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HomeMy WebLinkAboutR-2005-055 Summerfood Program RESOLUTION NO. 2005-055 -;� A RESOLUTION OF THE CITY OF DANIA BEACH, FLORIDA, AUTHORIZING THE PROPER CITY OFFICIALS TO APPLY FOR, ACCEPT IF AWARDED, AND EXECUTE AN AGREEMENT WITH THE FLORIDA DEPARTMENT OF EDUCATION UNDER THE 2004 SUMMER FOOD PROGRAM, PERTAINING TO A PROPOSED AGREEMENT BETWEEN THE BROWARD COUNTY SCHOOL BOARD AND THE CITY OF DANIA BEACH, IN CONJUNCTION WITH THE GRANT AWARD, TO PROVIDE BREAKFASTS, LUNCHES AND TWO SNACKS PER DAY DURING THE 2005 SUMMER CAMP PROGRAMS AT C.W. THOMAS PARK, FROST PARK AND P.J. MELI PARK, UNDER THE SUPERVISION OF THE CITY OF DANIA BEACH PARKS AND RECREATION DEPARTMENT; CONFIRMING THAT SPECIAL CONDITIONS EXIST IN ORDER TO SECURE SUCH SERVICES WITH THE BROWARD COUNTY SCHOOL BOARD, WITHOUT COMPETITIVE BIDDING AND WITHOUT ADVERTISEMENT FOR BIDS; PROVIDING FOR CONFLICTS; FURTHER, PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the Charter of the City of Dania Beach, Part III, Article 3, Section 4, Subsection 0), provides that during unusual conditions or emergencies, the City Commission may, by resolution, authorize the purchase by the City Manager of designated supplies, services, equipment and materials in amounts in excess of fifteen thousand dollars ($15,000.00) without competitive bids and without advertisement for bids; and WHEREAS, the City Manager has determined that it is advantageous for the City of Dania Beach to apply for funding through the Florida Department of Education 2005 Summer Food Program grant; and WHEREAS, specific requirements of the grant must be met and these services can be provided by the Broward County School Board for the 2005 Summer Camp Programs; and WHEREAS, this grant will provide breakfasts, lunches and two snacks each day to a total of 225 children at C.W. Thomas Park, Frost Park and P.J. Meli Park; and WHEREAS, the City Manager has determined that the contract with the Broward County School Board will be contingent upon an award of the Florida Department of Education 2005 Summer Food Program grant and will be for the term of June, 2005 to August, 2005; NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE ,10 CITY OF DANIA BEACH, FLORIDA: Section 1. That the City Commission of the City of Dania Beach, Florida, approves the application, acceptance if awarded, and execution of the Florida Department of Education 2005 Summer Food Program grant in conjunction with an Agreement to be executed by the City with the Broward County School Board for breakfasts, lunches and two snacks per day at C.W. Thomas Park, Frost Park and P.J. Meli Park for the summer camp programs. Section 2. That the proper City Officials are authorized to execute the grant Agreement, if awarded, and, subsequently, the Agreement with the Broward County School Board and the City Manager and City Attorney are authorized to make minor revisions to such Agreements as are deemed necessary and proper and in the best interest of the City. Section 3. That upon execution of the grant agreement and an agreement with Broward County School Board, the Finance Director is authorized to appropriate the budget by the award amount in both the grant revenue and the expenditure accounts. Section 4. That all resolutions or parts of resolutions in conflict with this Resolution are repealed to the extent of such conflict. • Section 5. That this Resolution shall be in force and take effect immediately upon its passage and adoption. PASSED AND ADOPTED on April 12, 2005. 0n.._.c." ANNE CASTRO MAYOR—COMMISSIONER ATTEST: ROLL CALL: �Q COMMISSIONER ANTON - YES COMMISSIONER BERTINO—YES LOUISE.STILSON COMMISSIONER MCELYEA - YES CITY CLERK VICE-MAYOR FLURY - YES MAYOR CASTRO - YES APPROVED AS UFOAND CORRECTNESS: BY: TIAOM S J. ANSBRO CITY ATTORNEY 2 RESOLUTION#2005-055 f SUMMER FOOD SERVICE AGREEMENT THIS AGREEMENT is made and entered into as of this � t O S by and between THE SCHOOL BOARD OF BROWARD COUNTY,FLORIDA (hereinafter referred to as"SBBC"), a body corporate and political subdivision of the State of Florida, whose principal place'of business is 600 Southeast Third Avenue,Fort Lauderdale,Florida 33301 and CITY OF DANIA BEACH (Hereinafter referred to as"CITY"), a municipal corporation of the State of Florida.. WHEREAS, the CITY is desirous of obtaining food services for" a Summer Food Program (hereinafter referred to as "Program") from SBBC and SBBC is willing to provide such services. NOW, THEREFORE, in consideration of the premises and of the mutual covenants contained herein and the sum of Ten Dollars ($10.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged,the Parties hereby agree as follows: • ARTICLE 1 -RECITALS 1.01 Recitals. The Parties agree that the foregoing recitals are true and correct and that such recitals are incorporated herein by reference. ARTICLE 2- SPECIAL CONDITIONS 2.01 Effective Date. The effective date of this Agreement shall be June 6, 2005. 2.02 Term. The term of this Agreement shall be from June 6, 2005 through July 22,2005. 2.03 1\7eals ProNjded.SBBC will provide the CITY meals that meet the minimum meal pattern requirements for the Program as to components and portion sizes. The meals will be delivered by SBBC in a timely manner to the sites listed on Exhibit"Al'. 2.04 Meal Pales. SBBC will deliver unitized meals, inclusive of milk, to the CITY for the following rates: Breakfast: $l.25 per meal. Lunch: $2.30 per meal. • Snack: $ .55 per meal. 1 4 i 2.05 Meal Reports. SBBC's Food and Nutrition Services Department will maintain full and accurate records specifying menu records and identifying the amount of food prepared and the daily number of meals delivered by type. SBBC will provide meal reports to the CITY promptly at the end of each month. SBBC will retain such records for a period of three(3) years from the date of receipt of final payment under this agreement (or longer, if SBBC has been notified of an audit in progress). Upon request, SBBC will make all accounts and records pertaining to the Program available to representatives of the United States Department of Agriculture and the General Accounting Office for audit or administrative review at a reasonable time and place. 