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AMENDMENT NO. 2 TO AGREEMENT FOR DAILY
LUNCHEON MEALS PROGRAM BY AND BETWEEN THE
CITY OF ARCADIA AND UNIFIED NUTRI -MEALS
This Amendment No. a is hereby entered into by and between the City of
Arcadia, a municipal corporation of the State of California, and NDK Foods
/Unified Nutri - Meals, a private contractor operating from 7512 Scout Ave Bell
Gardens, with respect to that certain Professional Services Agreement between the
parties dated July 1, 2005 through June 30, 2006.
The parties agree as follows:
1. The term of the Agreement is extended to and including July 1, 2007
through June 30, 2008.
2. The Scope of Work is hereby amended to include, without limitation, change
orders in the amount of $31,000 for additional work and modifications to the
contract as follows: Cost per meal will be $2.92.
3. All other terms and provisions of the Agreement are hereby reaffirmed.
In witness, whereof the parties have executed this Amendment No. 2.. on the
date set forth below.
CITY OF ARCADIA
By M -1
City Manager
Dated: It , 2007
APPROVED AS TO FORM:
S� P : l -
City Attorney
CONSULTANT
"Shabir Kashy"
By
Title
Dated: k4o .2007
CONCUR:
Director, Recreation and Community
Services
AMENDMENT NO. 1 TO AGREEMENT FOR DAILY k
LUNCHEON MEALS PROGRAM BY AND BETWEEN THE
CITY OF ARCADIA AND UNIFIED NUTRI -MEALS
This Amendment No. 1 is hereby entered into by and between the City of
Arcadia, a municipal corporation of the State of California, and Unified Nutru-
Meals, a private contractor operating from 7512 Scout Ave Bell Gardens, with
respect to that certain Professional Services Agreement between the parties dated
July 1, 2005 through June 30, 2006.
The parties agree as follows:
1. The term of the Agreement is extended to and including July 1, 2006
througlrJune 30, 2007.
2. The Scope of Work is hereby amended to include, without limitation, change
orders in the amount of $31,000 for additional work and modifications to the
contract as follows: Cost per meal will be $2.88.
3. All other terms and provisions of the Agreement are hereby reaffirmed.
In witness whereof the parties have executed this Amendment No. 1 on the date
set forth below.
CITY OF ARCADIA
By W rQ
City M_ anager
Dated: �'u 12006
APPROVED AS TO FORM:
City Attorney
CONSULTANT
"Shabir Kashy"
Title
Dated: , 2006
CONCUR:
Director, Recreation and Commumty
Services
\k00 - gd
• AGREEMENT • G a 16.3
CITY OF ARCADIA AND CATERING SYSTEMS INC.
THIS CONTRACT, is made and entered into this 24th day of May, 2005 by and between the CITY OF
ARCADIA, a Municipal Corporation, 240 W. Huntington Drive, Arcadia, hereinafter referred to as "City", and
UNIFIED NUTRI- MEALS, 7512 Scout Ave Bell Gradens, Hereinafter referred to as "Contractor ",
WITNESSETH:
WHEREAS, the City Council has approved the use of the Arcadia Community Center for a daily
luncheon meals program for aduls 50 years and older, and
WHEREAS, Community Development Block Grant (CDBG) funds have been approved to subsidize the
meals for individuals 55 years and older, and
WHEREAS, the Contractor represents that it has experience and competence to assist the City in
providing a daily luncheon meals program, and
WHEREAS, this Agreement is to continue with the attached contract (Food Service Specifications -
Exhibit 1) which describes the services that will be provided to the City,
NOW, THEREFORE, the parties hereto agree as follows:
1. PROVISION OF MEAL SERVICE. The Contractor shall furnish all food, equipment, and paid
staff necessary to prepare and deliver individual meals and/or bulk food for persons 55 years of age and older `
Monday through Friday of each week (or other days as requested). The Contractor and the City will adhere to
all standards as outlined in the Food Service Specifications (Exhibit 1) and, hold valid permits, and licenses as
required by State, County, City to legally engage in and perform the services provided.
