Ade Form 718 - Permanent Agreement Page 17
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23ARIZONA DEPARTMENT OF EDUCATION
Child Nutrition Programs
1535 West Jefferson Street
Phoenix, Arizona 85007
CHILD AND ADULT CARE FOOD PROGRAM
PERMANENT AGREEMENT
Revised May 2011
CFDA# 10.558
A.G. Contract No. KR02-1170-ALS
THE EMERGENCY SHELTER SPONSOR AGREES TO/THAT:
1.
Provide proof that all emergency shelters are in compliance with all applicable state and local
health and safety requirements for certifications.
2.
Provide temporary housing for children and their parents or guardians in a residential setting.
3.
Provide meals at no separate charge.
4.
Emergency shelters shall be public or have tax-exempt status under the Internal Revenue Code of
1986.
5.
Maintain daily production records of food prepared and served until no longer required by ADE.
Records are to be prepared one (1) week in advance of serve date.
6.
Maintain daily records indicating the number of children in residence at the shelter and the number of
meals by type (breakfast, lunch, supper and supplements) served to eligible children and to adults.
The SPONSOR shall not claim more than three (3) meals or two (2) meals and one (1) snack or two
(2) snacks and one (1) meal for any child in attendance during the designated meal times The
SPONSOR will only claim meals and/or snacks served to children age eighteen (18) and under.
7.
Adhere to the following meal service times: Two (2) hours between the beginning of each meal;
breakfast between 6 a.m. and 9 a.m., AM snack between breakfast and lunch; lunch between 11 a.m.
and 1 p.m.; PM snack between lunch and supper; supper between 5 p.m. and 7 p.m.; night snack after
7 p.m. The duration of meal service shall be limited to one (1) hour for snacks, one and one-half
(1.5) hours for breakfast and two (2) hours for lunch and supper.
8.
Document training sessions including dates, locations and topics for sponsoring organizations as
prescribed by the Management Plan.
9.
It is recommended that the SPONSOR document Administrative and Operating Costs claimed for
each month (invoices, receipts) for food, supplies, labor and other expenses related to the
PROGRAM.
10.
Document revenue from federal reimbursement, food sales to adults and donations.
11.
Provide adequate supervisory and operational personnel for management and monitoring of the
PROGRAM.
12.
Notify ADE in writing thirty (30) days in advance pending a change in but not limited to ownership
(i.e., status of sale, etc.), management status (i.e., sole proprietorship, partnership, etc.) or tax-filing
status. New owners or owners with a change of status must apply for PROGRAM participation.
ADE FORM 718 (799)
17
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