1999-112 ORDINANCE NO
AN ORD]NA_NCE OF T~E CITY OF DENTON, TEXAS, AUTHOriZING T~E CITY
MANAGER TO SU-BMIT AN A~?LICATION UNDER THE NATIONAL SC~OO~ ~C~
AC~ ~O O~ ~G ~O~ ~ ~¢¢¢ S~ FOOD S~V~C~ P~OG~, ·
SUCH F~G IS G~ED, T~ CITY ~AGER IS AUTHORED TO E~C~E
THE S~ER FOOD SERVICE PROG~ AG~EMENT ~TH ~E TE~S
DEP~TME~ OF ~ SER~CES ~ E~CU~ A CO~CT ~TH T~
DE~ON ~EPE~ENT SCHOOL DIS~CT ~ ~L ~DITION~ DOC~E~S
~ AG~E~S, AS ~Q~D, AUTHO~G ~ E~E~IT~ OF F~S TO
~M~STER THE PROG~, ~ PROVinG ~ E~ECTIVE DATE
~E~AS, ~e C~W of Denton, Tex~ ~11 sub~t ~ apphca~on for ~dmg ~der ~e
Naaonfl School L~ch Act, to the Tex~ D~ent of Hm~ S~ces for the p~ose of m~ng
meals avmlable m ehg~ble chl~en at ~e C~W's Sm~ Action S~te pro.ms, ~d
~AS, p~s~t to ~e ~t, ff received, ~e C1W wdl con. act wl~ ~e Denton
Independ~t School D~s~ct to prowde ~e meals at ~e vinous s~tes, NOW, T~FO~,
T~ CO~CIL OF T~ CITY OF DE~ON ~BY O~S
SECTION I. That ~e C~ M~ger ~s hereby au~onz~ m execute, on behflfof~e C~W, ~
apphcat~on for ~ng ~der ~e Naaonal School L~ch Act, ~d ~f ~ded, the Smer Food
S~ce Pm~ A~eement w~ ~e Tex~ D~t of H~ Seduces, a copy of w~ch ~s
a~ached here~ ~d race.orated by mfer~ce h~em, ~ong w~th ~y other docm~ts ~d
ce~fficates necess~ to obtmn such ~dmg
~ That ~e C~ M~ager is hereby authorized m execute a con~act w~ ~e
Denton ~d~d~t School Dlsmct, subst~aally m ~e fern of ~e con.act whmh ~s aUached to
~d made a pm of ~s or~n~ce for all p~oses, m promde meals for ehg~ble ~n&vldu~s at the
vinous s~tes, ~d such o~er docments ~d c~fica~ons ~ ~e n~ess~ to c~ out ~e 1999
Smer Food Semce Pro.m, ~f such proem ~s ~ded per the terns set fo~ ~n Sec~on I above,
~d to h~e ~1 fise~ ~d a~ms~aave ma~ers relating to ~e a~hcat~on ~d ~e proem
SECTION I~. ~at the expen~e or.ds necess~ to ~mst~ the 1999 Sm~ Food
Se~me Pm~ ~s hereby au~onzed
SECTION ~. ~at ~s O~l~ce shall become effective ~e~ately upon ~ts p~sage ~d
approv~
PASSED~PROVEDthlsthe~ dayof ~~ .1999
J~MILLER, MAYOR
ATTEST
JENNIFER WALTERS, CITY SECRETARY
APPROVED AS TO LEGAL FORM
HERBERT L PROUTY, CITY ATTORNEY
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 Indenendent School
District and the City of Denton both of whom are local governmental entiUes authorized to enter into
mterlocal agreements under Chapter 791 of the Texas Government Code (Vernon 1994)
Whereas, the xnterlocal agreement contemplates the performance of function or scrwces that each
party to this contract is authorized to perform individually
Whereas, that the City of Denton is making payment under tins agreement wluch it is funding fxom
payments from current revenue, whereas, the payments provided by the City of Denton are tn an
amount that fairly compensates the Denton Independent School Dlsmct for the services that it is
perfornung
Witnesseth
I Provision of Meals
Denton Independent School District agrees to supply tuntlzed meals reclusive of milk and juice to
the City of Denton Parks and Recreatmn De~a~aenL at the MLK Recreation Center, Phoemx Park,
Dema Park, Civic Center Park, Owsley Neighborhood, TWU Playhouse Program, Village East
Apartments, Fred Moore Learmng Center, Rlvem Elementary Summer School, and with and for the
rates herein listed
Breakfasts $ 0.00 each Lunches $ 1.65 each
Snacks $ 0.00 each Supper $ O,OO each
It is further agreed that the Denton Independent School Dlstnct. pursuant to the provisions of the