2.06 Meal Invoices. SBBC's School Food Accounting Department will send an invoice to the CITY each month setting forth the amounts payable to SBBC for the meals provided. The invoice shall be based upon food delivery reports generated by SBBC's Food and Nutrition Services Department. The CITY will pay SBBC the invoiced amount within ten(10) days of receipt of the invoice. SBBC's records regarding the.delivery of meals and the CITY's Program participation shall be open to inspection and audit by the CITY and its designees upon reasonable advance notice. 2.07 Audits. With regard to any inspection or audit .of records pursuant to this Agreement, each party agrees that the other party and its designee(s) shall have full access to inspect and copy any records reasonably necessary for the conduct of such inspection and audit. Such inspection shall be conducted at the place where such records are usually kept and during normal business hours. The Parties agree that all records maintained concerning the duties, responsibilities and obligations imposed under this Agreement shall be kept in Broward County, Florida. Each party agrees to provide a reasonable sufficient workspace for the use of the inspecting or auditing party's personnel during such inspection or audit. Each • party agrees to cooperate with the inspecting or auditing party and its designee(s) during the course of an inspection or audit. The costs of any such inspection or audit shall be borne by the party requesting the inspection or audit. 2.08 Indemnification. Each party agrees to be fully responsible for its acts of negligence, or its agent's acts of negligence when acting within the scope'of their employment and agrees to be liable for any damages resulting from said negligence. ARTICLE 3- GENERAL CONDITIONS 3.01 No Waiver of Sovereign Immunity. Nothing contained in this Agreement is intended to serve as a waiver of sovereign immunity by any agency to which sovereign immunity may be applicable. 3.02 No Third Party Beneficiaries. The Parties expressly acknowledge that it is not their intent to create or confer any rights or obligations in or upon any third person or entity under this Agreement. None of the parties intend to directly or substantially benefit a third party by this Agreement. The parties agree that there are no third party beneficiaries to this Agreement and that no third party shall be entitled to assert a claim against any of the parties based upon this Agreement. Nothing herein shall be construed as consent by an agency or political subdivision of the State of Florida to be sued by third parties in any manner arising out of any contract. 3.03 Non-Discrimination. The Parties shall not discriminate against any employee or participant in the performance of the duties, responsibilities and obligations under this 2 x 4 a Agreement because of race, age, religion, color, gender, national origin, marital status, disability or sexual orientation. E 3.04 Termination. This Agreement may be canceled by either party during the term hereof upon thirty (30)days written notice to the other parties of its desire to terminate this Agreement. 3.05 Records. Each Party shall maintain its own respective records and documents associated with this Agreement in accordance with the records retention requirements applicable to public records. Each Party shall be responsible for compliance with any public documents request served upon it pursuant to Section 119.07,Florida Statutes, and any resultant award of attorney's fees for non-compliance with that law. 3.06 Entire Agreement. This document incorporates and includes all prior negotiations, correspondence, conversations, agreements and understandings applicable to the matters contained herein and the Parties agree that there are no commitments, agreements or understandings concerning the subject matter of this Agreement that are not contained in this document. Accordingly, the Parties agree that no deviation from the terms hereof shall be predicated upon any prior representations or agreements,' whether oral or written. 3.07 Amendments. No modification,amendment, or alteration in the terms or conditions contained herein shall be effective unless contained in a written document prepared with the same"or similar formality as this Agreement and executed by each party hereto. • 3.08 Preparation of Agreement. The Parties acknowledge that they have sought and obtained whatever competent advice and counsel as was necessary for them to form a full and complete understanding of all rights and obligations herein and that the preparation of this Agreement has been their joint effort. The language agreed to herein expresses their mutual intent and the resulting document shall not, solely as a matter of judicial construction, be construed more severely against one of the parties than the other. 3.09 NVaiver. The parties agree that each requirement, duty and obligation set forth herein is substantial and important to the formation of this Agreement and, therefore, is a material term hereof. Any party's failure to enforce any provision of this Agreement shall not be deemed a waiver of such provision or modification of this Agreement. A waiver of any breach of a provision of this Agreement shall not be deemed a waiver of any subsequent breach and shall not be construed to be a modification of the terms of this Agreement. 