2. TERM. The services provided pursuant to this Contract shall be for a period of twelve months
beginning July 1, 2005 and ending June 30, 2004. It is optional on the part of the City to review and evaluate
the Contractors' performance each succeeding year for a maxium of two (2) years to determine if renewal of the
contract is desired, upon mutual agreement of both pareties the existing terms and conditions shall apply. The
City shall notify the Contractor in April of the exisiting contracted period to inform the contract of the disre to
renewed the agreement for the succeeding year.
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3. NO MEALS SERVED. Meals will not be served on the following Holidays or Special Community
Center Events.
City Holiday
J my 4, 2005
September 5, 2005
November 11, 2005
November 24, 2005
November 25, 2005
December 23, 2005
February 20, 2006
May 29, 2006
Independence Day
Labor Day
Veterans' Day
Thanksgiving Day
The Friday after Thanksgiving
City Holiday Christmas Day
Presidents' Day
Memorial Day
Special Events:
November 22, 2006 Veteran's Day Celebration
November 26, 2006 Thanksgiving Potluck Lunch
December 30, 2006 New Year's Brunch
4. INDEMNITY.
A. The Contractor agrees to indemnify, hold harmless, release and defend the City its officers,
agents, and employees for any and all liability, loss, suits, claims, damages, costs, judgments and expenses
(including attorney's fees and costs of litigation) which in whole or in part result from, or arise out of, or are
claimed to result or to arise out of any activity on or use of City's premises or facilities or any performance under
this Contract, except for liability for damages referred to above to the extent it results from the negligence or
willful misconduct of the City, its officers, employees and its agents (city volunteers assigned to this program.)
The Contractor shall indemnify City and defend any suit against the City alleging personal injury, sickness, or
disease arising out of meals served at the project sites provided food is served within 2 hours of packaging.
B. Contractor shall be responsible for any damage or loss to City property caused by their activity
on City property.
5. INSURANCE. Contractor shall, at its own expense, procure and maintain policies of Insurance of
the types and in the amounts set forth below, for the duration of the Contract, including any extension thereto.
The policies shall state that they afford primary coverage.
A) The Contractor shall maintain public liability and property damage insurance to protect said City
during the entire period of performance in the amount of not less than one million dollars
($1,000,000) per occurrence.
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B) The Contractor shall maintain Comprehensive Auto Liability (owned and non - owned) to protect
the said City during the entire period of performance as outlined:
a. Bodily Injury
b. Property Damage
$100,000 each person
$300,000 each accident
$300,000 aggregate products
$ 50,000 each accident
$250,000 aggregate protection
$250,000 aggregate products
$250,000 aggregate contractual
C) Contractor shall comply with the applicable sections of the California Labor Code concerning
workers' compensation for injuries on the job.
D) Contractor shall provide proof of insurance satisfactory to the City Attorney by a certificate of
insurance showing the City of Arcadia as additional insured.
E) Failure to maintain required insurances at all times shall constitute a default and material breach.
In such event, Contractor shall immediately notify City and cease all performance under this
Contract until further directed by the City.
6. COMPENSATION FOR SERVICES. City agrees to pay Contractor $2.80 for each meal (as
outlined in the "Bid Price Fact Sheet" - Exhibit 2) with a minimum of 30 meals per day and a maximum
estimated at 80 meals per day. The maximum number of meals may be increased for a special event, providing
arrangements are made at least 15 days in advance. The Contractor shall fumish to the City an invoice of meals
ordered on a weekly basis. The City will pay such invoices monthly for the previous month within ten (10) days
after receipt of the same invoice. Total payment to the Contractor shall not exceed $40,800.00. Any cost of
living adjustment (COLA) shall not exceed 3% of the original contracted price and shall only be considered
upon renewal of the original agreement. The Contractor shall request in writing and provide justification for any
possible COLA.