Summer Food Service Program Regulations, a copy of which is attached as Exlubit "A" and Is part
of th~s agreement, will assure that said meals meet the mlmmum requirements as to nutritive value
and content as outhned tn the U S D A's Sponsor Meal Preparation Handbook, and will malntmn
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
Ill Retention of Recol'tl~
These re~ords must be reported to the restitution promptly at the end of each week Denton
Indenendent School Dmtnct agrees also to retain records required under the preceding clause for a
penod of three years and 90 days after the end of the contract penod If an&ts, claims or htigatlon
have not been resolved, all records must be retained beyond the requu~d tune penod until all issues
are resolved tn accordance with the Summer Food Service Program Agreement between The City
of Denton and The Texas Deoariment of Human Services
IV Com~hance With Imnu~ration Laws
The Denton Independent School District agrees to comply w~th the requirements of the Imrmgrat~on
Reform Control Act of 1986 regarding employment verification and retention of verification forms
for any mthvaduals lured after November 6, 1986 who will perform labor or services under flus
contract
V Audit
The Denton Indmendent School D~stnct agrees to allow for purposes of audit, examination, excerpt,
and iransonptlon, tho USDA, the Comptroller of the Umted States, D S and any of their authonzed
representatives to have access to any of the contractor's books, documents, papers, and records that
are pertinent to the contract
The Denton Mdenendent School District agrees to comply with the required mandatory standards
and poll~les concermng energy efficiency contained in the Texas Energy Conservation Plan issued
in compliance with thc Energy Pohcy and Conservation Act (P L 94-163)
VII Remedies For Breach of Contrac~
The Denton Indeoendent School District agrees that except for small purchase contracts, it will
comply with and enforce provisions that allow for admunstrative, contractual, or legal remedies if
contractors violate or breach contract telms, and any appropriate sanctions and penalties
Vlli Comnhance With Labor
The Denton Indenendent School Dlstrlot agrees to be m compliance voth Section 103 of the contract
Work Hours and Safety Standards Act (40 USC 327-330) as supplemented by the Department of
Labor regulatious (29 CFR, Part 5) Under tlus Act, contractors must compute the wages of
mechamcs and laborers on the basis of a standard work day of eight hours and a standard work week
of 40 hours. Work that exceedz the standards must be compensated at least I ½ tunes the basic pay
rate for overtune hours worked These reqmrements do not apply to the purchase of supplies or
materials ordinarily avmlable on the open market or contracts for tranaportatlon
IX Eaual Emnlovment O?~ortum~
The Denton Indeoendent School Dlstnc, t agrees to comply w~th ExecuUve Order 11246 entitled
"Equal Employment Opportumty" as mended by Executive Order 11375 and as supplemented in
Departmant of Labor regulations (41 CFR, Part 60)
The Denton Indem~tlent School District agrees to comply w~th all other apphcable laws, including
vothout hrmtation, any edd~tional apphcable Federal Laws or regulations contained m the Summer
Food Pro,ram A~reement between the .~ and the Texas Denartment Of Human
Serwces.