3.10 Compliance with Laws. Each party shall comply with all applicable federal and state laws, codes, rules and regulation in performing its duties, responsibilities and obligations pursuant to this Agreement. • 3.11 Governing Law. This Agreement shall be interpreted and construed in accordance with and governed by the laws of the State of Florida. Any controversies or legal problems arising out of this Agreement and any action involving the enforcement 3 or interpretation of any rights hereunder shall be submitted to the jurisdiction of the State tcourts of the Seventeenth Judicial Circuit of Broward County,Florida. • 3.12 Binding Effect. This Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. 3.13 Assignment. Neither this Agreement nor any interest herein may be assigned, transferred or encumbered by any party without the prior written consent of the other party. There shall be no partial assignments of this Agreement including, without limitation,the partial assignment of any right to receive payments from SBBC. 3.14 Force Nlajeure. Neither party shall be obligated to perform any duty, requirement or obligation under this.Agreement if such performance is prevented by fire, hurricane, earthquake, explosion, wars, sabotage, accident, flood, acts of God, strikes, or other labor disputes, riot or civil commotions, or by reason of any other matter or condition beyond the control of either party, and which cannot be overcome by reasonable diligence and without unusual expense ("Force Majeure"). In no event shall a lack of funds on the part of either party be deemed Force Majeure. 3.15 Place of Performance. All obligations of SBBC under the terms of this Agreement are reasonably susceptible of being performed in Broward County, Florida and shall be payable and performable in Broward County, Florida. 3.16 Severability. In case any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, unlawful, unenforceable or void in any respect, the invalidity, illegality, unenforceability or unlawful or void nature of that provision shall not effect any other provision and this Agreement shall be considered as if such invalid, illegal, unlawful, unenforceable or void provision had never been included herein. 3.17 Notice. When any of the parties desire to give notice to the other, such notice must be in writing, sent by U.S. Mail, postage prepaid, addressed to the party for whom it is intended at the place last specified; the place for giving notice shall remain such until it is changed by written notice in compliance with the provisions of this paragraph. For the present, the Parties designate the following as the respective places for giving notice: To SBBC: Superintendent of Schools The School Board of Broward County, Florida 600 Southeast Third Avenue Fort Lauderdale, Florida 33301 4 With a Copy to: Director of Food and Nutrition Services 7720 West Oakland Park Boulevard, Suite 204 Sunrise,Florida 33351 To CITY: Bonnie Temchuk 100 W. Dania Beach Blvd. Dania Beach,FL 33312 3.18 Captions. The captions, section numbers, article.numbers, title and headings appearing in this Agreement are inserted only as a matter of convenience and in no way define, limit, construe or describe the scope or intent of such articles or sections of this Agreement, nor in any way effect this Agreement and shall not be construed to create a conflict with the provisions of this Agreement. 3.19 Authority. Each person signing this Agreement on behalf of either party individually warrants that he or she has full legal power to execute this Agreement on behalf of the party for whom he or she is signing, and to bind and obligate such party with respect to all provisions contained in this Agreement. 5 IN WITNESS WHEREOF, the Parties hereto have made and executed this Agreement on the date first above written. • FOR SBBC (Corporate Seal) THE SCHOOL BOARD OF BROWARD - COUNTY,F ORIDA By. f ATTEST: p arne a squire, Chair Approved as to Form: Franklin L.T 1,Jr. u of Schools Robert Paul Vignola School Board Attorn' • 6 FOR CITY F� (Corporate Seal) CITY OF DANIA BEACH ATTEST: Anne Castro, /L-S' van Pit City, an /� (Pl ase Print) 1 A orn (Signature) Louise Stilson,City Clerk -OR ness (please print) _ ( Ignature) Witness (please print) (Signature) The Following Notarization is Required for Every Agreement Without Regard.to • Whether the School Chose to Use a Secretary's Attestation or Two (2)«'itnesses. STATE OF 0 v I-'cl A` COUNTY OF F--') The foregoing instrument was acknowledged before me this 1 day of � ) 20Q by I A f rt s,K- .e h of Name of Person De-, r,► c,,— on behalf of the corporation/agency. ame of Corporation or Agency He/She is personally known to me or produced P Or-,ve,-S L,-N c.- as Type of identification identification and did/did not first take an oath. My Commission Expires: - Si tune—Notary Public �b 1'1�Q I S• � � f -� (SEAL) Printed Name of Notary DID ► %C �- s"""" JANET S.WHITE Notary's Commission No. MY COMMISSION k DD321902 ry EXPIRES:June 02,2008 14W-3-NMA tY n.Navy Disewt A=Co. 7 Exhibit A CITY OF DANIA BEACH P.J. Meli Park 2901'SW 52 Street Dania Beach,FL 33006 C.W. Thomas Park 800 N. W. 2na Street Dania Beach, FL 33004 Frost Park 300 N. E. 2na Street Dania Beach,FL 33004 • 8 THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA 600 SOUTHEAST THIRD AVENUE•FORT LAUDERDALE,FLORIDA 33301-3125•TEL 754-321-0000 Barbara Leslie,R.D. SCHOOL BOARD Director Food and Nutrition Services flair STEPHANIE ARMA KRAFT.ESQ 7720 W.Oakland Park Blvd.,#t204 4i,,Chair BENJANUN J.WILLIAMS CAROLE L.ANDREN6 Sunrise,FL 33351 BEVERLY A.GALLAGHER PHONE: 754-321-0215 MAUREEN S.DINNENMARTY RUBINSTEIN FAX: 754-321-0235 ROBERT D.PARKS.Ed.D. DARL.A L.CARTER ROBIN BARTLENIAT' Superintendent of Schools DR.FRANK TILL June 2, 2005 J U N _.. Ms. Bonnie Temchuk City of Dania Recreation Program Manager 100 W. Dania Beach Blvd. Dania, FL 33004 Dear Ms. Temchuk: Enclosed please find the Summer Food Service Agreement for the current year. Please verify receipt of the agreement by contacting Janet White in the Food and Nutrition Services office, at 754-321-0212. Sincerely, 0 Barbara Leslie BL:jw Enclosure „ Transfonning Education:One Student at A Time Broward County Public Schools Is An Equal Oppot7uniiy/Equal Access Emplo.ver Agenda Request Form yy{ fL�FF City of Dania Beach Agenda Item: 7* Date of Commission