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Home My WebLink AboutCOM 0140.079 2000-2002oJNgY ®P N,� 4,• i ;. 9�i Harry Kim Mayor epi «.VMo+,�•�a Y ' t oa'e+p Couutp of aat't DEPARTMENT OF PADS AND RECREATION 25 Aupuni Street, Room 210 • Hilo, Hawai'i 96720-4252 (808) 961-8311 • Fax (808) 961-8411 DATE: July 1, 2001 TO: James Y. Arakaki Council Chair and Council Members VIA: Deanna Sako, Controller Q FROM: Patricia Engelhard, Directo RE: NOTIFICATION OF GRANT AWARD Compliance with Ordinance No. 01-55, Section 7(1) Name of Grant Program: Summer Food Service Program Patricia G. Engelhard Director PameU N. Mizuno ("Dep8 Director n,.. -;a c"5 Grantor: US Department of Agriculture, Food and Nutrition Service County Grantee Department or Agency: Parks and Recreation - Recreation Division Grant No. (IF KNOWN): 1707-8 Amount of Grant: $10,218.74 Amount of County Match: None County Revenue & Expenditure Account Numbers: 3302.76 (Revenue) 010 500 5509.30-341 (Expenditure) Grant Period (Commencement & Completion): June 18, 2001 - July 27, 2001 Purpose of Grant: Summer Fun Meal Program Is final report required by grantor? F1 Yes ® No Notification attached: ® Yes ❑ No, because Comm, No. I Rib File iiia.- - Ref. To: Form NGA 6/01 Ref. Date DEC 2 7 2001 S ErO F-.�,4 {y STATE OF HAWAII { .�: �-_• ° }: i DEPAR'T'MENT OF EDI fCA"110N School Food Services Branch S% �� 1106 Koko Head Avenue 0'. �� Honolulu, HI 96816-3797 SFSP-1 AGREEMENT BETWEEN SPONSOR & DEPARTMENT OF EDUCATION SUMMER FOOD SERVICE PROGRAM FOR CHILDREN NAME & MAILING ADDRESS OF SPONSOR (SAME AS ENTERED ON APPLICATION FOR PARTICIPATION, SFSP-3. TYPE OR PRINT) COUNTY OF Hawaii RECREATION DIVISION Department of Parks & Recreation 1690 Kamehameha Ave. AGREEMENT NUMBER: (FOR DOE USE ONLY) (NO MONIES OR OTHER BENEFITS MAY BE PAID OUT UNDER THIS PROGRAM UNLESS TIES AGREEMENT IS COMPLETED AND FILED AS REQUIRED BY EXISTING PROGRAM REGULATIONS 7 CFR, PART 225) DATES P G APPROVED TO OPERATE FROM: /011' 10 TO: 71.2-110 t INSTRUCTIONS: (1) SIGNING OF AGREEMENT - AN ORIGINAL AND ONE COPY OF THIS AGREEMENT MUST BE SIGNED AND SUBMITTED WITH THE APPLICATION FOR PARTICIPATION (FNS 81) TO THE DEPARTMENT OF EDUCATION. (2) COMPLETE SFSP-1 ATTACHMENT A: THE NAME AND LOCATION OF EACH SITE, THE TOTAL NUMBER OF DAYS OF OPERATION OF EACH SITE, THE TYPES OF MEALS TO BE SERVED AT EACH SITE, AND THE ESTIMATED AVERAGE DAILY ATTENDANCE (ADP) AT EACH SITE. DOE WILL F,NTER AN APPROVED OR DISAPPROVED INDICATION, FOR EACII SITE LISTED. (3) DOE WILL ENTER SPONSOR'S ADMINISTRATIVE COSTS FOR THE SUMMER FOOD SERVICE PROGRAM IN SFSP-1 ATTACHMENT B (4) A COPY OF THE PROGRAM REGULATIONS IS ATTACHED TO THIS FORM AND BECOMES A PART OF THIS AGREEMENT. (5) A COPY WILL BE RETURNED TO THE SPONSOR FOR THEIR FILES WHEN THIS AGREEMENT IS APPROVED. IN ORDER TO CARRY OUT THE PURPOSE OF SECTION 13 OF THE NATIONAL