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2001-173S \Our Documents\Ordmances\01\summer food service doc ORDINANCE NO J" 79' AN ORDINANCE OF THE CITY OF DENTON, TEXAS, AUTHORIZING THE CITY MANAGER TO SUBMIT AN APPLICATION UNDER THE NATIONAL SCHOOL LUNCH ACT TO OBTAIN FUNDING FOR THE 2001 SUMMER FOOD SERVICE PROGRAM, IF SUCH FUNDING IS GRANTED, THE CITY MANAGER IS AUTHORIZED TO EXECUTE THE SUMMER FOOD SERVICE PROGRAM AGREEMENT WITH THE TEXAS DEPARTMENT OF HUMAN SERVICES AND EXECUTE A CONTRACT WITH THE DENTON INDEPENDENT SCHOOL DISTRICT AND ALL ADDITIONAL DOCUMENTS AND AGREEMENTS, AS REQUIRED, AUTHORIZING THE EXPENDITURE OF FUNDS TO ADMINISTER THE PROGRAM, AND PROVIDING AN EFFECTIVE DATE WHEREAS, the City of Denton, Texas will submit an application for funding under the National School Lunch Act, to the Texas Department of Human Services for the purpose of making meals available to eligible children at the City's Summer Action Site programs, and WHEREAS, pursuant to the grant, if received, the City will contract with the Denton Independent School District to provide the meals at the various sites, NOW, THEREFORE, THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS SECTION 1 The City Manager is hereby authorized to execute, on behalf of the City, an application for funding under the National School Lunch Act, and if funded, the Summer Food Service Program Agreement with the Texas Department of Human Services, a copy of which is attached hereto and incorporated by reference herein, along with any other documents and certificates necessary to obtain such funding ACTION 2 The City Manager is hereby authorized to execute a contract with the Denton Independent School District, substantially in the form of the contract which is attached to and made a part of this ordinance for all purposes, to provide meals for eligible individuals at the various sites, and such other documents and certifications as are necessary to carry out the 2001 Summer Food Service Program, if such program is fimded per the terms set forth in Section I above, and to handle all fiscal and administrative matters relating to the application and the program SECTION 3 The expenditure of funds necessary to administer the 2001 Summer Food Service Program is hereby authorized SECTION 4 This ordinance shall become effective immediately upon its passage and approval r~/z PASSED AND APPROVED this the / day of 2001 EULINE BROCK, MAYOR Z S wur Documenbwed~ngouegAlVUmma food gav~ge doq ATTEST JENNIFER WALTERS, CITY SECRETARY BY APPROVED AS TO LEGAL FORM HERBERT L PROUTY,C ATTORNEY BY PAGE 2 State of Texas County of Denton AGREEMENT TO FURNISH FOOD SERVICE CITY OF DENTON and DENTON INDEPENDENT SCHOOL DISTRICT FOOD SERVICES THIS AGREEMENT is made and entered into by and between the Denton Independent School District and the City of Denton both of whom are local governmental entities authorized to enter into mterlocal agreements under Chapter 791 of the Texas Government Code (Vernon 1994) Whereas, the interlocal agreement contemplates the performance of function or services that each party to this contract is authorized to perform individually Whereas, that the City of Denton is making payment under this agreement which It is funding from payments from current revenue, whereas, the payments provided by the City of Denton are in an amount that fairly compensates the Denton Independent School District for the services that it is performing Witnesseth I Provision of Meals Denton Independent School Distnct agrees to supply unitized meals inclusive of milk and juice to the City of Denton Parks and Recreation Department, at the MLK Recreation Center, Phoenix Park, Denis, Park, Civic Center, Owsley Neighborhood, North Lakes Recreation Center, TWU Playhouse Program, Village East Apartments, Fred Moore Learning Center, Rivera Elementary School , Houston Elementary School and one additional elementary site to be determined by Denton Independent School District Breakfast $ 0 00 each Lunches $ 1 80 each Snacks $ 0 00 each Supper $ 0 00 each II Menu Records it is further agreed that the Denton Independent School District pursuant to the provisions of the Summer Food Service Program Regulations, a copy of which is attached as Exhibit "A" and is part of this agreement, will assume that said meals meet the minimum requirements as to nutritive value and content as outlined in the U S D A's sponsor Meal Preparation Handbook, and will maintain full and accurate recordings of such, including the following 1 Menu Records, including amount of food prepared 2 Meals, including daily number of meals delivered by type III Retention of Records These records must be reported to the institution promptly at the end of each week Denton Independent School District agrees also to retain records required under the preceding clause for a period of three years and 90 days after the end of the contract period If audits, claims or litigation have not been resolved, all records must retain beyond the required time period until all issues are resolved in accordance with the Summer Food Service Program Agreement between The City of Denton