If the Denton Ind~endent School Dlsmct fatls to provide services tn accordance w~th the prowsions
of th~s contract, the ~ may, upon written notice of default to the contractor,
tmmechately terminate the whole or any part oftlus contract
XII Consideration
The ~ agrees to pay Denton Indeoendent School Dlsmct for all meals ordered on a
dmly basis at the rate agreed upon in flus contract
XlII Term
The agreement shall be effectave as of June 1. 1999 and shall have the same term as the Summer
Food Program Agreement between the City of Denton and the Texas Depar~nent of Human
Sermces It may be terminated by not~ce m wntmg given by any party hereto to the other parttes at
least 30 days pnor to the date of termmatmn
XIV Venue
TIus agreement shall be interpreted m accordance w~th the laws of the State of Texas Any
ht~gat~on filed with regard to tlus contract shall be tned m a court of competent jurisdiction
settmg tn Denton County, Texas
IN WITNESS WI-iEREOF, the pame~ hereto have executed tlus agreement as of the dates m&cated
below
Agreed to thl. date ~- ~ - ¢ ? Agreed to tlus date ;~.2q/~ ~
Title ~ ~ffJ/~tddlF' Title DISD School Board President
The location of the food preparation rote wdl be
Ravera Elementary School
701 Newton
Denton, Texas, 76205
APPROVED AS TO LEGAL FORM
HERBERT L PROUTY, CITY ATTORNEY
SUMMER FOOD SERVICE PROGRAM AGREEM~ENT
STATE OF TEXAS §
COUNTY OF TRAVI$ §
The Texas Department of H-rotan Serwces, hen~-~A~%er referred to as TDHS,
AND
City of Denton, Texas, A Texas Municipal
Corporation at 215 E. McKinney, Denton, Texas 76201
hereina/~ referred to as the conUactor, do hereby m,ke and enter into tim contract, as requtred by the National School
Lunch Act (SecUon 13) and the S,,,,mer Food Serwce Program; hereafter referred to u the SFSP, Federal Regulattom
(7 Co4e ofFed~d ResulaUo-. [CI~], Part 22J).
L
MIFfUAL AGREEMY.,NTS
The Pamas mutually agree'
A. If the ~ r~il, to provide ser~ce~ m acc~,--e web the prov~zom of thsm colltract, the Department may,
upon wrmen no~ce of default to ~he commctor, m~nedla~y te, m,-,te the whole or my part of tim contract --,~ refuse to
but ,h,!1 be tn addition to sny other rights and remethes provided by law under th, m co~tract.
B. In federal ~-,~ ~te ¼ws or other requmme~ sre ~Med orjugtcudly interpreted so that the co-,--ed ~'lfillm~
of th/, contract, or the l~t of either pma'y, is sub~s~mlly um'e~omble or mqx)ssible, or xf the pames are unable to agree
by m,, conlract, then the pail/es shall be dumJm'ged titan ~my further obh~al~ons crented under the terms of tbs contract.
except for the eqmtable setflemem of the respective accrued tamest or obhgations, mclu~ng au&t ~,~l,,~s, mcun~d up
to the date of termimtion.
C Tim conlmct may be canceled by mutual cement. However, d such mutual consent cannot be att-,-ed, then and
m that eve~ e~thet pm'y to th/s conlract may be consider :t to be canceled without cause bY ~vtug (30) days nottce m
wrltlflg to the other' ~ ~ ~ contl'act ,hRIi be thereupon be canceled upon the expumtton of such (30) day penod.
Nothing In this paragraph mh~ll ~ ~ to ~1~ -nmed_!~te cancellation puts,m-t to above paragraphs A and/or B
Rev 2/98
CONTRACTOR PROGRAM ADMI~N'ISTRATION AND FE~A~CIAL MANAGEMENT
A. The cuntractor wall c°mply wtth tbe SFSP Federal Regulat~on~ (7 CFR. pe~t 225, az amended), U~orm Fed~
Ass~ance Regulation (7 CFR, Part 3015, az amended), and sts~e pohc~e~ and procedures az mued and amended by TDHS
The contntctor f~'~her agrees to perform az described m ~ts apph~t~on (m¢ludmg supporting documents and approved
amendments to the apphcat~on) for pamcipat~un m the
B The contractor accepts 6.nl ~m,n~stratwe and t%n,~,.utl responsibthty for food se~qee oporat~onnt each
'-- "~ '~ u~ Pmgnun aha me c°ueca~m aha repayment of any amount prod m excess of the ~oper
¢laun amount which are found after momtonng or auditing by TI)IlS or the Umted States Department of Agriculture
CtJSDA) This reepons~thty epphes to th~ eontntct, and all subcontracts hereunder.