meeting: 4112/2005 Description of Agenda Item: Florida Department of Education 2005 Summer Food Program Commission action being requested: Adopt Resolution or Ordinance ® Expenditure ❑ Award BID/ RFP ❑ Presentation ❑ General approval of item ❑ Continued from meeting Other(Please explain)' � } ,� Summary explanation and background Staff requests authorization to apply for, accept if award, and have proper City officials execute an agree- ment with the Florida Department of Education for the 2005 Summer Food Program. Staff also requests approval, if funding is awarded, to enter into an agreement with the Broward County School Board to provide prepared breakfasts, lunches and two snacks each day for all three summer camps. The grant will provide all funding necessary for the prepared meals and administrative costs. Attachetl exhibits and additional backup materials (P,lease list): Resolution - paper attachment Florida Department of Education 2005 Summer Food Program - paper attachment School Board of Broward County- paper attachment For purchasing requests ONLY Department: Amount: Fund: General: ❑ Water: ❑ Sewer: ❑ Stormwater: ❑ Grants: ❑ Capital: ❑ Account Name: Account Number: Submitted by: btemchuk Date: 3/30/2005 Department Director: btemchul Date: 3/30/2005 Admin. Services Director: Date: •-. r� r Finance Director: . �' s, t Date: City Manager. / ,�;>' .' �. Date: Florida Department of Education & Session("SponsorTitleDsc") & " SFSP Budget Page 1 of 2 Applications > Applications: 2005 Sponsor Budget Version 0 Agreement Number Sponsor Name 40 4-0993 City of Dania Adult Meat Information Will meals be sold to non-program adults? ( Yes t' No Will meals be provided to program adults? Yes i+ No Operating Reimbursement (Max. Rate) Meal Total Meals" Rate Total Breakfast 15,875 $1.4200 $22,542.50 Lunch 15,875 $2.4800 $39,370.00 Snack 31,750 $0.5800 $18,415.00 Supper 0 $2.4800 $0.00 Total $80,327.50 Administrative Reimbursement (Max. Rate) Meal Total Meals" Rate Total Breakfast 15,875 $0.1175 $1,865.31 Lunch 15,875 $0.2150 $3,413.13 Snack 31,750 $0.0550 $1,746.25 Supper 0 $0.2150 $0.00 Total $7,024.69 Operating Costs Food Cost: $ 0.00 16Food Supplies Cost: $ 0.00 tracted Food Costs: $ 76,725.00 Operational Personnel (Prep, Serving, Supervision and Clean-Up): $4,224.00 Facility Expenses: $ 0.00 Equipment Rental: $ 900.00 Transportation : $ 0.00 Cost for program adult meals: $ 0.00 Other: $ 0.00 Total Operating Costs $81,849.00 Administrative Costs Management Salary: $704.00 Monitor Salary: $4,224.00 Clerical Support Salary: $2,112.00 Printing, Postage, Phone: $ 0.00 Office Supplies: $ 0.00 Communication: $ 0.0D Transportation: $ 0.00 Audit Costs/ Legal Fees: $ 0.00 Other: $ 0.00 Total Administrative Costs $7,040.00 Projected Reimbursement Operational $80,327.50 Administrative $7,024.69 Total Projected Reimbursement $87,352.19 http://fnmcnpwebprd.fldoe.org/floridaprd/Sfsp/BudgetDetail.asp?Menultemld=21&Mode=V&BdgtSy sge... 3/30/2005 Florida Department of Education & Session("SponsorTitleDsc") & " SFSP Budget Page 2 of 2 *Meal information displayed is based on application values from the last time the budget was saved. Created By: 04-0993 on: 03/25/2005 Modified By: 04-0993 on: 03/25/2005 q < Back Back to Budget List. T5093 • http://fnmcnpwebprd.fldoe.org/floridaprd/Sfsp/BudgetDetail.asp?Menultemld=2l&Mode=V&BdgtSysge... 3/30/2005 Florida Department of Education & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 1 of 9 Agreement Number Sponsor Name Site Number Site Name 04-0993 City of Dania 0001 Frost Park *eet Address 1. Address l: 300 NE 2 Street 2. Address 2: 3. City: Dania Beach County: BROWARD State: FL Zip: 33004 4. Is this site: I± Urban (7� Rural 5. Is this Site New: is Yes (7 No Note: a new site is one that did not operate last summer or one whose address has changed from last summer. Site Supervisor Title First Name Last Name 6. Name: Ms. Terri Weech 7. Email: tweech@ci.dania-beach.fl.us 8. Title: Coordinator 9. Phone: (954) 924-3638 Ext: Fax: (954) 924-3629 Alternate Contact Title First Name Last Name 10. Name: Ms. Ian Fiorey 11. Phone: (954) 924-3694 Ext: Fax: (954) 924-3629 �e Type Indicate Site Type (select one): (t7- Recreation (` School Camps: f7i Residential Camp (: Non-Residential Camp (` Migrant Church (` Homeless Day Care College Program: ( NYSP (National Youth Sports Program) CROP (College Reach Out Program) (' Upward Bound Eligibility Information 13. Indicate method for determining Site Eligibility (select one): Open Sites (` Open Site Open Restricted Special Restricted Open (` Continuous School Calendar Name of Qualifying School: Dania Elementary School 72.80% Census Tract No. Block Group No. Enrolled Sites r� Closed Enrolled http://fnmcnpwebprd.fldoe.org/floridaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 riorida Department of Education " & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 2 of 9 Income Eligibility Forms are: C` Collected (74' On file (` Other Projected number of children enrolled: 125 Projected number of children eligible for free and reduced 125 meals: Method of Meal Preparation 14. Indicate method for Preparing Meals (select one): Self Prep (' On-Site Self Preparation (' Satellite Self Preparation Vended r School Food Authority Vended (7 Food Service Management Company Vended Site Operating Days and Dates 15. Operating Dates Beginning Date 06/05/2005 Ending Date 08/05/2005 16. Days of the week meals are served Sun Mon Tue Wed Thu Fri Sat r- rR r r r c 17. Number of Operating Days Oct Nov Dec Jan Feb Mar Apr ,May Jun Jul Aug Sep Total 0 0 0 0 0 0 0 0 19 20 5 0 44 9urs Meals Served 18. Times meals are served and Average Daily Attendance Meal Begin End ADA Max Breakfast 07:45 am 08:45 am 125 150 A.M. Snack 125 150 Lunch 12:00 pm 01:00 pm 125 150 P.M. Snack 125 150 Supper 0 Is Sponsor requesting a waiver of the SFSP meal time rules? (7 Yes (±- No If Yes, please describe: Meal Service 19. Meals transported to this site? r Yes C. No If Yes, complete the information below. Food Preparation Facility Name: Hollywood Hills High School Phone: (754) 985-5225 sonnet / Monitoring Information 2 If site is new, Sponsor Representative who conducted pre- Iam Fiorey http://fnmcnpwebprd.fldoe.org/floridaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 1-lorida Department of Education " & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 3 of 9 operational visit: Date of Pre-operational visit: 03/14/2005 • Site Personnel working with the SFSP: Number of Persons ("+ 1-3 > 3 Number of Hours (, 1-4 (:. > 4 Miscellaneous Questions 22. Arrangements have been made for food service during f:`1 Yes C No inclement weather. 