CANCELLATION. This Contract may be terminated by either parry by giving not less than
thirty (30) days' written notice to the other parry, or by the City immediately for cause. The notice shall state the
termination date. Notice to City shall be addressed to the City Manager at 240 W. Huntington Drive, Arcadia,
California, 91007. Notice to the Contractor shall be addressed to Shabir Kashyap, Project Manager, Unified
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Nutri-Meals 7512 Scout Ave. Bell Gardens, California, 90201. In addition, the contract may be terminated
because of lack of funds. In the event funds to finance this contract, or part of this contract, become
unavailable, the obligations of each party hereunder may be terminated upon no less than 10 days written notice
to the other party. Said notice shall be delivered certified mail, telegram, or in person. Waivers of breach of any
provision of the contract shall not be construed to be a modification of the terms of the contract.
8. NON - ASSIGNMENT CLAUSE. Contractor cannot assign or delegate or otherwise transfer
this Contract or the rights or duties contained herein to any individual, person, or legal entity otherwise without
the prior written consent of the City.
9. COMPLIANCE WITH FEDERAL PROVISIONS. During the performance of this
Agreement, the Contractor agrees to comply with the Federal Provisions defined in Attachment A as required by
the Community Development Commission, County of Los Angeles.
10. RETENTION AND ACCESS OF RECORDS. Retention of and access to any book,
documents, papers, and records of the service provider for audit or examination shall be for a period of three
years after final payments are issued and other pending matters are closed (Section 85.42 of the "Common
Rules" for cities, County Departments and CDC Divisions; OMB Circular A -110, Attachment C for
community -based organizations).
11. INTEREST OF MEMBERS OF A CITY. No member of the governing body of the City and
no other officer, employee, or agent of the City who exercises any functions or responsibilities in connection
with the planning and carrying out of the program, shall have any personal financial interest, direct or indirect,
in this agreement; and the Contractor shall take appropriate steps to assure compliance.
12. INTEREST OF OTHER LOCAL PUBLIC OFFICIALS. No member of the governing body
of the locality and no other public official of such locality, who exercises any functions or responsibilities in
connection with the planning and carrying out of the program, shall have any personal financial, direct or
indirect, in this Agreement; and the Contractor shall take appropriate steps to assure compliance.
13. INTEREST OF CONTRACTOR AND EMPLOYEES. The Contractor covenants that they
presently have no interest and shall not acquire interest, direct or indirect, in the project area or any parcels there
in or any other interest which would conflict in any manner or degree with the performance of their services
hereunder. The Consultant further covenants that in performance of this Agreement, no person having such
interest shall be employed.
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14. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the parties and
supersedes any prior or contemporaneous representations or agreements of the parties. This Contract may be
revised or modified only by written agreement of both parties signed by an authorized representative of each
party. Insofar as the provisions of this agreement are inconsistent with anything set forth in exhibit 1, the
provisions of this agreement shall prevail.
IN WITNESS WHEREOF, the parties hereto have caused this contract to be executed by their duly
authorized representatives as of the date set forth below.
Dated: bo,6q
ATTEST:
James -H. Barrow
City Clerk
APPROVED AS TO FORM
Stephen Deitsch
City Attorney
CITY OF A�RgC�ADIIA�
By
William R. Kelly
City Manager
UNIFIED NUTRI -MEALS
By S ?�
Sh it hyap
Prol s Manager
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ATTACHMENT A
During the performance of this Agreement, the Contractor agrees to comply with the following Federal
provisions:
1. Executive Order 11246 requires that during the performance of this Agreement, the consultant agrees not to
discriminate against any employee or applicant for employment because of race, religion, sex, color, or
national origin. The contractor will take affirmative action to ensure that applicants are employed and that
employees are treated during employment, without regard to their race, religion, sex, color, or national
origin. Such action shall include, but not limited to, the following: employment upgrading, demotion or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. The Contractor agrees to post in
conspicuous places, available to employees and applicants for employment, notices to be provided by the
contractor setting forth the provisions of this nondiscrimination clause.
2. Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701 et. seq.,
requires that to the greatest extent feasible, opportunities for training and employment be given to lower -
income residents of the project area and contracts for work in connection with the project be awarded to
business concerns which are located in, or owned in substantial part, by persons residing in the area of the
project.