C Tbe c°nlrect°r w~ll epply to TDHS for ~,,oval ofchanges to m on~...~ epphcat~on n.,i for nnor auth..~.^. ~.
field trips ff meals served on the field trips wall be elauned ~- ~-,-- - - -
. ~u mua~ °e recmveg oy llJld5 a~ lenst fiv~ ($) cal~.~ldar d~vs h~p~.. +~
t~rtbefieldmp ConUactorsvnll.^~.~.r~.~_ ..- '~ .__--"_': .... ~-'~-l'~u~u~cuve~a~fortbeehan~
· .~...7 ~no w~mm live (~) gays of the t~mm~tlon ofen approved food servlc~ site.
III_
SFSP RECORD KEEPING
A. Th* oomraotor vnll keep I~.~-.,al end suppomng .~ ...........
totbeserwees forwlaehaela-,nissutamt~ed. Therecords.,,,~,~,,~-.-....- ,,,-_, .... Y. rds pertaining
(~0) days afier tbe te~,..,,,~ of,~ .........
· .~.~,~.,~ l~moo, uany auSs~en, cuum, or audit revolving these records be~_ -. before
nmeV/(90) days after tim term,n~un oftbe eunlraot period and until all ht~gaflon, el.,,~,, or audit I~a;._~ am resolved. Thz
ca~e is eomalered resolved when a I~..,.~ order is issued tn ht~nnti
upmon or a wntIen a~mm~nt is signed by TDH$ and thz
~m~T~a~TDntr~°t~.7_~_~s~__su~,,. nlra°t.°rs w~l. all.ow TDHS and USDA ofcials end o..~.te offi~
a~ mmms or costs paw. even m pan, by TDH~
Page 2
Rev 2/98
CIVIL RIGHTS POLICY COMPLIANCE
A. The contractor agr~ to comply vath Tztle VI of the Czvfl lhghts Act of 1964 (Pubhc Law 88-3S2), and all
rcquuem~ts unposed by the regula~om of the Umted States Dep~.tment of Ainculture (7 CFR, Parts 15, 15a and lYo)
Department of Justioo (28 CFR, Parts 42 and $0) and USDA and TI)lIS &rect~ves or regulations ~ssued p~ to that Act
or the regulations, $~ct~on $04, FNS of the Rehabflltatton Act of 1973 (Pubhc Law 93-I 12), The Americans wtfl
D~h~tt~ Act of 1990 (l~bh¢ Law 101-336), Ttfle IX ofth~ Educatmn Amendments of 1972 (7 CFR Part 1 Sa), the Age
D~cr~mmAtaon Act of 1975 (Pubhc Law 94-135), and all amendments to each, and all requu'ements unposed by the
reg,,!At, ons issued pursuant to these acts In addition, the contractor agre~ to comply vath Tttle 40, Chapter 73, of the
T~a~s ~,am,,,,,~aUVe Code Thee provai~ m part tlmt no p~rsons m tho United Stat~s .h... on the grounds of race, color,
naUoml ~ sex, age, disal~ty, poht~cal beliefs or rehgzon be exoluded from pamc~pat~on m, or demed, any *,d, care,
service or other benefits prowded by federal and/or state funding, or othervase be subJeCted to &scrtmm*tion under any
pm~'am or activity for wh,ch the conlractor recaves federal fin~mcud assistance from TDHS .,~a USDA. and hereby ~ves
asstu~u~e that ~t vall ,,~,~,,,a,.t, qy take auy nm~mzre~ neces~sry to effectuate tins agreement. The conUactor also agre~ to
comply vath Heal~ and Safety Code Secmm 85.113 (relating to workplace .ha confia,m-,,hty ~uclelin~ regarding AIDS
The contraotor lm~oy ~ve~ a..w, nance that g ~ ~mmeihately take any measur~ necessary to effectuate
C. The contractor agr~s to compde data. m.mtnm records, and subzmt repons u rec~ to pemut effective
~orc~t of the shove Acts ~i ~ authoriz~ TDHS, USDA, ~.d FCS (Food andConstm~ S~rwc~) l~nonael
Acts If them are any vlolatz~ of tim ~surance, TDHS, USDA, and FCS has the n~ht to seekjuchcml enforcement of th,.