and The Texas Department of Human Services IV Compliance With Immigration Laws The Denton Independent School District agrees to comply with the requirements of the Immigration Reform Control Act of 1986 regarding employment venfication and retention of verification forms for any individuals hired after November 6, 1986 who will perform labor or services under this contract V Audit The Deliton Independent School District agrees to allow for purposes of audit, examination, excerpt, and transcription the USDA, the Comptroller of the United States, D S and any of their authorized representatives to have access to any of the contractor's books, documents, papers, and records that are pertinent to the contract VI Energy Efficiency The Denton Independent School District agrees to comply with the required mandatory standards and policies concerning energy efficiency contained in the Texas Energy Conservation Plan issued in compliance with the Energy Policy and Conservation Act (P L 94-163) VII Remedies For Breach of Contract The Denton Independent School District agrees that except for small purchase contracts, it will comply with and enforce provisions that allow for administrative, contractual, or legal remedies if contractors violate or breach contract terms, and any appropriate sanctions and penalties VIII Comphance With Labor Regulations The Denton Independent School District agrees to be in compliance with Section 103 of the contract Work Hours and Safety Standards Act (40 USC 327-330) as supplemented by the Department of Labor regulations (29 CFR, Part 5) Under this Act, contractors must compute the wages of mechanics and laborers on the basis of standard workday of eight hours and a standard workweek of 40 hours Work that exceeds the standards must be compensated at least 1'h times the basic pay rate for overtime hours worked These requirements do not apply to the purchase of supplies or materials ordinarily available on the open market or contracts for transportation IX Equal Employment Opportunity The Denton Independent School District agrees to comply with Executive Order 11246 entitled "Equal Employment Opportunity" as amended by Executive Order 11375 and as supplemented in Department of Labor regulations (41CFR, Part 60) X Compliance With Laws The Denton Independent School District agrees to comply with all other applicable laws, including without limitation, any additional applicable Federal Laws or regulations contained in the Summer Food Program Agreement between the City of Denton and the Texas Department of Human Services XI Remedy For Breach If the Denton Independent School District falls to provide services in accordance with the provisions of this contract, the City of Denton may, upon written notice of default to the contractor, immediately terminate the whole or part of this contract XII Consideration The City of Denton agrees to pay Denton Independent School District for all meals ordered on daily basis at the rate agreed upon in this contract XIII Term The agreement shall be effective as of May 29, 2001 and shall have the same term as the Summer Food Program Agreement between the City of Denton and the Texas Department of Human Services It may be terminated by notice in writing given by any party hereto to the other parties at least 30 days prior to the date of termination XIV Venue This agreement shall be interpreted in accordance with the laws of the State of Texas Any litigation filed with regard to this contract shall be tried in a court of competent jurisdiction setting in Denton County, Texas IN WITNESS WHEREOF, the parties hereto have executed this agreement as of the dates indicted below 1-0 Agreed to this date 3 13-0 Agreed to this date Sponsor Official M-fl School Sponsor CITY OF DENTON DISD Title interim city manager Title School Board President The location of the food preparation site will be Rivera Elementary School 701 Newton Denton, Texas 76205 APPROVED A TO LEG Utuvi HERBERT gROUTY I Y ATTORNEY BY TEXAS DEPARTMENT OF HUMAN SERVICES SPECIAL NUTRITION PROGRAMS AGREEMENT STATE OF TEXAS COUNTY OF TRAVIS § The Texas Department of Human Services, hereinafter referred to as TDHS, AND City of Denton, Texas, A Texas Municipal Corporation at 215 E. McKinney, Denton, Texas 76201 hereinafter referred to as the Contractor, do hereby make and enter into this contract, as required by the National School Lunch Act and the Child Nutrition Act, as anieaded , and the following program-mWations the National School Lunch Program (NSLP), 7 Code of Federal Regulations (CFR) Part 210, the Special Milk Program (SW), 7 CFR Part 215, the School Breakfast Program (SBP), 7 7 ~ CFR Put 2Part 202the Summer Food Service Program (SFSPJ 7 CFR Part 225, and the Child and Adult Care Food Program This one or agreement of the aerehnameedd program ass stipulated herem. By s gnmg this agreement, both p pa arUes acre bound by its stemmas in and conditions from it beginning effective date until terminated in accordance with this agreement. I. MUTUAL AGREEMENTS The Parties mutually agree A if the Contractor fads to provide services in accordance with the provisions