Fillable West Virginia Department of Education Office of Child (West Virginia Department of Education)

Fill Online, Printable, Fillable, Blank West Virginia Department of Education Office of Child (West Virginia Department of Education) Form

Use Fill to complete blank online WEST VIRGINIA DEPARTMENT OF EDUCATION pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

West Virginia Department of Education Office of Child (West Virginia Department of Education)

On average this form takes 10 minutes to complete

The West Virginia Department of Education Office of Child (West Virginia Department of Education) form is 4 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 39 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your West Virginia Department of Education forms online.

BROWSE WEST VIRGINIA DEPARTMENT OF EDUCATION FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
West Virginia Department of Education
Office of Child Nutrition
Charleston, WV 25305
MEMORANDUM OF
UNDERSTANDING 2020-2021
WVDE-ADM-04
April 2020
INITIALS
School
Food Authority/Agency:
To effectuate the purposes of the National School Lunch Act, the Child Nutrition Act, the Healthy, Hunger-Free Kids Act of
2010 and the federal/state regulations governing the National School Lunch Program (NSLP), the School Breakfast Program, the
Snack Program under NSLP (S-NSLP), the Child and Adult Care Food Program (CACFP), the Summer Food Service Program
(SFSP), Fresh Fruits and Vegetables Program (FFVP) and the Special Milk Program, the West Virginia Department of Education
(hereinafter referred to as the “Department”) and the County Board of Education or other Sponsoring Agency (herein- after
referred to as the “Sponsor”) and the School, Institution, or site (hereinafter referred to as “School”) completing this Application
and Agreement do hereby agree:
1. The Department shall reimburse the Sponsor to the extent of funds available, for approved lunches, breakfasts, snacks
or suppers served under NSLP, CACFP, SFSP, FFVP and or Special Milk served to children in connection with the
National School Lunch Act, the Child Nutrition Act, and the Healthy, Hunger-Free Kids Act of 2010 during the fiscal
year during which the Department’s Agreement with the Sponsor and the Sponsor’s Agreement with the School are in
effect.
Reimbursement shall be made to the Sponsor only in connection with approved meals that are served to eligible
children that meet the nutritional requirements set forth in Section 3 of this Memorandum of Understanding (MOU).
The School may be reimbursed to the extent that funds are available, by the Sponsor for approved lunches, breakfasts,
snacks, suppers, or special milk served by the School under the Programs indicated on Page 1 of this Agreement.
Further, compliance by the School with federal regulations set forth in Chapter 7, Code of Federal Regulations, Parts
210, 220, 215, 225, 226, and 245, as applicable to the specific child nutrition program, is prerequisite to participate in
the NSLP, SBP, S-NSLP, CACFP, SFSP, FFVP and SMP.
Reimbursement rates are established by the Department, to the extent funds are available within the maximum
payments prescribed by the United States Department of Agriculture (USDA). Such payments are determined by
multiplying the appropriate rate by the total number of approved lunches, breakfasts, snacks under the traditional S-
NSLP, breakfasts, lunches, snacks, and suppers served under the traditional CACFP, meals served under SFSP if
programs are enrolled and are not located in needy areas as defined by SFSP regulations, or the number of one-half
pints of special milk served to the appropriate categories of eligible children (free, reduced price, or fully paid).
Payments for snacks served under the At-Risk NSLP or CACFP are determined by multiplying the total number of
approved snacks served by the free rate. Payments for meals served in area eligible or unenrolled SFSPs, are
determined by multiplying the total number of approved breakfasts, lunches, snacks, or suppers by the free rate.
In approving applications from eligible schools or institutions, in assigning reimbursement rates and in approving
payment of monthly Claims for Reimbursement, the Department requires compliance with the following conditions:
A. The Sponsor will have on file with the Department a currently approved and current Sponsor’s Agreement for
NSLP, SBP, S-NSLP, CACFP, SFSP, FFVP or Special Milk Programs;
B. The Sponsor will have on file with the Department a currently approved Policy Statement for the provision of
Free and Reduced Price Meals and Free Milk;
C. The Sponsor or School that operates its food service program on contract with a food service management
company will remain responsible for assuring that the programs are in compliance with the Sponsor’s
Agreement;
D. To the extent of funds available, and upon submission of an accurate Claim for Reimbursement, the
Department will reimburse the Sponsor on behalf of the School for approved meals or milk served in
accordance with the terms of this MOU in any fiscal year during which this MOU and Sponsor’s Agreement
are in effect. If meals or milk are served by the School during parts of two fiscal years, the Department’s
agreement to reimburse the Sponsor is conditional upon appropriation by Congress of funds in sufficient
amounts for the specific meal or milk service during such fiscal year;
E. No legal liability on the part of the Department for the payment of any money shall arise until such
appropriations have been provided by USDA;
West Virginia Department of Education
Office of Child Nutrition
Charleston, WV 25305
MEMORANDUM OF UNDERSTANDING
2020-2021
WVDE-ADM-04
April 2020
2
INITIALS
F. The Department will honor Claims for Reimbursement that are submitted by the Sponsor on forms provided
by the Department within 60 days following the last day of the month covered by the claim. Claims not filed
within 60 days will not be paid except when the USDA determines that the late submission of the Claim was
justifiable;
G. The Sponsor will conduct a non-profit food and/or milk service and will maintain records of income and
expenditures in such a manner as to reflect the non-profit status of the food/milk service;
H. The Sponsor will make available for review or audit appropriate documentation concerning program
eligibility, licensure with the required state agencies and documentation of tuition, fees and meal/milk
charges to the child.
2. In administering the various school nutrition programs, in assigning meal reimbursement rates to schools, and in
compiling and approving payment of monthly Claims for Reimbursement, the Sponsor must require compliance with
the following conditions:
A. The School will conduct a non-profit meal or milk service and will maintain records of income and
expenditures to reflect the non-profit status of the service.
B. All income accruing to the school food service program in any school participating in child nutrition
programs under the National School Lunch Act, the Child Nutrition Act, and/or the Healthy, Hunger-Free
Kids Act of 2010 will be used by the Sponsor and by the School only for Program purposes, provided that
such income shall not be used to purchase land or to acquire or to construct buildings.
C. The Sponsor and/or the School shall limit operating balances for the school nutrition programs to levels
consistent with program needs. All excess funds shall be utilized to reduce the price of meals or milk to the
child, improve the quality of the meals, and upgrade equipment, as approved by the Sponsor and/or the
Department.
D. No food, other than the school meal or milk will be served in the dining area at the time of meal service.
Meals or milk shall not be denied any child for disciplinary purposes. No student shall be discriminated
against by service of meals or milk that are different from those offered to other children.
E. Except for food service personnel, payments for all adult breakfasts, lunches, snacks, suppers and milk will
be made. Adult and student meal and milk prices will be approved annually by the Department.
F. The School and Sponsor will operate the NSLP, SBP. S-NSLP, CACFP, SFSP, FFVP and SMP in
compliance with all policies set forth in the applicable West Virginia Department of Education Policies of
Operations Manuals and Handbooks.
G. The School will comply in all respects with conditions set forth in the Sponsor’s current Policy Statement for
Provisions of Free and Reduced Price Meals and Free Milk. Lunches, breakfasts, snacks, suppers, or milk
will be offered to all children attending a participating school and will be served without cost or at reduced
cost to all children with approved applications for free or reduced price meal benefits or free to children
determined to be eligible by SFSP, CACFP, or S-NSLP regulations.
H. The Sponsor and School will maintain for a period of three years after the end of the fiscal year to which
these pertain, all records and reports related to program operation including Applications and Agreements,
Policy Statements for the Provision of Free and Reduced Price Meals and Free Milk, Student Applications for
Free and Reduced Price Meals or Free Milk, records of verification of eligibility, daily participation records,
Claims for Reimbursement, Meal Production Records, Inventory Records, invoices, bills, receipts, purchase
orders, bid requests, bid award documentation, bank statements and ledger sheets.
I. All records related to program operations will be made available to the Sponsor, Department, USDA, and to
State Auditors for review and/or audit at any reasonable place and time.
West Virginia Department of Education
Office of Child Nutrition
Charleston, WV 25305
MEMORANDUM OF
UNDERSTANDING 2020-2021
WVDE-ADM-04
April 2020
3
INITIALS
J. In the operation of all child nutrition programs, the School shall agree to comply with Title VI of the Civil
Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of
1973 and the Age Discrimination Act of 1975.
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and
policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA
programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or
retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with
disabilities who require alternative means of communication for program information (e.g. Braille, large print,
audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits.
Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay
Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-
3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html
, and at any USDA office, or write a letter
addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the
complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
(1) MAIL: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) FAX: (202) 690-7442; or (3) EMAIL:
program.intake@usda.gov
.
This institution is an equal opportunity provider.
3. In the operation of school food service programs, the School will agree to follow the policies concerning food service
as set forth in USDA Meal Pattern Guidelines and that are included as part of each Sponsor’s Agreement.
4. Adequate facilities shall be maintained for storing, preparing and serving food and milk. Sanitation, health and safety
standards shall conform with all state and local standards, including an adequate and safe supply of water and sanitary
disposal of all water and refuse.
5. The School shall furnish adequate facilities and equipment so that the children may eat their meals in an acceptable
social manner. Adequate and empathetic supervision shall be provided in the dining area.
6. This Agreement may be terminated upon 10 days written notice on the part of either party hereto and the Department
and/or Sponsor may terminate this Agreement immediately upon receipt of evidence that the terms and conditions of
this Agreement of the applicable regulations and policies have not been fully complied with by the School or the
Sponsor. The Department may make adjustments in rates of reimbursement in accordance with the availability of
funds or in order to comply with the provisions of the National School Lunch Act, the Child Nutrition Act, or the
Healthy, Hunger-Free Kids Act of 2010. Notice of such adjustments shall be given in writing to the Sponsor as far in
advance of the applicable date as is practical.
Signatures indicate agreement with all terms of this Memorandum of Understanding.
_________________________________________________________________________
County Child Nutrition Director/Program Manager
_____________________________
Date
_________________________________________________________________________
County Superintendent/Sponsoring Agency Official Signature
_____________________________
Date
Approved:________________________________________________________________
State Superintendent of Schools Signature
_____________________________
Date
West Virginia Department of Education
Office of Child Nutrition
Charleston, WV 25305
MEMORANDUM OF UNDERSTANDING
Site Information(Forms)
WVDE-ADM-04
April 20
20
INITIALS
Schools/Sites
1
19
2
20
3
21
4
22
5
23
6
24
7
25
8
26
9
27
10
28
11
29
12
30
13
31
14
32
15
33
16
34
17
35
18
36
Page: ___ of ___
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

West Virginia Department of Education Office of Child (West Virginia Department of Education)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 November 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document