23. Food is held at proper temperature or served within one hour 0' Yes (7 No of delivery. 24. Leftovers are refrigerated or returned to preparation kitchen. (Fj Yes (- No 25. Access to means of communication? (7- Yes fi No 26. Site personnel will notify sponsor of necessary meal count or {?7{ Yes C No menu adjustments for sites. Certification F7.� I certify this site has been visited, the information on this form is true and correct to the best of my knowledge and that this site meets eligibility requirements as defined in 7 CFR 225. I understand this information is being given in connection with the receipt of federal funds; and that deliberate misrepresentation may subject me to prosecution under applicable state and federal statutes. Created By: 04-0993 on: 03/25/2005 Modified By: 04-0993 on: 03/25/2005 F2 197 http://fnmcnpwebprd.fldoe.org/florldaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 Florida Department of Education " & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 4 of 9 Agreement Number Sponsor Name Site Number Site Name 04-0993 City of Dania 0002 C.W. Thomas fleet Address 1. Address 1: 800 N.W. 2ND ST. 2. Address 2: 3. City: DANIA County: BROWARD State: FL Zip: 33004 4. Is this site: C!' Urban (7 Rural 5. Is this Site New: (' Yes ' � No Note: a new site is one that did not operate last summer or one whose address has changed from last summer. Site Supervisor Title First Name Last Name 6. Name: Ms. Terri Weech 7. Email: tweech@ci.dania-beach.fl.us 8. Title: Manager 9. Phone: (954) 924-3638 Ext: Fax: (954) 924-3629 Alternate Contact Title First Name Last Name 10. Name: Ms. Ian Fiorey 11. Phone: (954) 924-3694 Ext: Fax: (954) 924-3629 Site Type Indicate Site Type (select one): C= Recreation C' School Camps: Residential Camp (" Non-Residential Camp f Migrant (7 Church (, Homeless ' Day Care College Program: t', NYSP (National Youth Sports Program) C CROP (College Reach Out Program) (', Upward Bound Eligibility Information 13. Indicate method for determining Site Eligibility (select one): Open Sites (.', Open Site (7 Open Restricted (_ Special Restricted Open f' Continuous School Calendar Name of Qualifying School: COLLINS ELEM 89.80% Census Tract No. Block Group No. Enrolled Sites C Closed Enrolled http://fnmcnpwebprd.fldoe.org/floridaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 Florida Department of Education " & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 5 of 9 Income Eligibility Forms are: Collected ( On file ` Other Projected number of children enrolled: 125 Projected number of children eligible for free and reduced 125 meals: Method of Meal Preparation 14. Indicate method for Preparing Meals (select one): Self Prep (; On-Site Self Preparation (7 Satellite Self Preparation Vended 07, School Food Authority Vended (7 Food Service Management Company Vended Site Operating Days and Dates 15. Operating Dates Beginning Date 06/05/2005 Ending Date 08/05/2005 16. Days of the week meals are served Sun Mon Tue Wed Thu Fri Sat t- r r r r r ., 17. Number of Operating Days _Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total 0 0 0 0 0 0 0 0 14 20 5 0 39 tours Meals Served 18. Times meals are served and Average Daily Attendance Meal Begin End ADA Max Breakfast 07:45 am 08:45 am 125 150 A.M. Snack 125 150 Lunch 12:00 pm 01:00 pm 125 150 P.M. Snack 125 150 Supper 0 Is Sponsor requesting a waiver of the SFSP meal time rules? C Yes (7-j No If Yes, please describe: Meal Service 19. Meals transported to this site? t ,= Yes C No If Yes, complete the information below. Food Preparation Facility Name: Hollywood Hills High School Phone: (754) 985-5225 or onnel / Monitoring Information 20• If site is new, Sponsor Representative who conducted pre- http://fnmcnpwebprd.fldoe.org/florldaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 Florida Department of Education & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 6 of 9 t. operational visit: Date of Pre-operational visit: Site Personnel working with the SFSP: Number of Persons (7 1-3 (F, > 3 Number of Hours 0 1-4 t: > 4 Miscellaneous Questions 22. Arrangements have been made for food service during (• Yes t" No inclement weather. 23. Food is held at proper temperature or served within one hour {:: Yes t' No of delivery. 24. Leftovers are refrigerated or returned to preparation kitchen. {: Yes f' No 25. Access to means of communication? (7t Yes C; No 26. Site personnel will notify sponsor of necessary meal count or {:, Yes C, No menu adjustments for sites. Certification rv_� I certify this site has been visited, the information on this form is true and correct to the best of my knowledge and that this site meets eligibility requirements as defined in 7 CFR 225. I understand this information is being given in connection with the receipt of federal funds; and that deliberate misrepresentation may subject me to prosecution under applicable state and federal statutes. Created By: 04-0993 on: 03/25/2005 Modified By: 04-0993 on: 03/25/2005 F2 197 http://fi-imcnpwebprd.fldoe.org/florldaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 Florida Department of Education " & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 7 of 9 Agreement Number Sponsor Name Site Number Site Name 04-0993 City of Dania 0003 Patrick J. Meli Park Iseet Address 1. Address 