public Law 92-500), respectively, relating to inspection, monitoring, entry, reports and information as well as other requirements specified in Section 114 and Section 308 of the Air Act and the Water Act, respectively, and all regulations and guidelines issued thereunder before the award of this contract.

B. That no portion of the work required by this prime contract will be performed in a facility listed on the

Environmental Protection Agency List of Violating Facilities on the date when this contract was awarded unless and until the EPA eliminates the name of such facility or facilities from such listing.

C. To use his/her best efforts to comply with clean air standards and clean water standards at the facilities in which the contract is being performed.

D. To insert the substance of the provisions of this clause in any nonexempt subcontract, including this paragraph.

THE TERMS IN THIS CLAUSE HAVE THE FOLLOWING MEANINGS:

A. The term "Air Act" means the Clean Air Act, as amended (41 U.S.C. 1957 et seq., as amended by Public

Law 91-604).

B. The term "Water Act" means Federal Water Pollution Control Act, as amended (33 U.S.C. 1251 et seq., as amended by Public Law 92-500).

C. The term "Clean Air Standards" means any enforceable rules, regulations, guidelines, standards, limitations, orders, controls, prohibitions, or other requirements which are contained in, issued under, or otherwise adopted pursuant to the Air Act or Executive Order 11738, an applicable implementation plan as described in section 110(d) of the Clean Air Act (42 U.S.C. 1957c-5(d)), an approved implementation procedure or plan under Section 111(c) or Section 111(d), respectively, of the Air Act (42 U.S.C. 1857c-

6(c) or (d)), or approved implementation procedure under Section 112(d) of the Air Act (42 U.S.C. 1857c-

7(d)).

Insert LEA Name Page 6 of 20

D. The term "Clean Air Standards" means any enforceable limitation, control, condition, prohibition, standard, or other requirement which is promulgated pursuant to the Water Act or contained in a permit issued to a discharger by the Environmental Protection Agency or by a State under an approved program, as authorized by Section 402 of the Water Act (33 U.S.C. 1342) or by local government to ensure compliance with pretreatment regulations as required by Section 307 of the Water Act (33 U.S.C. 1317).

E. The term "Compliance" means compliance with clean air or water standards. Compliance shall also mean compliance with a schedule or plan ordered or approved by a court of competent jurisdiction, the

Environmental Protection Agency or an Air or Water Pollution Control Agency in accordance with the requirements of the Air Act or Water Act and regulations issued pursuant thereto.

F. The term "facility" means any building, plant, installation, structure, mine, vessel, or other floating craft, location or sites of operations, owned, leased or supervised by the Food Service Management Company.

SIGNATURE/TITLE OF FSMC AUTHORIZED REPRESENTATIVE DATE

SIGNATURE/TITLE OF LEA AUTHORIZED REPRESENTATIVE DATE

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ATTACHMENT D

Certification Regarding Lobbying Disclosure of Lobbying Activities

(Complete the form that is applicable.)

NOTE: This certificate must be completed for all new and renewal contract years when the contract exceeds $100,000.

Applicable to Grants, Subgrants, Cooperative Agreements, and Contracts Exceeding $100,000 in Federal Funds.

Submission of this certification is a prerequisite for making or entering into this transaction and is imposed by section 1352, Title 31, U.S. Code. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of

Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the making of a Federal loan, the entering into a cooperative agreement, and the extension, continuation, renewal, amendment, or modification of a Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all covered subawards exceeding $100,000 in Federal funds at all appropriate tiers and that all subrecipients shall certify and disclose accordingly.

Name/Address of Organization

Name/Title of Submitting Official

Signature Date

Insert LEA Name Page 8 of 20

ATTACHMENT D (Continued)

DISCLOSURE OF LOBBYING ACTIVITIES

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352

1. Type of Federal Action: _____

a. contract

b. grant

c. cooperative agreement

d. loan

e. loan guarantee

f. loan insurance

2. Status of Federal Action: _____

a. bid/offer/application

b. initial award

c. post-award

3. Report Type: _____

a. initial filing

b. material change

For Material Change Only:

Year _____

Quarter _____ Date of Last Report _________

4. Name and Address of Reporting Entity:

_____Prime _____Subawardee Tier ____, if known:

Congressional District, if known:

5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of

Prime:

Congressional District, if known:

6. Federal Department/Agency: 7. Federal Program Name/Description:

CFDA Number, if applicable: ________________

8. Federal Action Number, if known: 9. Award Amount, if known:

10a. Name and Address of Lobbying Entity:

(if individual, last name, first name, middle)

10b. Individuals Performing Services (include address if different from 10a.)

(last name, first name, middle)

11. Amount of Payment (check all that apply):

___ Actual ___ Planned

12. Type of payment (check all that apply):

___ a. retainer ___ b. one-time fee

___ c. commission

___ d. contingent fee ___ e. deferred

___ f. other; specify: ____________________________________

13. Form of Payment (check all that apply):

___ a. cash

___ b. in-kind; specify:

Nature __________________________ Actual __________________________

14. Continuation Sheet(s) SF-LLL-A Attached:

Yes_____ (Number ________)

No _____

15. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or member(s) contracted for

Payment indicated in Item 11:

Attach Continuation Sheet(s) SF-LLL-A (if necessary)

16. Information requested through this form is authorized by Title 31

U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into.

This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Signature: _____________________________________________________

Print Name: ___________________________________________________

Title: _________________________________________________________

Telephone: ____________________________________________________

Date: _________________________________________________________

Federal Use Only: Authorized for Local Reproduction

Standard Form -- LLL

Insert LEA Name Page 9 of 20

ATTCHMENT D (Continued)

DISCLOSURE OF LOBBYING ACTIVITIES

Reporting Entity:______________________________________________Page_________of__________

Insert LEA Name Page 10 of 20

ATTACHMENT D (Continued)

CONTINUATION SHEET SF-LLL-A

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered

Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of

Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. If the space on the form is inadequate, use of SF-LLL-A Continuation Sheet for additional information. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.

4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.

5. If the organization filing the report in item 4 checks "Subawardee", then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known.

6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard.

7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic

Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.

8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP)

Number, Invitation for Bid (IFB) Number; grant announcement number; the contract, grant or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."

9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.

10(a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influence the covered Federal action.

10(b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a). Enter Last Name, First Name, and Middle Initial (MI).

11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10).

Indicate whether the payment has been made (actual) or will be made (planned). Check all that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made.

12. Check type of payment. Check all that apply.

13. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check all that apply. If other, specify nature.

14. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached. If yes, list number of sheets attached.

15. Provide a specific and detailed description…