Foodservice Concession Contract by asu11102

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									                               CHILD AND ADULT CARE FOOD PROGRAM
                                             PRICING INFORMATION

Institution                                                                                     Unitized

Contractor                                                                                      Family Style


1. Meal Type 2. Estimated Servings Per day           3. Estimated # of Serving Days       4. Unit Price 5. Total Price

Breakfast                                                                                                  $                 -

Lunch                                                                                                      $                 -

Supper                                                                                                     $                 -

Supplement                                                                                                 $                 -

Instructions:

Bidders are asked to submit prices on the following meal types meeting the contract specifications set forth in Schedule C
for meals to be delivered to all of the sites stated in Schedule A.

                1. The partipating center indicates which meal types the contractor will be providing during the contract
                period. If unitized meals will be required, the institutions must indicate this by placing "unitized meal" in
                parenthesis under the meal type.


                2. The participating center indicates the estimated number of meals that will be served each day, by meal
                type, during the contract period.

                3. The participating center indicates the number of anticipated operating days that meals will be served
                during the contract period.


                4. The contractor indicates the appropriate unit price for each meal type as indicated by the institution.

                5. The participating center calculates the total price.
                                                                         NSLP Projected Operating Costs
Updated per Addendum 1
            Contract Begin Date                                                                          School Food Authority
            Contract End Date                                                                                        FSMC Name
            Days of Service

                                                                           Actual "In-School" Revenue
                                                        (Include Seamless Summer Option (SSO) Actual Revenue, if applicable)

            BREAKFASTS:                                                                 MEALS                        RATES
               Elementary Paid                                                  #          37,814         X      $      1.000      =   $     37,814.00
               Elementary Tiered Paid                                           #                         X      $        -        =   $           -
               Middle Paid                                                      #             25,151      X      $       1.000     =   $     25,151.00
               Middle Tiered Paid                                               #                         X      $        -        =   $           -
               Secondary Paid                                                   #             46,079      X      $       1.000     =   $     46,079.00
               Secondary Tiered Paid                                            #                         X      $        -        =   $           -
               Reduced-Price                                                    #              9,929      X      $       0.300     =   $       2,978.70
               Adult Paid                                                       #              9,701      X      $       1.000     =   $       9,701.27
               A la Carte Sales                                                 #             72,225      X      $       1.000     =   $     72,224.92
                                                         Subtotal Breakfasts    #            200,899                                   $    193,948.89
            LUNCHES:

               Elementary Paid                                                  #            239,835      X      $       2.050     =   $    491,661.75
               Elementary Tiered Paid                                           #                         X      $        -        =   $           -
               Middle Paid                                                      #            166,856      X      $       2.450     =   $    408,797.20
               Middle Tiered Paid                                               #                         X      $        -        =   $           -
               Secondary Paid                                                   #             82,756      X      $       2.450     =   $    202,752.20
               Secondary Tiered Paid                                            #                         X      $        -        =   $           -
               Reduced-Price                                                    #             44,448      X      $       0.400     =   $     17,779.20
               Adult                                                            #            134,898      X      $       1.000     =   $    134,897.67
               A la Carte Sales                                                 #            895,295      X      $       1.000     =   $    895,294.84
                                                           Subtotal Lunches     #          1,564,088                                   $   2,151,182.86
            SNACKS/SUPPLEMENTS

               Paid                                                             #                         X      $        -        =   $           -
               Reduced-Price                                                    #                         X      $        -        =   $           -
               Adult                                                            #                         X      $        -        =   $           -
               A la Carte Sales                                                 #                         X      $        -        =   $           -
                                                Subtotal Snacks/Supplements     #                -                                     $           -
            OTHER:

               Special Milk                                                                                                            $       3,051.79
            Vending Machine Sales/Concession                                                                                           $     16,803.05
              Special Functions                                                                                                        $     32,355.60
                                                             Subtotal Other                                                            $     52,210.44

            Total "IN-SCHOOL" Revenue                                           #          1,764,987                                   $   2,397,342.19

                                                                               Federal Reimbursement
                                                        To Be Completed By SFA (include SSO Reimbursements, if applicable)