of this contract, TDHS may, upon written notice of defnuh to the Contractor, immediately terminate the whole or any part of this contract, including refusal to pay claims for rwmbmsement, and such termination shall not be an exclusive remedy but shall be in addition to any other right and remedies provided by law or under this contrecK. B If federal or state laws or other regnrement are amended or judicially interpreted so that the contm»ed fulfillment of this contract, on the part of other party, u substantially unreasonable or impossible, or if the parties are unable to agree upon any amendment which would therefore be needed to enable the substantial continuation of the services contemplated by this contract then, the parties shall be discharged from any further obligations created under the terms of this contract, except for the equitable settlement of the respective accrued interest or obligations, including audit findings, incurred up to the date of termination. C This contract may be caihoeled by mutual coherent However, if such mutual consent cannot be attained, then and in that writing to the other either party to this r - ' may d to be cameled without cause arty and this contract shall thereupon be canceled upon the expiration of such dirty (30 danotice y penod. naNothing in this p paragraph shall be construed to prohibit immediate cancellation pursuant to above paragraphs A and/or B IL CONTRACTOR PROGRAM ADMIIVISTRATION AND FINANCIAL MANAGEMENT A The Contractor wi71 comply with the applicable regulations for its designated program, as well as 7 CFR Parts 245 and 250, as amended, the Uniform Federal Assistance Regulation (7 CFR, Part 3015, as amended), Audits of State, Local Governments, and Non-Profit Organizations (7 CPR 3052, as amended)and state policies and procedures as issued and amended by TDHS The Contractor finther agrees to perform as described in it application (mcludng its Policy statement and supporting document, and approved amendment to the application) for participation in the designated program. 11 CONTRACTOR PROGRAM ADMINISTRATION AND FINANCIAL MANAGEMENT B The Contractor accepts final admrmstrative and financial responsibility for food service operations in each school, operated or sponsored summer feed site, and c child ~ ~ ant care facility, eor payment aym referred ent deficiency isite n the program cov veered by this the Contractor The onslty any audit exceptions TDHS or USDA and will be contract, and all subcontracts haeunda, which are found after monitoring or auditing by responsible for the collections and payback of any amount paid in excess of the proper claim amount. the authority for the C The Contractorl submits; for TDHS administration of food service operations to the Contractor lorawhich have executed subagreem~ with the Contractor for the admrmstradon of food services operations D Contractors participating in the NSLP agree 1 that the offictal signing the Claim for Reimbursement will be responsible for reviewing and aralyang meal counts to ensure accuracy and compliance with federal regulations regulations, and 2 to enter into an agreement to receive donated foods as required by federal 3 to price lunch as a unit E Contractors participating in the CACFP provide or accept responsibility for the provision of organized, non-residential child day care and will immediately report to The Texas Department of Protective and Regulatory emas (TDPRS) Licensing or Child Protective Services staff, any suspected vtolati ms of TDPRS Licensing standards or suspected abuse of children in sponsored centers or day homes III. RECORD KEEPING A The Contractor will keel financial and suQporang documents, statistical records, and any other records Perimeat to the services for which a claret was submitted in the manner and detail prescribed by TDHS The records and documents will for evant be kept for a mmunum of 3 years and 90 days after the termination federal of the such e ical the Contactor wID lixp~ any litigation, claim, or audit involving these records begins records and documents for not less than 3 years and 90 days and until all litigation, chinos or audit findings am a written agreement is into The case is -chat resolved whim there is s order issued ds of nonce er-expendable property acquired under the between TDI S and the Contractor The Contraactor ctor will keep p wntract for 3 years and 90 days aft final disposition of the property B The Contractor and its subcontractors will allow TDHS and USDA officials and other appropriate officials determined by TDHS to inspoet facilities and records and to audit, examine, and copy records at any reasonable me This includes access to all records of costa paid, even in part, by TDHS IV. C M RIGHTS POLICY COMPLIANCE A The Contractor agrees to comply with Title VI of the Civil Rights Act of 1964 (Publics of Jasax and Call F Prirr mea42ts imposed by the reoubuons of the Department of Agriculture (7 CFR Part 15) Dep and 50) and FNS dtectrves or re$ulatioas issued ptssuant to that act and the regulations Section 504 of the Rehabilltaaon Ad of 1973 (Public Law 93-112), the Amencars with