SCHOOL LUNCH ACT, (42 U.S.C. 1761) AS AMENDED, AND THE REGULATIONS GOVERNING THE SUMMER FOOD SERVICE PROGRAM FOR CHILDREN ISSUED THEREUNDER 7 CFR PART 225, (HEREINAFTER REFERRED TO AS THE "SUMMER PROGRAM") THE DEPARTMENT OF EDUCATION (HEREINAFTER. REFERRED TO AS "DOE") AND THE SPONSOR WHOSE NAME AND ADDRESS APPEAR ABOVE COVENANT AND AGREE AS FOLLOWS: DOE: `EES TO REIMBURSE THE SPONSOR IN CONNECTION WITH MEALS SERVED IN ACCORDANCE WITH REGULATIONS UNDER THE SUMMER ,TRAM TO APPROVED SITES LISTED IN ATTACHMENT A DURING THE PERIOD STATED ABOVE. SHALL TERMINATE A SPONSOR'S PARTICIPATION IN THE PROGRAM BY WRITTEN NOTICE WHENEVER IT IS DETERMINED BY DOE THAT THE SPONSOR HAS FAILED TO COMPLY WITH THE RULES OF THE PROGRAM. SHALL INFORM THE SPONSOR OF ITS RIGHT TO REQUEST A REVIEW OF DECISIONS MADE BY DOE WHICH AFFECT THE PARTICIPATION OF A SPONSOR IN THE PROGRAM OR THE SPONSOR'S CLAIM FOR REIMBURSEMENT. THE SPONSOR: REPRESENTS AND WARRANTS THAT IT WILL ACCEPT FINAL ADMINISTRATIVE AND FINANCIAL RESPONSIBILITY FOR TOTAL PROGRAM OPERATIONS ATALL SITES LISTED IN ATTACHMENT A. IIEREBY AGREES THAT IT WILL COMPLY WITH TITLE VI OF TIIE CIVIL RIGHTS ACT OF 1964 (P.L. 88-352) AND ALL REQUIREMENTS IMPOSED BY THE REGULATIONS OF THE DEPARTMENT OF AGRIC(JLTIIRE (7 CFR PAR 15), DEPARTMENT OF JUSTICE (28 CFR PARTS 42 & 50), AND FNS DIRECTIVES OR REGULATIONS ISSUED PURSUANT TO THE ACT OF THE REGULATIONS, TO THE EFFECT THAT, NO PERSON IN THE UNITED STATES SHALL. ON THE GROUND OF RACE, COLOR, NATIONAL ORIGIN, GENDER, RELIGION, AGE, DISABILITY, POLITICAL BELIEFS, SEXUAI, ORIENTATION, AND MARITAL OR FAMILY STATUS (NOT ALL PROHIBITED BASES APPLY TO ALL PROGRAMS), BE EXCLUDED FROM PARTICIPATION IN, BE DENIED THE BENEFITS OF, OR OTHERWISE BE SUBJECT 'TO DISCRIMINATION UNDER ANY PROGRAM OR ACTIVITY FOR WHICH THE APPLICANT RECEIVED FEDERAL. FINANCIAL ASSISTANCE FROM DOE; AND HEREBY GIVES ASSURANCE THAT IT WILL IMMEDIATELY TAKE ANY MEASURES NECESSARY TO EFFECTUATE THIS AGREEMENT. THIS ASSURANCE IS GIVEN CONSIDERATION OF AND FOR THE PURPOSE OF OBTAINING ANY AND ALL FEDERAL FINANCIAL ASSISTANCE, GRANTS AND LOANS OF FEDERAL FUND, REIMBURSABLE EXPENDITURES, GRANT OR DONATION OF FEDERAL PROPERTY AND INTEREST IN PROPERTY, THE DETAIL OF FEDERAL PERSONNEL, 'n IF, SALE AND LEASE OF, AND THE PERMISSION TO USE, FEDERAL PROPERTY OR INTEREST IN SUCH PROPERTY OR THE FURNISHING OF SERVICES WITHOUT CONSIDERATION OR AT A NOMINAL CONSIDERATION, OR AT A CONSIDERATION WHICH 1S REDUCED FOR THE PURPOSE OF ASSISTING THF RECIPIENT, OR IN RECOGNITION OF THE PUBLIC INTEREST TO BE SERVED BY SUCH SALE, LEASE OR FURNISIIING OF SERVICES TO THE RECIPIENT, OR ANY IMPROVEMENTS MADE WITH FEDERAL FINANCIAL ASSISTANCE EXTENDED TO THE APPLICANT BY DOE THIS INCLUDES ANY FF.DF,RAL AGREEMENT, ARRANGEMENT, OR OTHER CONTRACT WHICH HAS AS ONE IF ITS PURPOSE THE PROVISION OF ASSISTANCE SUCH AS