West Virginia Department of Education Office of Child Nutrition Annual Agreement Information Update Instructions Please review the information on the enclosed Annual Agreement Information Update for accuracy pertaining to school year 2008-2009. If information is inaccurate, draw a red line through the field and write legibly the correct information. If there are any blank fields, enter current information or indicate that the information is not applicable by writing “NA.” 1. Audit Requirement: If you expended more than $500,000 in federal funds, please indicate so by checking the appropriate box on the Annual Agreement Update. (By exceeding the $500,000 threshold, your agency/school is required to submit an organization-wide, OMB Circular A-133 annual audit to the Office of Child Nutrition.) Please return the enclosed Audit Questionnaire to the Office of Child Nutrition with your Annual Agreement Update. 2. Lobbying Activities: If your school/agency participates in lobbying activities, please indicate so by checking the appropriate box. If you check “yes” regarding the lobbying activities, the Certification Regarding Lobbying and the Disclosure of Lobbying Activities forms will be mailed to you for completion. 3. Public Release: (Public and Private School Sponsors only) Sample enclosed. State the media source(s) and the date(s) sent. 4. Program Participation: If not already indicated, state whether the SFA is a public school, private school or RCCI and check all boxes for programs in which the sponsor will participate. SFAs sponsoring a Child and Adult Care Food Program: Complete the Advance Options and state whether the sponsor wants to receive: • Full Advance Payments • Partial Advance Payments (Please attach explanation) • No Advance Complete the Commodity Option and state whether the sponsor wants to receive: • Cash In Lieu or • Government Donated Commodities 5. Point of Service: Check the box indicating the method the sponsor will use for the Point of Service. Refer to the permanent Sponsor Agreement for method definitions. If the sponsor has more than one site using different methods, check all that apply: • Method 1 Tickets • Method 2 Coded Roster • Method 3 Cards/Computer • Method 4 ID Cards/Manual Recording • Method 5 Other (Please attach detailed description.) 6. Offer vs. Serve: If the Annual Agreement Update form does not indicate correct information, state the offer vs. serve option the SFA will use for all sites participating. The following chart indicates the offer vs. serve options by school level for food-based lunch implementation Option B: Meal Service Breakfast Lunch School Level Elementary Offer vs. Serve 3 out of 4 offered or no offer vs. serve Middle/Junior High 3 out of 4 offered or no offer vs. serve High School 3 out of 4 offered or no offer vs. serve Elementary 3 out of 5 offered or 4 out of 5 or no offer vs. serve Middle/Junior High 3 out of 5 offered or 4 out of 5 or no offer vs. serve Note: In accordance with Federal Regulations 210.10a(2)(e) high schools must implement an offer vs. serve option for high school students at lunch. (This regulation is optional for Residential Child Care Institutions.) Option for Lunch Implementation: The menu planning option approved last year for the sponsor is listed. Note: All Private Schools and Residential Child Care Centers should list “Option B” as the menu planning option for the 2008-2009 program year. 7. Key Personnel: In each of the following areas, please indicate the employee responsible, their title, and, if available, email address: Annual Training Attendee(s): These individual(s) will be required to attend annual WVDE OCN training. Private School/RCCI sponsor absence at mandatory Office of Child Nutrition training may result in loss of grant award funds. Edit Checks: Enter the name of the employee who will compare claims against the school or institution’s average daily attendance or membership data, and a factor that accurately accounts for the difference between enrollment and attendance at any given time. Monitoring NSLP: Identify person responsible for completing site monitoring. Each sponsor with more than one school/site shall perform no less than one on-site review of each school/site under it’s jurisdiction prior to February 1 of each school year. Hearing Official: (For sponsors that use free and reduced price meal applications). Under the provision of the free and reduced price meal and free milk policy, the school/institution principal or program director will review applications and determine eligibility. If a parent, guardian, or adult household member is dissatisfied with the decision, they can make a formal complaint and request a hearing to appeal the decision. This person must be someone not involved in the original eligibility determinations. It is suggested that the designated hearing official hold a position at a higher administrative level than the person who reviews the applications. Monthly Claim for Reimbursement: Person authorized by the sponsor to prepare the Monthly Claim for Reimbursement. F/R Complaint: Person identified to receive complaints regarding free and reduced meal applications. Food Service Director: Identify County Food Service Director. (Complete this area only if you are a public school sponsor.) FSD Address: Food Service Director’s address if different than the County Superintendent’s address. Authorized Representative Signature: Signature of person who is authorized to receive federal reimbursement. If the person indicated has changed, draw a red line through the field and write the correct name.