assurance. Tins asslmmce is Ipnain~ on the ConUactor, ~ts succe~ors, ~-ansf~_~__. and ass~nee~ as long ~ It receives
assistance or retsm~ posses~oa of any as~tance from the department The person whosesl~uau~ appesn onths c~,h~ct
is authorized to -,isa this assurance on b~h,w of the Contractor
Page 3 Rev 2/98
CIVIL RIGitTS POLICY COMPLIANCE
(Conunued)
D A rehglous or chant.able orgamzaiaon is ehgible to be a conlractor on th~ same basis as any other orlsm,alaon. The
confra~or re~,~ its re.dependence from S~ate s,~rl local governments, mcludmg the contraotor~s control over the definthon,
developmm2~, practice, and expression of ~ts charitable or rehs~ous behefs. Except as provided by law, TDHS shall
interpret ~ contract to require a chantable or reh~ous or?m~lon to alter its form of in~emal governance or rmnove
rehsious afl, ~con~, scripture, or other symbols Furth__,~nore, tfa rehglous or charitable organization segregates the
gOV~ml~ flmds provided u~d~' th~ conizaat, then o~ly~ 6~cual a~anoe provided by these flinds will b~ subj~o~
~o au&~. However, neither TDHS's s~h~-'~on of a chn~able or fanh-based coniraotor of s~r~ces nor ~he exp~_diitu~ of
t~md~ ~ ~ls conlrac~ ~s an endors~ of ~he conlraato~s obarliable or r~hgious character, prao~oes, or expressto~.
The purpose of fins con~a~ IS the pmvumn of services; no S~e expemtltures have as then- object~ve the lundins of
secUrin worship, mstrucUon, oF proselyUnUon.
A clmr/Uble (~ flaflh-be~ed pro~ of s~-~ces under tim con=~t ,h,, resmMbly q~mso all ass~ed md~wdu~ of the
follo~. ~qe~er TDHS's selecUoa ora chnUble OF f:m~x*basedlwov~ler ofsemces noFthe expen~mre of~,~, under
this contruct Ls an endorsement of the prowder's ~h,,ttable OF r~hsious character, practi~es, or expr~sto~. No pm~der
of savu:es may ducvm,n,** o~,,~ you on b b~Ls of rehg~on, a reh~ous beli~ or your re~sal to o.~vely partmpate
in a reliflous pru~ce. If you objec~ to a Peflicular pmvufer because of its relismus ~h~,ucter, you may obmn tbs ~
fn~n a d//~eru~ s~rwce prover. If YOU beheve ~ your v~, bye been wohted, pl~se (hscuss the eo,~lmut w3th ~
contractor or notdy the locol TDHS Special Nutrition Program, Office
Section 104 of fl~e Personal Respons~ihty ~ Work Opportunity A~ of 1996, 42 U S.C. § 604a, sets forth cermu
additiomd n~o~*, and Fesponm'bihues for chont~le m~a faflh-lmed provMefl of services, ceo'-t- addmonal n~t, of
assisted individuals, and cmum ad&tlomd responm'bflmes of TDHS to ~he~e service provide~ and assisted
This contract Ls subject ~o tho~e add~onal rishts and rupons~lities
TDH~ CLAIM~ PAYMENT
TDHS will, subjec~ to the federal appmpnmio~3 ~ a3~,~ to TDHS ofsuffimenl t~a, for the SFSP, m~ program
paym~ to the c~mtractoe/n ~_ _ _~. ~ee with the terms of th/s con~.act No r~m~ln'smne~ f~!! be made for pefform~
under this oonlraat occurring pnor to (a) the _be~m~ effective dale of this conlract or (b) a la~. dam esiab~ by ~
based on the date of receipt of a fully ex~ed copy of this conmlct
Pa~e 4 Rev 2/98
VI.