            BREAKFASTS:                                                                 MEALS                        RATES
               Paid                                                             #          109,044        X      $      0.260      =   $     28,351.44
               Free                                                             #             40,721      X      $       1.460     =   $     59,452.66
               Free, Severe Need                                                #                         X      $             -   =   $           -
               Reduced                                                          #              9,929      X      $       1.160     =   $     11,517.64
               Reduced, Severe Need                                             #                         X      $             -   =   $           -
                                                         Subtotal Breakfasts    #            159,694                                   $     99,321.74
            HIGH RATE LUNCHES:

               Paid                                                             #                         X      $             -   =   $           -
               Free                                                             #                         X      $             -   =   $           -
               Reduced                                                          #                         X      $             -   =   $           -
                                                 Subtotal High Rate Lunches     #                -                                     $           -
            LOW RATE LUNCHES:

               Paid                                                             #            489,447      X      $       0.250     =   $    122,361.75
               Free                                                             #            109,900      X      $       2.680     =   $    294,532.00
               Reduced                                                          #             44,448      X      $       2.280     =   $    101,341.44
                                                 Subtotal Low Rate Lunches      #            643,795                                   $    518,235.19
            SNACKS/SUPPLEMENTS:

               Paid                                                             #                         X      $             -   =   $           -
               Free                                                             #                         X      $             -   =   $           -
               Reduced                                                          #                         X      $             -   =   $           -
                                                Subtotal Snacks/Supplements     #                -                                     $           -
            SPECIAL MILK

               Paid                                                             #             39,434      X      $       0.185     =   $       7,295.29
               Free*                                                            #              3,725      X      $       0.281     =   $       1,044.86
                                                       Subtotal Special Milk    #             43,159                                   $       8,340.15
            Total Federal Reimbursement                                         #            846,648                                   $    625,897.08


PA Projected Operating Costs Revised 12-10-09

Note - Meal Counts are Actual for 2008/2009;Rates are Actual for 2009/2010                                                                                Page 2 of 6
Updated per Addendum 1
                                                                                    NSLP Projected Operating Costs
                                                                                         State Reimbursements
                                                                               (Include SSO Reimbursements, if applicable)

            BREAKFASTS:                                                                           MEALS                          RATES
               Paid                                                                         #        109,044          X      $      0.100     =   $                              10,904.40
               Free                                                                         #           40,721        X      $       0.100    =   $                                4,072.10
               Free, Severe need                                                            #                         X      $         -      =   $                                       -
               Reduced                                                                      #            9,929        X      $       0.100    =   $                                    992.90
               Reduced, Severe Need                                                         #                         X      $         -      =   $                                       -
                                                                  Subtotal Breakfasts       #          159,694                                    $                              15,969.40
            LUNCHES:
               Paid                                                                         #          489,447        X      $       0.100    =   $                              48,944.70
               Free                                                                         #          109,900        X      $       0.100    =   $                              10,990.00
               Reduced                                                                      #           44,448        X      $       0.100    =   $                                4,444.80
               Breakfast Incentive <=20%                                                    #                         X      $         -      =   $                                       -
               Breakfast Incentive >20%                                                     #                         X      $         -      =   $                                       -
                                                                    Subtotal Lunches        #          643,795                                    $                              64,379.50
            SNI Lunch                                                                       #                         X      $         -          $                                       -
            SNI Breakfast                                                                   #                         X      $         -          $                                       -
            SNI Breakfast Incentive <=20%                                                   #                         X      $         -          $                                       -
            SNI Breakfast Incentive >20%                                                    #                         X      $         -          $                                       -
                                                              Subtotal SNI Incentive        #               -                                     $                                       -

            Total State Reimbursement                                                       #          803,489                                    $                              80,348.90

            SUMMARY:

               Total "IN-SCHOOL" Revenue                                                                                                          $                           2,397,342.19
               Total All Reimbursements                                                                                                           $                             706,245.98
               Other Income                                                                                                                       $                                       -
               Interest Income                                                                                                                    $                                       -

            Total Revenue                                                                                                                         $                           3,103,588.17



                   Commodity Usage @              $                            0.1950 Per Reimbursable Lunches:                  643,795          $                            (125,540.03)


                                                                                  (This page to be completed by FSMC)
                                                                                                                      TOTAL COST                                COST/MEAL
            EXPENSES:                                                                                                                                 (Only if Fixed Price Contract)