FOOD, CASH ASSISTANCE FOR THE PURCHASE OF FOOD, RENTAL OF FOOD SERVICE EQUIPMENT OR ANY Ol'HFR FINANCIAL ASSLSTANCI=, FXT ENDED IN RELIANCE ON THE REPRESENTATIONS AND "REEMENTS MADE IN THIS ASSURANCE. i ASSURANCE IS BINDING ON THE APPLICANT, ITS SUCCESSORS, TRANSFEREES, AND ASSIGNEES AS LONG AS IT RECEIVES ASSISTANCE OR RETAINS POSSESSIGN OF ANY ASSISTANCE FROM DOE. THE PERSON OR PERSONS WHOSE SIGNATURES APPEAR BELOW ARE AUTHORIZED TO SIGN THIS ASSURANCE ON THE BEHALF OF 1-1IE APPLICANT. SFSP-1 (Continued) THE SPONSOR AND DOE MUTUALLY AGREF,: TO COMPLY WITH AND MEET ALL RESPONSIIIILIT tFS AND REQUIREMENT'S SFT FORTH IN 7 CFR, PART 225, SUMMER FOOD SERVICE PROGRAM REGULATIONS (COPY ATTACHED). 17ERTIFY THAT "IE SITES LIS'T'ED ON A'ITACIIMF.,NT "A" HAVE BEEN VISITED AND THAT TIIE INFORMATION ON TIHS FORM AND SEQUF,NT ATTACIIMENTS IS TRUF, AND CORRECTTO THE BEST OF NIY KNOWLEDGE. I UNDERSTAND THAT THIS INFORMATION IS NG GIVEN IN CONNECTION WITII THE RFCEIPT OF FEDERAL FUNDS; AND THAT DELIBERATE MISREPRESENTATION MAY SUBJECT ME TO PROSECUTION UNDER APPLICABLE STATE, AND FEDERAL CRIMINAL STATUTES. SIGNATUR.5.ON BEHALF OF SPONSOR / BYi TITI .F DATE DEPARTMENT OF'66Ct,TION BY Z,T1TLE SUPERINTENDENT DEPARTMENT OF EDUCATION DATE /!'/ SFSP-25, 3/87, RS 87-142, STATE OF HAWAII DEPARTMENT OF EDUCATION 1 OFFICE OF BUSINESS SERVICES 2 li School Food Sr°rvices Rmnch 1106 Kokoaii 9f,016 379i Avenue Honolulu. Hawaii NOTIFICATION OF AGREEMENT APP �i�VAL RENEWAL. OR CHANGE (Summer Food Service Program for Children) 1. Agreement Number 2. Action Code 3. Fiscal Year 4. Type of Sponsor 5. Type of Program ok digit ❑��D. — a E ESTABLISH (New to master tile) C CHANGE TO MASTER FILE D -DELETE FROM MASTER FILE A. School B. GOV C. Res. Camp Others 1. Sell -prep 2. Vended 3. Combination Self -prep b Vended H 6. Name and Address of Service Institution (Do not exceed maximum line length) t -I - _ - -- - ❑ ! i 7. Telephone Number I 8. Contact Person ❑❑ 9. Meals Authorized (Enter 0, 1, or 2 indicating number of meal(s) per child to be served each day.) 10. Average Daily Number of Children Served (estimate) 11. Days of Operation (actual) Breakfast Lunch Supper Supplement ❑ ❑ ❑ ❑ June July August M / [D- 2. Months Approved for Operation 2. O -NO 1=YES 13. Number of Self -Prep Sites 14. Administrative Cost Limitations 15. Request for Advance Payment O -NO 1 -YES June July August ❑ ❑ ❑ ❑❑ Dollars Admin Oper ❑ ❑ 16. Advance Authorization for Administrative Cost (Whole Dollars Only) 17. Advance Authorization for Operating Cost (Whole Dollars Only) First Advance Second Advance First Advance Second Advance Third Advance 18. Number of Sites by Type A. �Schools B. Government C. Residential Camps D. Other 19. Comments 10. Date of Preparation Signature Title Month Day Year ❑ ❑ ❑ DISTRIBUTION: ORIGINAL - DOE (White) Copy 1 - School Food Authority (Yellow), ,op