CERI~iCATIONS
Tmm~rat~0n Reform and Control Act of 1986 - The contractor a/tees to comply vath the requirements of the
Imm,Station Reform and Control Act of 1986 regerdmg employment verification and rete~on ofvenficatton forms for any
mcbwduais lin'ed after November 6, 1986, who ~ perform any labor or set,aces under tbs contract
B Regerchng~Debarmant, Suspemnun, Ined~t"mhty, or Voluntary Exclusion For Covered Contracts - The contractor
cemfles, by execution of tl~ aereement, that neither ~t nor ga pm~pais ~s preaently debarred, suspended, proposed for
debarment, declared mohgible, or voluntarily excluded ~ pamc~patmg m thts contract by any federal department or
agenoy or by tho Stato of Texas By mAIrin~ this ~[tlOllt tho C~lltlllOtor a~rees to tho following
1. The above cortffioatlon is a material ~t~al of faot upon wh~h relmneo was placed when tbs contract
was entered into. If it is later c~med fl~t tho co~or knomn~ly rendemi s. erroneous cemfi~ation, m *admon to
other renledim awt!nhle to the fedetlg get/ellllloe~ the ~ Of~'T-lth m~4 HI ~i~l i~l ~ U~t~i
of A~nculture or other federal department or a~oy, or tho Texas Depazlment ofH,,m-,~ Ser~ces may pursue ivaflablo
remedies, moludin8 suspensioa and/or debarment.
2 ThO col~aotor shall provlc~e Irnm~h~te wl~tten xXOtlCO to th~ p~ to whloh th~
at ~ t~ao tho c~raotor learns that tl~ oem/i~tion was ~wa~ous wl~n submtted or l~s hocomo ~ by z~ason of
3. Tho words "covered coning" "debarred," "suspended," "mehsible," "pam~pant," "penon," "pnn~pal,"
.~a Coverage seotions of federal miss rmplem~t~_~ Exeou~w Order 12~49 Usage m as defned m the attachment
it shl! ~ ]~tOWIX~y Oll~er Jllto 81ly ~lbeolltlll~ with a p~t, liotl who 1~ ~ ~ deollL~d ill~h~l'ble~ or
vO,,~t-qly e~eluded ~ pameilmuon ia this coveredlnnsae~ unless anthonzed by th~ Del~t~ent of Health and
Hmmm Servioas, United Stat~ Di~mm~at of A~ncolto~ or other fedmtl dep~-.mt or agenoy, and/or the Texas
Dep~t~ant of I~,"n~ ~ as apphoable.
5 Tho oontraot~ fmlher a~-ees by submmin~ tl~ ~mfi~at~oa Rmt :t mil include TDH$ Form 2046 t~tled
"Certtfie~o~ Regenin~ Debarment, ~uspenstoa, lneli~'bility, sad Voluntary Ex¢luston for Covered Contracts" vathout
modilieation, m all covered subcoatm~ and in solioitat~ous for all covered subcontra~
6 A contraotor may rely upon a oert~fi~atwa of a subcontrn.~tor that is aot debarred, suspended, meh~t'ole, or
vohmlm~y exoluded from tho covered eontra~ unlesa ~t knows that th~ oetlffieatioa ~s err°n~°us. A contra~or must, at a
Page 5 Rev 2/98
CERtiFICATIONS
(Continued)
7 Nothing cotltaln~l m nll the foregoing ~h~l! ~ c. ol:l.l~ll~d to ~ e~tabhshment ora system of records m order
to render m good froth the cem.ficat~on requtred by this certtficat~on document The knowledge and mformatwn of a
contractor ts not required to exceed that winch ts normslly possessed by a prudent person m the ordm~W course ofbusme~
8 Except for contracts authorized under paragraph 4 ofthese terms, R'a contractor m a covered contract ~y
enters into a covered subcontract vath a person who ~s suspended, debarred, meh~ble, or voluntarily excluded from
pamcipatton m tbs ~an.sactmn, m ad&t~on to other remeches avadable to the federal gover~menl, Department of Healt~
nnd Humn~ Sconces, Umted Sta~es ~ of Agriculture, or other federal cleparm~nt or agency, as apphcable, and/or
the Texas Del~u~ent of H~- Seduces may pm~ue available remedies, including suspenmon and/or debarm~*,