            Food Cost-Including Commodities*
            Enter the amounts of food and milk purchased and received. Include the Commodity Distribution         $                    -          $                                       -
            Assessment Fee, Commodity Value and Bonus Commodity Value
                          (Do not include rebates, discounts and credits)
            Commodity Delivery Charge*                                                                            $                    -          $                                       -
            Enter the charge to have the commodites delivered
            Direct Labor and Benefits*                                                                            $                    -          $                                       -
            Enter the gross amount paid for salaries and fringe benefits to foodservice workers
            Other Direct*                                                                                         $                    -          $                                       -
            Enter the cost for nonfood items such as paper goods, supplies, equipment repairs

            Nonreimbursable Expenses*                                                                             $                    -          $                                       -
            Enter all expenditures that are not an allowable cost for reimbursement purposes
            Administrative Fee*                                                                                   $                    -          $                                       -
            Enter the fee that will be charged to manage the program
            FSMC Management Fee*                                                                                  $                    -          $                                       -
            Enter the fee that will be charged to manage the program
            Indirect Costs*                                                                                       $                    -          $                                       -
            Enter the amount of utilities and indirect labor charged to manage the program

                                                                                                                  $                    -          $                                       -
            Other: Please List*
                                          Sub-total Expenses/Total Cost Per Meal                                  $                    -          $                                       -


                                     Less Rebates, Discounts and Applicable Credits                               $                    -

                                                                                                                                                      SUMMARY

                                                                                                                             Total Revenue        $                           3,103,588.17
            Guarantee to SFA                       $                                    -                                    Total Expenses       $                            (125,540.03)


            School Nutrition Program-Profit or (Loss)                                                                                             $                           3,229,128.20

            *All items must be included in a budget summary and itemized in full detail




PA Projected Operating Costs Revised 12-10-09

Note - Meal Counts are Actual for 2008/2009;Rates are Actual for 2009/2010                                                                                                                      Page 3 of 6
                                                                                   NSLP Projected Operating Costs

                               Contract Begin Date                                                                           School Food Authority
                               Contract End Date                                                                                         FSMC Name
                               Days of Service

                                                                                     Actual "In-School" Revenue
                                                                  (Include Seamless Summer Option (SSO) Actual Revenue, if applicable)

                               BREAKFASTS:                                                                     MEALS                     RATES
                                  Elementary Paid                                                   #             37,814     X      $       1.000     =   $     37,814.00
                                  Elementary Tiered Paid                                            #                        X      $         -       =   $           -
                                  Middle Paid                                                       #              25,151    X      $        1.000    =   $     25,151.00
                                  Middle Tiered Paid                                                #                        X      $         -       =   $           -
                                  Secondary Paid                                                    #              46,079    X      $        1.000    =   $     46,079.00
                                  Secondary Tiered Paid                                             #                        X      $         -       =   $           -
                                  Reduced-Price                                                     #                9,929   X      $        0.300    =   $       2,978.70
                                  Adult Paid                                                        #                9,701   X      $        1.000    =   $       9,701.27
                                  A la Carte Sales                                                  #              72,225    X      $        1.000    =   $     72,224.92
                                                                           Subtotal Breakfasts      #             200,899                                 $    193,948.89
                               LUNCHES:

                                  Elementary Paid                                                   #             239,835    X      $        1.950    =   $    467,678.25
                                  Elementary Tiered Paid                                            #                        X      $         -       =   $           -
                                  Middle Paid                                                       #             166,856    X      $        2.350    =   $    392,111.60
                                  Middle Tiered Paid                                                #                        X      $         -       =   $           -
                                  Secondary Paid                                                    #              82,756    X      $        2.350    =   $    194,476.60
                                  Secondary Tiered Paid                                             #                        X      $         -       =   $           -
                                  Reduced-Price                                                     #              44,448    X      $        0.400    =   $     17,779.20
                                  Adult                                                             #             134,898    X      $        1.000    =   $    134,897.67
                                  A la Carte Sales                                                  #             895,295    X      $        1.000    =   $    895,294.84
                                                                             Subtotal Lunches       #            1,564,088                                $   2,102,238.16
                               SNACKS/SUPPLEMENTS