1: 2901 S.W. 52ND. ST. 2. Address 2: 3. City: DANIA County: BROWARD State: FL Zip: 33004 4. Is this site: 67 Urban (71 Rural 5. Is this Site New: (' Yes (% No Note: a new site is one that did not operate last summer or one whose address has changed from last summer. Site Supervisor Title First Name Last Name 6. Name: Ms. Terri Weech 7. Email: tweech@ci.dania-beach.fl.us S. Title: Coordinator 9. Phone: (954) 924-3694 Ext: Fax: (954) 924-3629 Alternate Contact Title First Name Last Name 10. Name: Ms. Ian Fiorey 11. Phone: (954) 924-3694 Ext: Fax: (954) 924-3629 1W Type Indicate Site Type (select one): Recreation (` School Camps: (" Residential Camp (` Non-Residential Camp ( Migrant (` Church (`, Homeless C< Day Care College Program: (' NYSP (National Youth Sports Program) CROP (College Reach Out Program) Upward Bound Eligibility Information 13. Indicate method for determining Site Eligibility (select one): Open Sites (� Open Site Open Restricted Special Restricted Open Continuous School Calendar Name of Qualifying School: Attucks Middle 72.30% Census Tract No. Block Group No. Enrolled Sites Closed Enrolled http://fnmcnpwebprd.fldoe.org/floridaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 Honda Department of Education & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 8 of 9 Income Eligibility Forms are: ( Collected (' On file e Other Projected number of children enrolled: Projected number of children eligible for free and reduced meals: Method of Meal Preparation 14. Indicate method for Preparing Meals (select one): Self Prep (7 On-Site Self Preparation (, Satellite Self Preparation Vended T7, School Food Authority Vended (` Food Service Management Company Vended Site Operating Days and Dates 15. Operating Dates Beginning Date 06/05/2005 Ending Date 08/05/2005 16. Days of the week meals are served Sun Mon Tue Wed Thu Fri Sat c r: r We 1✓ F 17. Number of Operating Days _Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total 0 0 0 0 0 0 0 0 19 20 5 0 44 Ours Meals Served 18. Times meals are served and Average Daily Attendance Meal Begin End ADA Max Breakfast 07:45 am 08:45 am 125 150 A.M. Snack 125 150 Lunch 12:00 pm 01:00 pm 125 150 P.M. Snack 125 150 Supper 0 Is Sponsor requesting a waiver of the SFSP meal time rules? ("` Yes (± No If Yes, please describe: Meal Service 19. Meals transported to this site? ( Yes (` No If Yes, complete the information below. Food Preparation Facility Name: Hollywood Hills High School Phone: (754) 985-5225 sonnet / Monitoring Information 2 If site is new, Sponsor Representative who conducted pre- http://fnmcnpwebprd.fldoe.org/floridaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 Florida Department of Education " & Session("SponsorTitleDsc") & " SFSP Site Application Print Page 9 of 9 operational visit: Date of Preoperational visit: Site Personnel working with the SFSP: Number of Persons (-: 1-3 (+ > 3 Number of Hours ( 1-4 f > 4 Miscellaneous Questions 22. Arrangements have been made for food service during ( : Yes (7- No inclement weather. 23. Food is held at proper temperature or served within one hour (7- Yes (7 No of delivery. 24. Leftovers are refrigerated or returned to preparation kitchen. 07' Yes (7,, No 25. Access to means of communication? fF Yes t" No 26. Site personnel will notify sponsor of necessary meal count or Yes C, No menu adjustments for sites. Certification r I certify this site has been visited, the information on this form is true and correct to the best of my knowledge and that this site meets eligibility requirements as defined in 7 CFR 225. I understand this information is being given in connection with the receipt of federal funds; and that deliberate misrepresentation may subject me to prosecution under applicable state and federal statutes. Created By: 04-0993 on: 03/25/2005 Modified By: 04-0993 on: 03/25/2005 P - F2 197 http://fnmcnpwebprd.fldoe.org/floridaprd/Sfsp/AllAppPrint.asp?Menultemld=21&Mode=PL 3/30/2005 THE SCHOOL BOARD OF BROWARD COUNTY, FLOM SCHOOLBOARD Chair CAROLE L.ANDREWS Barbara Leslie Vice Chair STEPHANIE ARMA KRAFf, ESQ. JUDIE S. BUDNICK Director L.CARTER Food and Nutrition Services BEVEREVERLY A. GALLAGHER 7720 W. Oakland Park Boulevard, Suite 204 DR. ROBERT D. PARKS Sunrise, Florida 33351 MARTY RUBINSTEIN PHONE: 754-321-0215 LOIS WEXLER FAX: 754-321-0235 BENJAMIN J. WILLIAMS SUNCOM: 484-6248 Superintendent of Schools DR, FRANK TILL March 7. 2005 Mr. lan Fiorev Recreation Program Manager(Aquatics) Cite of Dania Beach 29U1 S. W,52 Street Dania, FL 33004 Dear Mr. Fiorcv: Last year the Food and Nutrition Services Department,of the School Board of Broward County,provided meal service to your program. If you would like to receive this service again this year, please provide the information on the attached form no later than March 16, 2005, so that all necessary azreemcnts will be in place. Agreements must be approved by the School Board before food service can be provided. Please note that due to increased costs the price of lunch has changed from last year's price of$1.90 to$2.30. There is no increase in snack prices. i deal Prices: Lunch - S2.30; Snack - $.55 The time schedule we are working with is: March 16° Your letter requesting the School Board of Broward County,Food and Nutrition Services Department to provide food service. April V You will receive,from the Food and Nutrition Services Department,the agreement to be completed. April 29" Return completed agreement,signed and sealed,to the Food&Nutrition Services Department. It is important that the time frames be met or the School Board will not be able to approve the agreement in time to provide your program with food service. Please fill out the attached form and return with your letter requesting food service to: Ray Papa. Coordinator Food and Nutrition Services Food and Nutrition Services Department School Board of Broward County, Florida /i��C _ 7720 West Oakland Park Blvd.,Suite#204 l Sunrise, FL 33351 11you should have any