The URL can be used to link to this page

Home My Public Portal About051-2014 - Gleaners Food Bank - RSVP ProgramMEMORANDUM OF AGREEMENT (MOA) FOR Commodity Supplemental Food Program (CSFP) Parties This Agreement is made between, Gleaners Food Bank of Indiana, Inc. (hereinafter referred to as GFB), Local Agency (hereinafter referred to as LA) and, Name: is Address: 50allorth 5thkStreet ecreation City: -Richmond- TN 47374 Contact Person Ronda Pope, RSVP Phone 765-983-7309 Email rTOi p�dri rhmnnri i nrli ana _ gnv Mailing Address Agreement Term A. This agreement shall become effective on M4JUP 1' , 2 014 and in absence of prior notification of termination, shall terminate on ScY'T -3't,� /� Either party may terminate the a re ant with a 30 day written notice. Initial: / B. The Agency certifies that it is a non-profit organization and has tax-exempt status under the Internal Revenue Co a or governm r1.t agency and will submit certification of status. Initial: /�/L- Gleaner Food Bank Responsibilities A. Indiana State Department of Health (hereinafter referred to as ISDH, acting as an agent of the United States Department of Agriculture (hereinafter referred to as USDA), will provide USDA food products monthly to GFB. The GFB will then provide food pack es to abo e p med Local Agency for distribution to eligible participants. Initial: // B. GFB does not guarantee the quality or condition of food products provided to the agency. The LA shall release USDA, ISDH, and GFB from any liability for losses, damages, illnesses, or, i jyies resulting from distribution of food packages. Initial: / C. GFB actin as an agent of ISDH, shall supply the LA with all the necessary reporting forms for distribution of CSFP food packages. All forms or records required by either party will be sent to the following respective addresses: GFB LA Gleaners Food Bank of Indiana RSVP -Parks Department 3737 Waldemere Ave c/o Ronda Popp, RSVP irector Indianapolis IN 46241 50 North Sth Ctraaf ATTN: CSFP Richmond, TN 47374 khk 3/4/14 Pagel of Contract #51-2014 33 IV. Local Agency Responsibilities A. The LA shall not charge any fees or require membership as a condition for receipt of food package. This agreement prohibits the requirement of membership in any organization (church, political, fraternal, union, block club, etc.) or attend��c��of same, as a requisite for receipt of any food package. Initial:/ B. The LA shall abide by the Federal Civil Rights Act of 1964, the Federal Rehabilitation Act of 1973, The Americans with Disabilities Act, Title IX of the Education Amendments of 1972, The Age Discrimination Act of 1975, and all other federal and state laws, regulations, or orders. In accordance with federal law and USDA policy, this institution is prohibited from discrimination in all its programs and ctivities� on the basis of race, color, national origin, sex, age, or disability. Initial: C. This LA will provide the following information to file a complaint of discrimination, write Office of Adjudication, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call toll free (866) 632-9992 (Voice). Individuals who are hearing impaired or have speech disabilities may contact USDA through the Federal Rea iC Service at (800) 877-8339; or (800) 845-6136 (Spanish). Initial: / D. The LA shall not allow the sale, exchange, or use of any USDA food for personal gain, or as a means to further the political interest of any individual or party. Any other for f fraud or,a u is subject to federal and state prosecution. Initial: / �� [ i, E. The LA agrees to post the "And Justice for All" poster. Poster will displayed i e area of the facility frequented by clients and applicants. Initial: / F. The LA a ees to abide b delivery / pick up schedule Attachment A Initial: / G. The LA agrees to verify income, age and addres when certifyin participants every six (6) months as required by USDA. Initial: H. The LA will not copy or rQcord any do �j nts submitted by applicants for certification. Initial:�l �`— I. The LA agrees to verify identificati n of participapX�and/or proxy picking up food package every month. Initial: J. When physical delivery of food packages is taken, the LA shall assume liability for the safekeeping of the food product until the food packages are released to eligible recipients or authorized proxy. Losses must be immediately reported to GFB. The LA will be the carrier insuranceJaill supply GFB with a copy of a Certificate of Insurance. Initial: K. In the event of loss or damage to USDA food due to theft or damage resulting from improper storage, or as a consequence of negligence in the care or handling of USDA food by LA. The LA will reimburse ISDH the value of the lost USDA food or replace the USDA food