                                  Paid                                                              #                        X      $         -       =   $           -
                                  Reduced-Price                                                     #                        X      $         -       =   $           -
                                  Adult                                                             #                        X      $         -       =   $           -
                                  A la Carte Sales                                                  #                        X      $         -       =   $           -
                                                                  Subtotal Snacks/Supplements       #                  -                                  $           -
                               OTHER:

                                  Special Milk                                                                                                            $       3,051.79
                               Vending Machine Sales/Concession                                                                                           $     16,803.05
                                 Special Functions                                                                                                        $     32,355.60
                                                                                Subtotal Other                                                            $     52,210.44

                               Total "IN-SCHOOL" Revenue                                            #            1,764,987                                $   2,348,397.49

                                                                                       Federal Reimbursement
                                                                  To Be Completed By SFA (include SSO Reimbursements, if applicable)

                               BREAKFASTS:                                                                     MEALS                     RATES
                                  Paid                                                              #             109,044    X      $       0.250     =   $     27,261.00
                                  Free                                                              #              40,721    X      $        1.400    =   $     57,009.40
                                  Free, Severe Need                                                 #                        X      $             -   =   $           -
                                  Reduced                                                           #                9,929   X      $        1.100    =   $     10,921.90
                                  Reduced, Severe Need                                              #                        X      $             -   =   $           -
                                                                           Subtotal Breakfasts      #             159,694                                 $     95,192.30
                               HIGH RATE LUNCHES:

                                  Paid                                                              #             489,447    X      $        0.260    =   $    127,256.22
                                  Free                                                              #             109,900    X      $        2.590    =   $    284,641.00
                                  Reduced                                                           #              44,448    X      $        2.190    =   $     97,341.12
                                                                   Subtotal High Rate Lunches       #             643,795                                 $   509,238.340
                               LOW RATE LUNCHES:

                                  Paid                                                              #                        X      $             -   =   $           -
                                  Free                                                              #                        X      $             -   =   $           -
                                  Reduced                                                           #                        X      $             -   =   $           -
                                                                   Subtotal Low Rate Lunches        #                  -                                  $           -
                               SNACKS/SUPPLEMENTS:

                                  Paid                                                              #                        X      $             -   =   $           -
                                  Free                                                              #                        X      $             -   =   $           -
                                  Reduced                                                           #                        X      $             -   =   $           -
                                                                  Subtotal Snacks/Supplements       #                  -                                  $           -
                               SPECIAL MILK

                                  Paid                                                              #              39,434    X      $        0.185    =   $       7,295.29
                                  Free*                                                             #                3,725   X      $        0.281    =   $       1,044.86
                                                                         Subtotal Special Milk      #              43,159                                 $       8,340.15
                               Total Federal Reimbursement                                          #             846,648                                 $    612,770.79




PA Projected Operating Costs                                                                     Page 4 of 6                                                                 Created on November 17, 2008
                                                                                                   NSLP Projected Operating Costs
                                                                                                         State Reimbursements
                                                                                              (Include SSO Reimbursements, if applicable)

                               BREAKFASTS:                                                                                         MEALS                    RATES
                                  Paid                                                                                    #           109,044       X   $      0.100      =    $            10,904.40
                                  Free                                                                                    #            40,721       X   $       0.100     =    $              4,072.10
                                  Free, Severe need                                                                       #                         X   $            -    =    $                     -
                                  Reduced                                                                                 #             9,929       X   $       0.100     =    $                992.90
                                  Reduced, Severe Need                                                                    #                         X   $            -    =    $                     -
                                                                                          Subtotal Breakfasts             #           159,694                                  $            15,969.40
                               LUNCHES:
                                  Paid                                                                                    #           489,447       X   $       0.100     =    $            48,944.70
                                  Free                                                                                    #           109,900       X   $       0.100     =    $            10,990.00
                                  Reduced                                                                                 #            44,448       X   $       0.100     =    $              4,444.80
                                  Breakfast Incentive <=20%                                                               #                         X   $            -    =    $                     -
                                  Breakfast Incentive >20%                                                                #                         X   $            -    =    $                     -
                                                                                            Subtotal Lunches              #           643,795                                  $            64,379.50
                               SNI Lunch                                                                                  #                         X   $            -         $                     -
                               SNI Breakfast                                                                              #                         X   $            -         $                     -
                               SNI Breakfast Incentive <=20%                                                              #                         X   $            -         $                     -
                               SNI Breakfast Incentive >20%                                                               #                         X   $            -         $                     -
                                                                                      Subtotal SNI Incentive              #               -                                    $                     -