Disabilities Act o~990 0( fublrc T~~1bc 9~4-1975 Title IX of the Education Amendments of 1972 (7 CFR Part 15a), the Age Disaim natito these acts 135), and all amendments to each, and all reVirements unposed by the regulations issued pursuant addition the contractor agrees to comply with Title 40, Chapter 73, of the Texas Administrative Code These provide m part that no person in the United States shall, on the ground of race, color, national ongin, sex, ago, dusabty, hacal by federal beliefs. or religion be excluded from participation in, or denied any aid, care, savmoe or other opts p ov~ and/or state fimdmg, or otherwise be subjected discrimination. ty gcontractor mor °~AIDS and with Safety Code Section 85 113 (relating to workp The contractor hereby gives assurance that it will immediately take any measures necessary to effectuate this agreenrent IV CIVIL RIGHTS POLICY COMPLIANCE (Continued) 13 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 ervices without consideration or at a nominal consideration, or at a consideration which is reduced for the purpose of assisting the recipient, or m recognition of the public interest to be served by such sale, lease or furnishing of services to 4he recipient, or any improvements made with federal financial assistance extended to the program applicant by the TDHS This includes any federal agreement, arrangement, or other contract which 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 representation and agreements made in this assurance C The Contractor agrees to compile data, mamtam records, and submit reports as required, to pernut effective enforcement of the above Acts and permit authorized TDHS, USDA and FCS personnel during normal working hours to review such records, books, sad accotmts as needed to ascertain comphaax with the above Acts If there aro any violations of this , TDHS, USDA and FCS have the tight to seek judicial enforcement of this assurance Thu assurenx is binding o aN=a oof the Contractor D A religious or charitable organization is eligible to be a contractor on the same bases as any other private organization. The contractor retains its mdependence from State and local governments, including the contractor's control over the definition, development, practice, and expression of its charitable or religious behefs Except as provided by federal law, TDHS shall not interpret this contract to require a charitable or religious organization to alter its form of internal governance or remove religious an, icons, scripture, or other symbols Furthermore, if a religious or charitable organization segregates the government fiords provided under the contract, then only the financial assistance provided by these fiords well be subject to audit However, neither TDHS's selection of a charitable or faith-based contractor of services nor the expenditure of funds under this contract as an endorsement of the contractors charitable or rehgious character, practices, or expression. The purpose of this contract is the provision of services, no State expenditures have as their objective the fimdmg of sectarian worship, instructions, or prosehytizabon. of~~f the A charitable or faith-based provider of services under this contract shall reasonably apprise all assisted individuals following "Neither THDS's selection of a charitable or faith-based provider of services nor the expenditure under this contract is an endorsement of the provider's charitable or religious character, practices, or expression. No provider of services discriminate against you on the basis of religion, a religious belief, or your refusal to participate in a rchgious practice If you object to a particular provider because of its religious character, you may request assignment to a different provider If you believe that your rights have been violated, please discuss the complaint with your provider or notify your local TDHS Special Nutrition Programs office 604a, sets Swbou 104 certain of Tha Personal Responstbthty and Won charitable and far Reconciliation providers of semces,cells t addditional forth rth additional tights and respons rights of assisted individuals, and certain sddttional responsibilities of TDHS to these providers and assisted individuals This contract is subject to those additional rights and responsibilities V TDHS CLAIMS PAYMENT A TDHS will, subject to the federal appropriation and availability to TDHS of sufficient fiords for the applicable program, bursemen make program payment to the Contractor in accordance i the beginning his agreement. No date of this agreements ntt shh)alll i em cede for performance under this agreement occurring; prior date established by TDHS based on the date of receipt of a fully executed copy of this agreement. 