with product equivalent t99 the lost of d ed product as approved by ISDH and/or the USDA. Initial: Gam/ /C� L. The LA agrees to cooperate with GFB and ISDH in the investigation of all complaints received in connection with distribution of food packages. The LA agrees to correct any irregularities that are disclosed. The LA shall report promptly, first by phone and then in writing, to GFB, complaints and all corrective measures taken. If any irregularities are deemed critical, GFB and/or ISHD may immediate y remove LA participation in the program with only verbal notification. Initial: /tTT khk 3/4/14 Page 2 of 4 M. The LA shall maintain a clean, secure and adequate facility for proper storage and distribution of all food packages received. Storage facilities must be maintained in keeping wit he hig y'(!�ate or local health department standards. Initial: N. The LA shall safeguard USDA food from theft, spoilage, and other damage, destruction, or loss by maintaining storage areas: 1) secure from unauthorized access; 2) free of rodent, bird, insect, and other animal infestation 3) clean and free from litter or debris and otherwise maintained in sanitary conditions; 4) at temperature and humidity levels necessary to assure maintenance of quality level to that of the food received. Recommended temperatures are to be 50-70 degrees Fahrenheit for dry USDA foods and 36-40 degrees Fahrenheit for refrigerated product (cheese); 5) y taking oth otective measures as necessary Initial: / O. The ALA agrees that representatives of from USDA, ISDH, GFB, or any agency designated by ISDH may visit to observe distribution of CSFP food packages to recipients, storage facilities, food packages in storage, as well as, pertinent records. Visits may be made at any reasonable time durormal bui ss hours. Such visits do not require advance notice. Initial. /fit P. The LA shall collect such operations records as necessary for USDA, ISDH and GFB to monitor services provided under this agreement. If the LA utilizes volunteers to assist in the distributing food packages, all volunteers will be properly trained on the completion of all records and forms. This record keeping must include: 1. Signature sheets of clients and/or proxy receiving food packages, and 2. The to I numb�y oj�y food packages returned to GFB, Initial:/ /.�z Q. The LA's records identified above shall be submitted to GFB within five (5) business days of scheduled m nthly distrj�yyt' , by one of the following _ email, _ fax, mail. Initial:/ �Zf R. The LA agrees to adhere to all the rules an Wl �s in the CSFP Handbook and/or Policy Memorandums. Initial:/ j(� S. LA agree that site manager will attend annual CSFP training hosted by GFB. Initial: / Gleaners Food Bank Local Agency City of Richmond, by and through its Board of Parks /�� a Recreation SIGNATURE! '� l� ( SIGNATURE C! (JL 6'40'4.f V - n Bill Thist ewaite IfC TITLE A C04 L �� '� � �� TITLE Superintendent s DATE , � y DATE tl'A t 1 ��t�/ �% khk 3/4114 Page 3 of 4 Attachment A Distribution Site Name: RSVP —Parks Department Agency Number: Distribution Site Address: Distribution Site Manager: Ronda Pope Phone: 765-983-7309 CSFP assigned Case load of _ will be distributed monthly on Location: [ ] "Gleaners Food Bank Deliver "Time * Delivery is only available for Local Agencies with case load exceeding 40. "Your site will be assigned a delivery day and time window. Exact delivery times are not available. Due to traffic, capacity of route, and other factors, Gleaners Transportation Department will provide a time window when you can anticipate delivery. Please provide contact information for the individual responsible for meeting the delivery truck. This person must be available at time of delivery and will be contacted in the event of delays and/or emergencies. Name: Ronda Pope Site Phone and Extension: 765-983-7309 Mobile Telephone: -7U5 - 4114 - 2 0 q 4 Where the ideal drop-off location is (must be accessible for a large truck)? Please include door number and side of the building the door is on. 1' Vt ti�� chi Gy r" I V) The driver will provide "curbside delivery". If he can access the interior of your site with a pallet jack, he will bring the pallet inside. Disclaimer: Gleaners assumes no liability for damages to the product and/or facility in the event that the driver does bring product into the facility. If the driver canL access the interior of your site, who will assist and in what capacity? t:,L. C; Les)je 11AlI Who is authorized to accept delivery? Identification required when acc�pting delivery Lr tz, utJ 1 vc e_ r Name Lr".s11� "lI Title ►ZS U✓�'G�Z'+ * Delivery schedule requires approval of Gleaners Food Bank Transportation Supervisor Initial: khk 3/4/14 Page 4 of 4