Okaloosa County BOCC — February 11, 2013 — FL - Attestation form — reading text

DATE: April 4, 2013 FROM: Don R. Amunds, Chairman, Okaloosa County Board of Commissioners TO: Robin Safley, Director of Food, Nutrition and Wellness SUBJECT: Attestation of Compliance with Meal Pattern Requirements Instruction: The following statement must be signed by a duly authorized representative of the school food authority operating the National School Lunch and/or School Breakfast Programs, and returned to the appropriate State agency upon submission of the certification documentation for the performance-based cash assistance. I, Don R. Amunds, as the duly authorized representative of Okaloosa County Board of Commissioners, do hereby attest that the aforementioned SFA and all schools under its jurisdiction operating the National School Lunch Program authorized under the Richard B. Russell National School Lunch Act (42 U.S.C. 1751 et seq), and/or the School Breakfast Program authorized under the Child Nutrition Act of 1966 ( 42 U.S.C. 1773), are in compliance with the meal pattern requirements in effect for School Year 2013- 2014, as set forth in 7 CFR Part 210.10 and 220.23, as applicable. In addition, for School Year 2013-2014, Okaloosa County Board of Commissioners attests that: • Documentation submitted for certification is representative of the ongoing meal service within the SFA; • The minimum required food quantities for all meal components are available to students in every serving line; • All labels and/or manufacturer specifications for food products and ingredients used to prepare school meals indicate zero grams of trans fat per serving;  • The minimum calories required for breakfasts served under the Food Based Menu Planning option are offered and available to every student, as applicable; and • All Pre – K meals are compliant with the current meal patterns for the age/grade group being served, as applicable. I certify that this attestation is true and correct, and therefore, I believe Okaloosa County Board of Commissioners is eligible for the performance-based reimbursement. I understand that if the State agency determines the SFA to be noncompliant with one or more of the requirements set forth in this attestation statement, fiscal action will include, deactivating the performance-based reimbursement, disallowance of meals, and/or withholding of payment. In addition, I understand that an attestation of compliance must be submitted annually to the State agency prior to July 1 of each year through the School Year beginning July 1, 2014, to attest full compliance with the subsequent year meal pattern requirements. School Food Authority State Agency Submitted By (Signature) Received By (Signature) _Don R. Amunds________________ ______________________________ _Chairman_____________________ Mike Gresham, Director of Administration TITLE TITLE ______________________________ ______________________________ DATE DATE