8 In accordance with Section 403 OSS(h) of the Government Code, the contractor agrees that any payments due to the contractor under this contract will be first applied to any debt and/or back taxes the contractor owes the State of Texas Payments will be so applied until such debts and back taxes are paid in full This clause does not apply if federal law requires pa cat to be made to the contractor for goods and services provided in support of of the USDA child and adudultn}m alt nuts programs, and may not apply if federal law conditions the receipt of the money or these goods or services to the state on the basis of payment being made to the contractor VI. IMMIGRATION The Contractor agrees to comply with the regwrements of the lmmtfration Reform and Control Act of 1986 regarding employment verification and retention of verification forms for any mduviduals hired after November 6, 1986, who will perform any labor or services under this contact. VII CERTIFICATION A. Rcipirdlinq Dcbwnmw , Suspension. lneltgibility, or Voluntary Exclusion For Covered Contracts - The contactor testifies, exa mm of thus agreement, that nether it n" its principals is presently debarred, suspended, proposed for debarment, d~erdared meligible, or voluntarily excluded kom'partreipstrngaa **oonuset by may federal department or agency or by the State of Texas By making thus certification the contractor agrees to the following terms 1 The above certification is a material representation of fact upon which reliance was based when this contract was entered into If it is later determined that the contractor kmowml rendered an erroneous certification, in addition to other remedies available to the federal government, the Department (if Health and Human Services, United S~Department of pursue available Agriculture or other federal e agency, or the Texas Department of Human Services may remedies, including suspension en Persoll to winch this certificabon is submitted if at y when submitted or has become erroneous reason of immediate written notice to changed circumstanoes 2 The the contractor shall learns tthvuatttthe certification was erroneous the time 3 The words "covered contract," "debarred," suspended," ..ineligible," "participant," "person." "prmcipal," "proposal,,, and voluntarily excluded," as used in this certification have meanings based upon materials m the Defimbons and Coverage sections of federal rules implementing Executive Order 12549 Usage is defined in the attachmem. 4 The contractor agrees by submitting this certification that, should the proposed covered contact be entered into, it shall not kmowmgly enter into any subcontract with a person who is debarred, suspended, declared mchghble, or vol ntar* excluded from participation in this covered transaction, unless authorized by the Department of Health and Human Semis, United States Department of Agriculture or other federal department or agency, and/or the Texas Department of Human Services, as applicable 5 The contractor fitrther agrees by submitting this certficaton that it will include TDHS Form 2046 tided "C rthficauon Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion for Covered Contracts" without nmodificauon, in all covered subcontracts and in all solicitation for all covered subcontracts 6 A contractor may rely upon a certification of a subcontractor that it is not debarred, suspended, mehgible, or voluntarily excluded from the covered contract, unless it mows that the certificatm is erroneous A contactor must, at a nu mum, obtain certificates from its covered subcontractor upon each suboontiactr's initiation and upon each renewal 7 Nothing contained in all the foregoing shall be construed to require establishment of a system of records in order to render in good froth the certification required by this certification document. The kmowlalge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings h 4 of these terms, of a contractor in a covered contract knowingly enters 8 Except for contracts authorized wrierwhoho is sp deb ineligible, or voluntarily excluded from participation into covered subcontract with a person w a suspended, erred, Department of Health and Human in the transaction. in addition to other remedies available to the federal government, hcable, aad/r the Texas Department Services, of United Human States Services Department may pursue available or other remedies iinncluding suspension and/or debarment. VII CERTIFICATION (Continued) B Regarding Federal Lobbying - This certification applies only to thts contract and is a material representation of fact upon Code Any person who fails to fie the for making or entering into thiis transaction imposed by section 1352, tinto itle 31, U S Submission wr certification shall be subject to a civil penalty of not less than $10,000 and not more than S 100,000 for each such MThe contractor certifies, to the best of lus or her knowledge and belief. that No federally 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 o any f wider, or contract, the making of any federal grant, the mating of any federal loan, the entering into of any cooperative agreeme, the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. If any funds other than federally 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 ntran officer or ac subcontract, employee of Co gress or an employee of a member of Congress in connection with this federally fund cooperative Agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions The contractor shall require that the language of this