                               Total State Reimbursement                                                                  #           803,489                                  $            80,348.90

                               SUMMARY:

                                  Total "IN-SCHOOL" Revenue                                                                                                                    $        2,348,397.49
                                  Total All Reimbursements                                                                                                                     $           693,119.69
                                  Other Income                                                                                                                                 $                     -
                                  Interest Income                                                                                                                              $                     -

                               Total Revenue                                                                                                                                   $        3,041,517.18



                                       Commodity Usage @                 $                               0.2075 Per Reimbursable Lunches:                   643,795            $          (133,587.46)


                                                                                                 (This page to be completed by FSMC)
                                                                                                                                                    TOTAL COST                     COST/MEAL
                               EXPENSES:                                                                                                                                  (Only if Fixed Price Contract)


                               Food Cost-Including Commodities*
                               Enter the amounts of food and milk purchased and received. Include the Commodity Distribution Assessment         $                    -         $                     -
                               Fee, Commodity Value and Bonus Commodity Value
                                            (Do not include rebates, discounts and credits)
                               Commodity Delivery Charge*                                                                                       $                    -         $                     -
                               Enter the charge to have the commodites delivered
                               Direct Labor and Benefits*                                                                                       $                    -         $                     -
                               Enter the gross amount paid for salaries and fringe benefits to foodservice workers
                               Other Direct*                                                                                                    $                    -         $                     -
                               Enter the cost for nonfood items such as paper goods, supplies, equipment repairs

                               Nonreimbursable Expenses*                                                                                        $                    -         $                     -
                               Enter all expenditures that are not an allowable cost for reimbursement purposes

                               Administrative Fee*                                                                                              $                    -         $                     -
                               Enter the fee that will be charged to manage the program

                               FSMC Management Fee*                                                                                             $                    -         $                     -
                               Enter the fee that will be charged to manage the program

                               Indirect Costs*                                                                                                  $                    -         $                     -
                               Enter the amount of utilities and indirect labor charged to manage the program

                                                                                                                                                $                    -         $                     -
                               Other: Please List*

                                                               Sub-total Expenses/Total Cost Per Meal                                           $                    -         $                     -

                                                   Less Rebates, Discounts and Applicable Credits                                               $                -
                                                                                                                                                                         SUMMARY

                                                                                                                                                        Total Revenue          $        3,041,517.18
                               Guarantee to SFA                          $                                            -                                 Total Expenses         $          (133,587.46)


                               School Nutrition Program-Profit or (Loss)                                                                                                       $        3,175,104.65

                               *All items must be included in a budget summary and itemized in full detail




PA Projected Operating Costs                                                                                         Page 5 of 6                                                                           Created on November 17, 2008
                           National School Lunch Program (NSLP) Reimbursement Rates-2008-2009

                                                           Severe Need      Regular   Special Area Eligible    Regular
         Description           High Lunch    Low Lunch      Breakfast      Breakfast   Milk      Snack          Snack
                          Paid        0.26          0.24            0.25         0.25 0.1850                        0.06
                          Free        2.59          2.57            1.68         1.40                   0.71        0.71
                       Reduced        2.19          2.17            1.38         1.10                               0.35

         State Reimbursement Rates
Description                          Rate
Lunch                                0.10
Breakfast                            0.10
Additional amount for Lunch if
breakfast participation >20%         0.04
Additional amount for Lunch if
breakfast participation <= 20%       0.02

      SNI State Reimbursement Rates
Description                      Rate
Lunch                             0.01
Breakfast                         0.01
Additional amount for Lunch if
breakfast participation >20%      0.02
Additional amount for Lunch if
breakfast participation <= 20%    0.01


Summer Food Service Program (SFSP) Reimbursement Rates
                              Operating Administrative
          Meals
                                Rates       Rates
Breakfast                        1.57       0.1225
Lunch                            2.75       0.2375
Supper                           2.75       0.2375
AM Snack                         0.64       0.0625
PM Snack                         0.64       0.0625

								
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