3. Title VI of the Civil Rights Act of 1964 provides that no person shall, on the ground of race, color, or
national origin, be excluded from participation in, be denied the benefits of, or be subjected to
discrimination under any program or activity receiving Federal financial assistance.
4. Section 109, Title I of the Housing and Community Development Act of 1974, provides that no person shall,
on the ground of race, color, national origin, or sex, be excluded from participation in, be denied the benefits
of, or be subjected to discrimination under any program or activity funded in whole or in part with funds
made available under this Title.
5. Prohibition against discrimination on the basis of age under the Age Discrimination Act of 1975, or with
respect to an otherwise qualified handicapped individual, as provided in Section 504 of the Rehabilitation
Act of 1973, shall also apply to any such program or activity.
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CITY OF ARCADIA
Recreation and Community Services Department
Senior Citizens'Services
FOOD SERVICE SPECIFICATIONS
Between
City of Arcadia
(city)
and
Unified Nutri -Meals
(Contractor)
STATEMENT OF WORK AND SCHEDULE
EXHIBIT 1
During the Time of Performance as set forth herein, the Contractor shall furnish all food and equipment
necessary to prepare and deliver individual meals and/or bulk food for persons 55 years of age and older
Monday through Friday of each week.
1. NUMBEWPRICE OF MEALS
The minimum is estimated at 30 meals and the maximum is estimated at 80 meals per day. The meals
would be congregate meal or box or picnic lunches for a fee of $2.80 per meal. There is no guarantee that
the maximum number of meals will be reached.
2. DELIVERY
a. The meals shall be delivered to the Arcadia Community Center, 365 Campus..Drive, Arcadia.
b. The City may add, delete,or designate alternate meal locations provided that new meal locations shall not be
located substantially farther, than the Arcadia Community Center.
c. The City may change the days and time of delivery and service by giving contractor 7 days' notice.
d. The City shall notify Contractor at least 72 hours prior to delivery of the number of meals required for the
ensuing week. The city reseves the right to increase the number of meals orders on any particular day
providing arrangements are made at least 48 hours in advance.
e. The,Contractor shall deliver the meals no more.than 30, minutes prior to and not less than 15 minutes
before the, agreed upon serving time., Food shall, be kept.in heat retaining equipment no longer than 2 hours
after packaging.
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2. SERVICE STANDARDS •
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a. The kitchen shall be available to Contractor from 10:00 a.m. - 2:00 p.m. Meals will be served at 11:30 a.m.
b. Meals are to be delivered in bulk servings, except for box lunches.
c. All food must be packaged and transported under conditions that will ensure temperature control to prevent
bacterial contamination, spillage, and /or insect infestation. Hot foods are to be delivered at a minimum
temperature of 140° F and cold foods at a maximum temperature of 40° F. These temperatures must be
maintained until serving time. The Contractor must take temperature of bulk food daily at the end of
production/packaging and on delivery at the nutrition site. Hot and cold foods must be placed immediately
into insulated hot and cold transport equipment upon completion of packaging. Daily written
documentation of temperature logging/monitoring must be kept by Contractor and will be subject to audit
by the Senior Citizens Supervisor or designated person.
d. The Contractor shall supply the following minimum specifications per item, but is not limited to the
minimum. The Contractor shall monitor supply usage:
ITEM SPECIFICATIONS
Disposable Plates Hot and Cold 5 compartment plates
Disposable Cups Hot and Cold
Disposable Bowls Hot and Cold 8 oz.
Disposable Flatware Med weight, knives, fork, spoon and soup spoon
Napkins 2 ply
Others Plastic disposable gloves, disposable aprons,
hair nets, serving trays, utensils, and cleaning supplies
e. The Contractor shall place food in areas designated by the Senior Meals Program Leader.
f Each delivery shall be accompanied by a delivery slip, in duplicate, designating number of meals and
supplies delivered. Senior Citizens Supervisor or designated person will sign receipt, if in order, and retain
one copy.
g. The Contractor's delivery equipment shall be removed from the kitchen location by 2:00 p.m. City is not
responsible for equipment after this time.
h. The Contractor shall provide a back -up delivery system in the event of vehicle breakdown.
is Electrical items required to be provided herein shall have the UNDERWRITER'S LABORATORY OR LOS
ANGELES ELECTRICAL TESTING LABORATORY approval and meet all current OSHA and COSHA
requirements, where applicable.