certification be included in the award documents for all cover ed subawards at all hers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all covered subrecipients shall certify and disclose accordingly delinquent in its francluse of franchise tares otherwise nott that C ttaaxpayments to the ttateof Texas, or is pa non-profit corporation for-profit to the State of Texas D unThe contractor certifies that all information derstands that the deliberate misrepresentation oor~withpursuant to this holding of information i a violation of this contract and mray correct. The result in prosecution under applicable state and federal statutes E Under Section 231006, Family Code, the vendor or applicant certifies that the individual or business entity named in this contract, bid, or application is not ineligible to receive the specified grant, loan, or payment and acknowledges that this contract may be terminated and payment may be withheld if this certification is inaccurate VIII EFFECTIVE DATE AND SIGNATURES The parties hereto in their capacities stated, affix their signatures and bind themselves for the futhful performance of the terms of this contract pursuant to participation in the following program or programs National School Lunch Program School Brealdast Program Special Milk Program Name of Contr tmf Orgamzanon (Please print or type) Child and Adult Care Food Program RX Summer Food Service ogram Vooffilcial f chairman of board of duectors who has been authorized to sign contracts on behalf of the contracting organization Howard Martin Name of Official tgamg (Please print or type) Interim Citv Manazer Title of Official (Please print or t)pe) TEXAS DEPARTMENT OF HUMAN SERVICES Effective from until wrrmnatc& Date TDHS Representative Approved for Form by OGC APPROVED AS TO CITY Al tORN CITY OFD EXHIBIT C, FMay 2200000 Texas Department of Human Services SPECIAL NUTRITION PROGRAM CERTIFICATE OF AUTHORITY This is to certify that the following person(s) Howard Martin Citv of Denton im City Manager 321 E McKinney St. llenton rexa eac The e ontracU gdorganizatiogn to make written agreements with the Texas Department of Hum nuServices to operate a th food program, to sign documents or reports about the agreement and to present claims for reimbursement, when appropriate, to the department By signing this document we certify individually and collectively that to the best of our knowledge and beliantef, documents submitted physically or electronically on behalf of the above named Contracting Organization our correct In all tirespects, that they are/will be completed according tolthe Nutrition terns and conditions Hof existing agreements Including (exrr uding amendedlad)uad claims) for goods available to for which we have already received will not submit claims payment We recognize that we are fully responsible for any excess amounts which may result from errors made in relation to the completion and submission of claims We are also aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable state and federal statutes Howard Mart Interim Ci DELETED AUTHORIZED REPRESENTATIVES A contracting organization may not have more than three (3) Authorized Representatives, including the Official of the Contracting Agency R you are replacing or deleting an of Delete Representas) below Authorized Representative, list the name(s) of a the In sled uapse to reu removed as Authorized Name o elated Representadve Michael Jez FOR OHS USE ONLY Oate Received Correct No Reserved By 15~ Form 4508 May 2000 Texas Department of Human SeNIC68 SPECIAL NUTRITION PROGRAM CERTIFICATE OF AUTHORITY This is to certify that the following pereon(s) Howard Martin Is 3ZI h. The representative(s) designated above, and myself, acknowledge that each is of Human Services to operate a the contracting organization to make written agreements with the Texas Department food program, to sign documents or reports about the agreement, and to present claims for reimbursement, when appropriate, to the department By signing this document, we certify Individually and collectively that to the best of our knowledge and belief, a ledge and documents submitted physically or electronically on behalf of the above namn Programs, TDHS,sare/tion be true pursuant to our participation In any and all programs administered by Special correct in all respects, that they arelwill be completed according to the terms and conditions of existing agreements claims l (excluding amendedladj sted claims) for goods available ces for which we have already received payment. We recognize that we are fully responsible for any excess amounts which may result from errors made in relation to the completion and submission of claims We are also aware that deliberate misrepresentation or withholding of information may result in prosecution under applicable state and federal statutes interim City Manager three DELETED AUTHORIZED REPRESENTATIVES A contracting organization may nnotaha rep acing or de e 9 an Authorized Representatives, Including the O(ficlai of the Contracting Agency you Authorized Representative, list the name(s) of the Individual(s) to be removed as