queN6011s,please,call 754-321-0226. Sinccrcl ' Ba ar�Ic to Director B L:is%� Attachment Transforming Education: One Student At A Time Broward County Public Schools Is An Equal Opportunity/Equal Access Employer Summer Feeding Program The School Board of Broward County, Florida Food and Nutrition Services Department The information requested below must be returned no later than March 16, 2005, to: Ray Papa, Coordinator Food and Nutrition Services Food and Nutrition Services Department The School Board of Broward County, Florida 7720 W. Oakland Park Blvd., Suite 204 Sunrise, FL 33351 Program Administrator Information Program Name: =t-�7�-t � Administrator Name: Contact Person• Phone Number: FA Number: E-Mail Address C�e�LI - 1�L i {� 21- `7� - Jl1a� V✓PPL Ll� 1_ . us Address: City: State/Zip Code: Program Start Date: Program End Date: Name and itle of Person Signing Agreement im as Print Name: Title: The Agreement Is To Be Sent To: Address: Attention: Zvi. Please attach the following information for each site: ® Site name, address, phone number, e-mail address, fax #, and contact person. ® Site start date and end date. Indicate if you have adequate refrigeration to store all meals prior to serving. © Serving times. ® Indicate meals to be provided (Lunch and/or p.m. snack) and estimated number of meals to be served. arch 7. 2005 a Sr�C.k s Summer Feeding Program The School Board of Broward County, Florida Food and Nutrition Services Department 0 The information requested below must be returned no later than March 16, 2005, to: Ray Papa, Coordinator Food and Nutrition Services Food and Nutrition Services Department The School Board of Broward County, Florida 7720 W. Oakland Park Blvd., Suite 204 Sunrise, FL 33351 Program Administrator Information Program Name: C .W .—T�npr s IC Administrator Name: " L J P4 Contact Person: Phone Number: FAX Number: E-Mail Address a-L�- 3�q - 4�- - 3 6_D C,. q-►�c.�, . R, us Address: City: State/Zip Code: ()D l4lA) 2VA bar)(' L 3300 Program Start Date: Program End Date: U nee (; Qco7s 4A'qua- 5 ;)"O� Name and Title of Person Signing Agreement Print Name: Title: CA The Agreement Is To Be Sent To: Address: Attention: ri 'CL r; Please attach the following information for each site: Site name, address, phone number, e-mail address, fax #, and contact person. la Site start date and end date. ® Indicate if you have adequate refrigeration to store all meals prior to serving. ® Serving times. ® Indicate meals to be provided (Lunch and/or p.m. snack) and estimated number of meals to be served. 0 L:]s« - �u�ncln c� 5 n 4 c ,& arch 2005 - ��CLL�( �A3 Summer Feeding Program The School Board of Broward County, Florida Food and Nutrition Services Department 0-1 The information requested below must be returned no later than March 16, 2005, to: Ray Papa, Coordinator Food and Nutrition Services Food and Nutrition Services Department The School Board of Broward County, Florida 7720 W. Oakland Park Blvd., Suite 204 Sunrise, FL 33351 Program Administrator Information Program Name: �,;S m�``� Administrator Name: C +t �uI i,� YYl Contact Person: - (-rl Phone Number: bb FAX `Number:/ ` E-Mail Address J3&,ova +weecha)c ,.c)unia-6c-at .0,L)s Address: City: State/Zip Code: Program Start Date: Program End Date: Name and Title of Person Signing Agreement Print Name: Title: The Agreement Is To Be Sent To: Address: Attention: �00 (.'_ �� PIS Please attach the following information for each site: ® Site name, address, phone number, a-mail address, fax #, and contact person. ® Site start date and end date. ■ Indicate if you have adequate refrigeration to store all meals prior to serving. ® Serving times. ® Indicate meals to be provided (Lunch and/or p.m. snack) and estimated number of meals to be served. Oarch 7, 2005 �S �YeaX 1 f r ps tgrpvs a"�s3N '�.taYr-�-�', 9t FLORIDA March 29,2005 Mr. Howard Rosen, Environmental Administrator Broward County Health Department 780 S.W. 24"' Street Ft. Lauderdale, FL 33315 Dear Mr. Rosen: The City of Dania Beach Parks and Recreation Department will participate in the Summer Food Services Program, administered by the Florida Department of Education, Food and Nutrition Management, Tallahassee, Florida, from June 6, 2005 through August 5, 2005. Pre-packaged meals will be transported in refrigerated trucks by an approved vendor. Meals that are transported will be efrigerated at each site until served. Site personnel will ensure all food items remain at acceptable temperatures before rving to children. Approximately 5,500 nutritionally approved unitized meals and beverages will be served each day during this program. A Summer Food Service Program workshop has been scheduled for Thursday,June 2, 2005, from 5pm to 8pm,at Patrick J. Meli Park, 2901 S.W. 52ad Street,Dania Beach. The summer feeding sites will be located at Patrick J. Meli Park, 2901 S.W. 52nd Street, Dania Beach; C.W.Thomas Park 800 N.W. 2nd Street and Frost Park, 300 NE 2°a Street, Dania Beach. Sincerely, r, i iLu——---------- Theresa Weech Recreation Program Manager • "Broward's First City" 100 West Dania Beach Boulevard Dania Beach, Florida 33004 Phone: (954) 924-3600 www.ci.dania-beach.fl.us FLORIDA DEPARTMENT OF EDUCATION FOOD AND NUTRITION MANAGEMENT SUMMER FOOD SERVICE PROGRAM FOR CHILDREN Authorized Signature Form Sponsor Name: Agreement Number: C24 - 0 q q 3 Please type or print the names,titles,and signatures of persons authorized to sign the application, agreements,documents,forms and claim for reimbursement. All authorized signers, authorized representatives,and program contacts must be legal employees of the institution. AUTHORIZED SIGNERS: Type of Print Name Type or Print V itle Signature V40i5r - )on-es �r�c�i-v:��a^?c� � ��_ Type of Print Name Type or Print Title Signat e "Type of Print Name Type or Print Title Signature Type of Print Name Type or Print Title Signature I certify that the persons above are authorized to sign the claim for reimbursement. AUT O ZED REPRESENTATIVE: L- 9�5 1� ,/- - 0, �, Type or Print Name&Title of Authorized Representative Signature of Worized Representative Date signed SFSP-1715 Page I of 1 10/04 K u) C w -'N t D w w T y 7 N T w,m O O)N N O r V°i w .