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2. SERVICE STANDARDS (Continued)
j. The Contractor shall comply with all Federal, State and local health department laws and regulations.
Contractor shall provide City with a current copy of the health certificate and any corrected deficiencies with
bid.
1. Authorized representative of the City shall have the right to inspect food preparation, ,storage, and packing
sites during the term of the contract.
m. The City Manager, the Director of Recreation and Community Services, or their designate shall have the
authority to cancel or postpone use of a facility if the City deems such action necessary. Whenever; possible,
48 hours notice will be given to the contractor.
3. MEAL STANDARDS
a. The Contractor shall be liable for meals that do not meet the nutritional standards and requirements or are
spoiled or unwholesome at time of delivery, or are insufficient in number ordered, or are delivered after the
time specified by the City. In the event the Contractor fails to deliver meals, other foods, or supplies as
agreed upon, the City may provide a substitute meal with emergency supplies or meals purchased from other
places and charge the cost of the purchased meal to the Contractor. The replacement cost shall not exceed
120 percent of the contracted catered meal cost.
b. •If any portion of a meal, other than the I entree is delivered in an unacceptable condition, such as,incorect
temperature (*potentially hazardous), less than contracted portion, spoiled or too late, the Contractor shall be
liable for 120% replacement cost of that portion. IF the entree is unacceptable, the Contractor shall be liable
for the cost of the entire meal. Any item replaced by City due to storage or spoilage shall be reimbursed at
full amount expended: All storages shall be noted on delivery.slip for proper crediting.
5. MENUS
a. All menus shall be,in compliance with the meal patterns as outlined.
b. A 6 -week cycle menu shall be used that is written once every six months.
c... The Contractor has the, responsibility for menu writing with approval by the Senior Citizen Services
Supervisor or their,designate.
d. The City is responsible for typing and duplicating menu.
e. All menu substitutions,by the Contractor shall be submitted in writing for approval by the Senior Citizen
Services Supervisor or their designate at least 15 days prior to the serving date. The Contractor may,
however, in an emergency situation make menu substitutions on verbal approval of the Senior Citizen
Services Supervisor or their designate, with a written notice to follow for documentation.
f. Provisions shall be made by the Contractor to provide in- service training regarding food sanitation for
the food service staff and volunteers.
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6. MEAL PATTERN •
C�
A typical meal must include an entree, vegetable, starch, salad (vegetable or fruit),
roll & margarine, beverage, and dessert (at least twice a week):
Meat or meat alternate 3 -oz. edible portion (exclusive of bone, fat, gristle, etc.)
Vegetables/Fruits 2 (1/2 cup each) servings (exclusive of dessert)
Juice (as needed to 1/2 cup satisfy Vitamin C rqmt)
Enriched bread 1 slice bread, cornbread, roll, tortilla, biscuit
Cooked Starch 1/2 cup serving such as rice, pasta, potato
Margarine 1 teaspoon
Dessert 1/2 cup or equivalent (served at least twice a week)
a. In the preparation of all meals, the Contractor shall use a minimum of simple sugars. Each meal shall
not exceed 1100 mg of sodium and shall be low in fat.
b. Contractor shall provide all condiments, which are normally served with specific menus, including, but
not limited to, salt, pepper, salad dressing, tartar sauce, mustard, catsup, cream, sugar, and garnishes such as
lemon slices and parsley. The Contractor shall provide containers for salt, pepper or any other item as may
be required.
c. Ground beef may be used no more often than twice a week and must be solid form such as meatloaf or
salisbury steak for one of the servings.
d. Desserts such as fruits, puddings, gelatin with fruit, ice cream, ice milk, sherbet, and similar foods shall
be served in one -half (1/2) -cup portions. Oatmeal, wheat and peanut butter cookies, not to exceed 80
calories per serving, may be included once a week. High calorie desserts such as plain gelatin desserts, cake,
pie, cookies and similar foods shall also be included but are to be limited to once per week.
e. Different fruits will be served at least three days. Whole fresh fruit in season shall be served at least
once during each week. Canned fruit will be water packed or packed in its own juice.
f. Minimum grades for all foods shall be as follows:
(1) Beef: USDA grade A Choice
(2) Pork: USDA Number 1 (as defined in SRA, Number 171 US Standards and Grades of
Pork Carcasses)
(3) Lamb: USDA Choice
(4) Poultry: USDA Grade A to be used for all fresh or frozen poultry products.