Auiiiiii; 61: thorized eprRepro entas) below ame o Deleted Repreaentadve Name of eletad Repreaentadve Michael Jez fOR DHS US ONLY Date RecaNed 1 Conirad No Received By 75• SFSP COMMODITY PROGRAM Form 4808 r_.. n.,,unmwnt May 2000 0t Human Services SPECIAL NUTRITION PROGRAM CERTIFICATE OF AUTHORITY This is to certify that the following person(s) 11 Name of AuthonzIad RBpreeentst a lease type or pnnt) tle Howard Martin ignature-Authonzad Re resentat ame of Authorized Representat va (please IYPe or pdnq Title v n Signature-Authonzed Representative is are deal ated as an Authorized Re resentaUve of Nameo Contracting rgan at on Cit of Denton A dress( treat, V, State, I ) 321 E McKinney St. Denton, Texas 76201 The representative(s) designated above, and myself, acknowledge that each is individually authorized on behalf of the contracting organization to make written agreements with the Texas Department of Human Services to operate a food progreml to sign documents or reports about the agreement, and to present claims for reimbursement, when appropriate, to the department. sy signing this document, we certify Individually and collectively that to the best of our knowledge and belief, all documents submitted physically or electronically on behalf of the above named Contracting Organization pursuant to our participation in any and all programs administered by Special Nutrition Programs, TDHS, arelvvtil be true and correct 'In all respects, that they arelwill be completed according to the terms and conditions of existing agreements Including amendments, that records arelwill be available to support any and all claims, and that we will not submit claims (excluding amended/adjusted claims) for goods or services for which we have already received payment We recognize that we are fully responsible for any excess amounts which may result from errors made In relation to the completion and submission of claims We am also Swam that Information may result In prosecution under applicable state and federal statutes isrepresentstion or withholding of Name c Oftid I o ontred ng Agency (p ease type or pnnq Itle Howard Martin Cit Mana er ignatu Intel of on ading envy DELETED AUTHORIZED REPRESENTATIVES A contracting organization may not have more than three (3) Authorized Representatives, Including the Official of the Contracting Agency If you are replacing or deleting an Authorized Representative, list the name(s) of the Individual(s) to be removed as Authorized Representative(s) below Nameo Delete Representat/ve ame o Delafed Representative Name of Deleted Representative Michael e7z FOR DNS USE 01 LY Received By Data Recervad Contract No 75- SFSP COMMODITY PROGRAM Form 4508 May 2000 16x86 .epiiiii of Human Sarvioea SPECIAL NUTRITION PROGRAM CERTIFICATE OF AUTHORITY This is to certify that the following person(s) Name of AuthoriRed Representative (please type or p nq Title Howard Martin Interim city Manager ignsture- uthornzed presentative ame of Authorised Represenlelrve (please type or pdnp isle X Signature-Authorsed Representative Is are deal ated as an Authorized Re resentative of Name o contract ng roan at on City of Denton A dress( treat, City, late, P) 321 E McKinney St Denton, Texas 76201 designated above, and myself, acknowledge that each Is individually authorized on behalf of The the contracting representative(s) organization to make written agreements with the Texas Department la Human n Services to operate n food program, to sign documents or reports about the agreement, and to present claims for reimbursement when appropriate, to the department. By signing this document, we certify individually and collectively that to the best of our knowledge and belief, all documents submitted physically or electronically on behalf of the above named Contracting Organization pursuant to our participation in any and all programs administered by Special Nutrition Programs, TDHS, arelwill be true and correct in all respects, that they arelvvi(I be completed according to the terms and conditions of existing agreements Including amendments, that records aretwill be available to support any and all claims, and that we will not submit claims (excluding amendedlladjusted claims) for goods or services for which we have already received payment. We recognize that we are fully responsible for any excess amounts which may result from errors made in relation to the under applicable state and federal Serrate s misrepresentation or withholding of compilation etlon may resultissIn prosecution sion of claims Name o O i al of ontrecting gancy (pease type or pnno Is Howard Martin Interim City Manager Sign lure-0 al of ntr ding Ag ncy ''DELETED AUTHORIZED REPRESENTATIVES A contracting organization may not have more than three (3) Authorized Representatives, Including the Official of the Contracting Agency If you are replacing or deleting an Authorized Representative, list the name(s) of the Individual(s) to be removed as Authorized Representative(s) below Name of Deleted epresentattve ame o Delete Representative Name of Deleted Representative Michael Jez FOR DHS USE ONLY Received By F7 = Contract No 75-