� O m C p L:N O C C m-fa C « O C C r D O m Y U 7 M N C D p m C D N m O C~O O O N >y _m D _ w �r U l9 E m D C U y' Y A. 0 y a '°°?' 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Z= O.m E 7= < ° c y d d 7 ro m m m ❑ al N > Q O N O £�- N .---cIm )U (7 S d� N CL) mo` 66r- ;° CD <Ma) Z c � ° m c d ca¢ _ a"v c� N E- 2 d m > N N m-U- ° E d.o « O O O N a5 >� yQ u) Ernc oc> Z a� c m L ° E m c C N d C m N O O N v VI c c o am ° E.° aCo `di%�F- d m d m c = E E m C.: y 0 w o E Q a o Y _ w y �i T 3m� u� m< E!V r_ (�� c m m c O«.- 'E N m O � U C /V -�_ N N m tw o _ N W N ° O fa c O. nal 'Cuv' cmE ° a > m m c E c h w E � cVL E�� E y ', 2 m o I c m f0 c m d a' O m C N m N -t- o V a) 0L EE � �ZE0 � i= N w G d ac rn¢ c« d E oE°m 6,E¢ o.26 E� m N vdiayQ NCL o o �'a o c > > aor'� L O a) CL L m` O. O.OI p N U N O)LL F- O m F-O o N t0¢-m - .o a N N N m )i U man. cold W(A FLORIDA DEPARTMENT OF EDUCATION FOOD AND NUTRITION MANAGEMENT SUMMER FOOD SERVICE PROGRAM FOR CHILDREN SFSP INTERNAL CONTROLS Federal and state requirements mandate that SFSP participants maintain any information pertaining to the program for three (3)years plus the current fiscal year. Failure to retain records is a serious deficiency. Refer to SFSP Administrative Guidance, Chapter S and 7 CFR 225.6 on regulations pertaining to recordkeeping regulations. Please list the name and address of the location where you will maintain SFSP records. Also give the name and the phone number of the individual(s)who can access these records: �O.�ia.. �PoeGy k-C. 33vU�- CcX 0,c7 q`54 -c2L( - 3(,32 Sanri a%e( _ � --1 -G 2 t/ - �- Give the specific location of the files (i.e., "in the file cabinet in the director's office"): �Dea �ed t�i sm�ttl Can ence t'�a�, �n +F )e Cfrs.—,-+ +vie v-ee.4-roc,-tqs. Will ALL records be maintained at the location above? Yes ❑ No If No, please list additional details about what years and where records a e stored: Do you participate in the SFSP in any states other than Florida? ❑ Yes No If Yes,please indicate the other state(s)you currently have programs: I understand that if I no longer participate in the SFSP,I must still maintain SFSP records for three years, plus the current year. If an audit is being conducted,I will maintain the records longer than three years. g - 2c, C. Authorized Person Date SFSP-F 14 Page 1 of 1 12/03 Please return completed compliance review and supporting documents to: Food and Nutrition Management FLORIDA DEPARTMENT OF EDUCATION Florida Department of Education FOOD AND NUTRITION MANAGEMENT 325 West Gaines Street,Room 1122 SUMMER FOOD SERVICE PROGRAM FOR CHILDREN TalVahassee,Florida 32399-0400 (850)245-0461, SunCom205-0461 PREAWARD NONDISCRIMINATION COMPLIANCE REVIEW FORM Retain a copy for your files. Completion of the form is required by FNS Instruction 113- Name and Add ss of Sponsor: 8 issued by the U.S. Department of Agriculture in order to C A:: '29, �%�'` � ���<<'' participate in the Summer Food Service Program for l e7r� 1 r 2. ;i�. 'bra-,, -t5\rr . Children. Failure to complete this form will result in a denial °^v-- `'i Cl, of the Summer Food Service Program application. Please Answer the Following Questions I. Estimated aily Meal Partici ation by Racial/Ethnic Group: Meal White Black Asian/ American Indian Type Non- Non- Hispanic Pacific or Multiracial TOTAL Hispanic Hispanic Islander Alaskan Native Breakfast L� A.M. Supplement 50 Is- Lunch G —j )C - f� P.M. Supplement 0 I - 7 C) Supper II. Describe efforts to be used to assure that minority populations have an equal opportunity to participate: c—ce Le re d 4,) or-C b-e,ce- 40 c �rlc,+ ? Qlr -A,en �d n C-Cl�rs� ;no1J Pn r re I IP(Cl 4ci G,n ��4,i�c—�• � jn e • J III. Describe efforts to be used to contact minority and grassroots organizations about the opportunity to participate: l ie C� 0-C 1qr " ����, t� C41 (11ra1(,4 �t�P.�P �'nrn�,r rr' ��✓ors a-,t d'i-' ,I l'A-eb c4 O 1( o-J,I -e,(7",e P 114C:Z-/-/ IV. List federal agencies other than the U.S. Department of Agriculture that provide financial support to your organization: Sig ature of Sponsor Representative 3-2--Cl,- 0-- Date Signed Revised 10/04 CODS FLORIDA DEPARTMENT OF EDUCATION FOOD AND NUTRITION MANAGEMENT • SUMMER FOOD SERVICE PROGRAM FOR CHILDREN FREE MEAL POLICY STATEMENT The C,ll G�c '��� C�c.f�, Agreement Number: 04- , , 3 assures Food and Nutrition Management Services that all children in attendance are served the same meal(s) at no charge, regardless of race, color, gender, disability, age or national origin, and there is no discrimination in the course of the food service. Assurance is hereby given that we made available to the informational media serving the area(s) from which our Institution draws its attendance, a public release announcing the policy as stated above. nature of Sponsor Representative Date • Signature of State Representative Date SFSP-S3 Revised 12/03T`� Contact - Parks and Recreation Department 0 0 • 100 W.Dania Beach Blvd. Dania,Florida a,,% Press FREE SUMMER LUNCH PROGRAM The City of Dania Beach will be participating in the Summer Food Service Program from June 6, 2005 through August 5, 2005. Nutritionally balanced meals will be provided to all children regardless of race, color, sex, disability, age or national origin during summer vacation when school breakfasts and lunches are not available. All children 18 years old and younger are eligible for meals at no charge and there will be no discrimination in the course of the meal service. The summer lunch program sites are located at: Frost Park— 300 NE 2" Street, Dania Beach Patrick J. Meli Park — 2901 SW 52nd Street, Dania Beach C.W. Thomas Park — 800 NW 2nd Street, Dania Beach Breakfast will be provided Monday through Friday from 7:45AM to 8:45AM. Lunch will be provided Monday through Friday from 11:30am — 1 :OOPM