Neck, backs, or wings alone shall not be used. Reconstructed roll products are not
acceptable.
(5) Variety Meats: Grade Number 1 from USDA Government inspected plants.
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2. SERVICE STANDARDS • •
a. The kitchen shall be available to Contractor from 10:00 a.m. - 2:00 p.m. Meals will be served at 11:30 a.m.
b. Meals are to be delivered in bulk servings, except for box lunches.
c. All food must be packaged and transported under conditions that will ensure temperature control to prevent
bacterial contamination, spillage, and/or insect infestation. Hot foods are to be delivered at a minimum
temperature of 140° F and cold foods at a maximum temperature of 40° F. These temperatures must be
maintained until serving time. The Contractor must take temperature of bulk food daily at the end of
production/packaging and on delivery at the nutrition site. Hot and cold foods must be placed immediately
into insulated hot and cold transport equipment upon completion of packaging. Daily written
documentation of temperature logging/monitoring must be kept by Contractor and will be subject to audit
by the Senior Citizens Supervisor or designated person.
d. The Contractor shall supply the following minimum specifications per item, but is not limited to the
minimum. The Contractor shall monitor supply usage:
ITEM SPECIFICATIONS
Disposable Plates Hot and Cold 5 compartment plates
Disposable Cups Hot and Cold
Disposable Bowls Hot and Cold 8 oz.
Disposable Flatware Med weight, knives, fork, spoon and soup spoon
Napkins 2 ply
Others Plastic disposable gloves, disposable aprons,
hair nets, serving trays, utensils, and cleaning supplies
e. The Contractor shall place food in areas designated by the Senior Meals Program Leader.
f. Each delivery shall be accompanied by a delivery slip, in duplicate, designating number of meals and
supplies delivered. Senior Citizens Supervisor or designated person will sign receipt, if in order, and retain
one copy.
g. The Contractor's delivery equipment shall be removed from the kitchen location by 2:00 p.m. City is not
responsible for equipment after this time.
It. The Contractor shall provide a back -up delivery system in the event of vehicle breakdown.
is Electrical items required to be provided herein shall have the UNDERWRITER'S LABORATORY OR LOS
ANGELES ELECTRICAL TESTING LABORATORY approval and meet all current OSHA and COSHA
requirements, where applicable.
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6. MEAL PATTERN (Continued)
(7) Dairy Products: Following is to be used as minimum specifications for all graded dairy products:
a. Eggs, fresh USDA or State Graded A
b. Cheese, USDA grade A, non - processed cheese
(8) Fish and seafood must be either fresh or frozen and be a nationally distributed brand packed under
(9) continuous inspection of the US Department of Interior.
(10) Canned Fruits and Juices: USDA Grade A (fancy) and Grade B (choice) are to be used for all graded
fruits and fruit juices. Grade C (standard) may be used for pie and cobbler production only.
(11) Fresh fruits: USDA Fancy to USDA Number 1 to be used for all graded fresh fruits as a minimum
standard.
(12) Fresh vegetables: USDA Fancy and Number I I to be used for all graded fresh vegetables as a
minimum standard.
(13) Frozen fruits and vegetables: USDA grade A is to be used for all graded frozen fruits and vegetables
as a minimum standard.
(14) Cake, cornbread, and casserole dishes, i.e. meatloaf, lasagna, tuna noodle casserole, shall be
prescored by the Contractor for the appropriate number of servings.