C Regnrdm-a Fedend Lobbying - Th~ cemficat~on apphes only to th~ contract and ~s a material representatmn of fact
upon winch re. hance was placed when thee lranzact~on was made or entered into. Subm~.,qon of this certtficat~on ~s a
pmrequ~g~ for mnl~%a or entenng into th~ transac~on tmposed by sectmn 1352, Title 31, U.S. Code Any pe~on who
e,tt. to file the requtred cemflcaUon ~!~ be subject to a ~nvd p~.~V/of not less ,s~ $10,000 and not more t~. $100,000
Tim conIractor cemfies, to the best ofhs or her knowledge or behef, that
I N~fedentl~yappropnated~mds~av~beenpauiorw~beImd~byoronb~ofth~nder~n~d~y person
forinfluenomgorattemptmgtom+luenceanofficeroremploy~eofanagency, amembzmf Congress, an officer or
employm of Congress, or an employe, of a member of Consre~ in connec~on vnth th~ awarding of any federal conU-act,
the mn~,~f of any federal grn~ the mnt~nll of any federal loan, the ~ mm of any ~v~ agreement, or th~
e:tiension, oonlmua~on, mmmral, amendment, or modlticaiwn ofany federal cxmlract, ~a~., loan, or cooperative a~.~n~nt
2. Ifsny~,,~othert~,, federa~yappropn~ed ftmdshavebeenlmdorwfllbepa~d~o~y~n f~ mfluenomg
°r attemtmng 1° mfluenc~ an officer employee of anY agenoy, a mmnber of ~ an offi~r m' a,.~:.ioyez of ~
or an mnploy~e of a member of Congress in conae~on w~th th~ federally funded conUaat, subcontract, subgnmt, or
eooperattv~ a~ement, the undem~ned .~.. eomple,~ n.a sulnmt Standard Form-V.t.r. "Disclosur~ Form to Report
3 The conUactor s~n require that the language of thts certtficaUon be included tn the award documents for all
covered subawanis at all t~e~s (including subcontracts, subgrn-t_~ and contracts under ~ loans, and coopenmve
a~reements) and that all covered subreciptents sl~nn cemfy and dlsclos~ accordingly.
The contractor cemfies that all mformatmn submitted puree,set to tins agreement is tree and correct The contractor
tmderlltallds tha~ the deb'berate m,m'epresentatloll or wltlgloldm~ of mforma~on ~s a wola~oa of tbs contract and may result
m pros~miion under apphcable state and federal statutes
Pago 6 Rev 2/98
E~'FECTIVE DATE AND SIGNATURES
For the fmthful performance of the terms of tins con~act, the pames hereto m thew capac~Ues stated, afl~ thmr
m~mmres and brad themselves
City of Denton
Name of Contrac~ng
(Pl.e Print or Type)
Repr=~n~uw o~
Michael W, J~
Name of tim A~_ormed P. epmmemaUve
of~e con~ac~ug
(PI~ Print or Type)
Oitv Mana~mr
T~fle of the Authorized Repres,~,mve
of the co-utracUug
Please pm~ or ~ype, m the spaces prmaded above, t~ m~me ~ tige of the aufllol~ed represen~ve s~?m_e this a~reemen~
on b~l~ofthe comractm~ o~anmmo~
Effecuve Dates. through.
By' Date'
Page 7 Rev 2/98
SPECIAL NUTRITION PROGRAM
CERTIFICATE OF AUTHORITY
hi,, la to ee~fy that the following person(a).
Name of AU~ f~ed
Michael W. Jez City M~naRer
X
I~(ere) deelgnated aa an Authori~ed Representative ef
I C~.t.y of Dent.on
I 321 E. McK~nne~ Denton~ Texas 76201
~e mp~ve(~) d~lg~ ~e, ..~m~f, .~ .~o~ ~n ~h.~ of ~e ~n~ng.o~g?~Uon m ?ke
~en agmme~ w~ ~e Tern ~pa~e~ of Hu~ ue~lc~ m o~mte I T~ p~mm, to 81gn a~umenm or
m~ a~ h ag~em~ and ~ p~nt olalm8 ~r mimbumemen~ when .pFopd~, to ~e de~enL
~~~~ ~ Cit~Manaser
Michael W. Jez
DEemeD A~OR~ REP~SE~A~S: A ~on~g o~an~flon ~y not h~ mo~ ~n ~e (3)
A~mRepmmen~e~ Inoluding ~e ~e~ of ~e ~n~ng Agent. ff ~ am ~plmolng or deleUng in
Te4 Benevtde~
FOR DHS USE ONLY ,