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BID PRICE FACT SHEET
CATERER: Unified Nutri -Meals
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EXHITBIT 2
HOT BULK MEAL
COST PER MEAL
Raw Food
$ 1.27
Condiments
$ .10
Preparation
$ .80
Transit
$ .28
Sundry Items
.28
Paper
$ .18
Other
$ .10
$
TOTAL CATERED
Overhead Profit
$ 07 COST /MEAL $ 2.80
BOX OR PICNIC LUNCH
Raw Food
$
1.19
Condiments
$
.10
Preparation
$
.80
Transit
$
.28
Sundry Items
tems
Paper
$
.26
Other
$
.10
TOTAL CATERED
Overhead Profit
$
07 COST /MEAL 2.80
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Community Development Commission
County of Los Angeles
FEDERAL LOBBYIST REQUIREMENTS
CERTIFICATION
Date: 1-11ld l o t Name of Firm: LW IFI 6,D Aj u M A4 9A'!h
Address: 77l'L Ste"' "4jE— SPL.L 6hrd 6
State: 6A- Zip Code: dZU Phone No.: (57$ 412r4 -551 ? 2 {Z
Acting on behalf of the above named firm, as its Authorized Official, I make the Following
Certification to the Department of Housing and Urban Development (HUD) and the
Community Development Commission, County of Los Angeles:
1) No Federal appropriated funds have been paid, by or on behalf of the above named
firm to any person for influencing or attempting to influence an officer or employee of
any agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with the awarding of any Federal
contract, the making of and Federal grant, loan or cooperative agreement, and any
extension, continuation, renewal, amendment, or modification thereof, and;
2) If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an Officer or employee or any
agency, a Member of Congress an officer or employee of Congress or an employee of a
Member of Congress in connection with this Federal contract, grant loan, or
cooperative agreement, the above named firm shall complete and submit Standard
Form -LLL, "Disclosure form. to Report Lobbying ", in accordance with this
instructions, and;
3) The above named firm shall require that the language of this certification be included
in the award documents for all sub- awards at all tiers (including subcontracts, sub -
grants, and contracts under grants, loans, and cooperative agreement) and that all
sub - recipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when
this transaction was made or entered into. Submission of this certification is a prerequisite
for making or entering into the transaction imposed by Section 1352 Title 31, U.S. Code.
Any person who fails to file the required certification shall be subject to a civil penalty of
not less than $10,000 and not more than $101,000 for each such failure.
Authorized Official:
. Name:,9ckdl(L KA l�jk `1AP Title: PP -M--M MAdAfg—,?--
Signature: Date: 4jW 1a5--
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Community Development Commission
County of Los Angeles
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COUNTY LOBBYIST CODE CHAPTER 2.160
COUNTY ORDINANCE NO. 93-0031
CERTIFICATION
Date: (54 6f Name of Firm: 1)tJ 1 F1 EP /l)Ui Q lAW-A'iS
Address: JISQZ ,S(0u -F -A\j 51— E mI &VWPL -S
State: Zip Code: 10Z0 1 Phone No.: JR- ZL2--�
Acting on behalf of the above named firm, as its Authorized Official, I make the following
Certification to the County of Los Angeles and the Community Development Commission,
County of Los Angeles:
1) It is understood that each person/entity /firm who applies for a Community
Development Commission contract, and as part of that process, shall certify that they
are familiar with the requirements of the Los Angeles County Code chapter 2.160,
(Los Angeles County Ordinance 93 -0031) and;
2) That all persona /entities/firms acting on behalf of the above named firm have and will
comply with the County Code and;
3) That any person/entity /firm who seeks a contract with the Community Development
Commission shall be disqualified therefrom and denied the contract and, shall be
liable in civil action, if any if any lobbyist, lobbying firm employer or any other
person or entity acting on behalf of the above named firm fails to comply with the
provisions of the County Code.
This certification is a material representation of fact upon which reliance was placed when
this transaction was made or entered into. Submission of this certification is a prerequisite
for making or entering into contract with the Los Angeles County and the Community
Development Commission, County of Los Angeles.
Authorized Official:
Name: lfL Title:
Signature: Date: Lf
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