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HomeMy WebLinkAboutContract 55398 f�60 CSC No. 55398 let- tY a Ci S uare Fooc` 2021 CitySquare Summer Food Service Program Agreement— Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 -August 13 (Subject to changing ISD schedules). By signing below,ALL site personnel understand and agree to the following: Responsibilities of CitySquare: • Manages the relationship with TDA including, but not limited to, submitting site applications, site changes, other required documentation and compliance. • Contracts a food service management company (the Vendor) to deliver meals to sites daily or per agreed upon delivery schedule. All meals meet USDA meal requirements and are prepared in a certified kitchen. CitySquare manages the Vendor relationship including, but not limited to, compliance related to menu approval, delivery schedules &timeliness and quality assurance. • Supports and monitors sites through site visits, open communication, and technical assistance. Site visits may be conducted by CitySquare,TDA, USDA, or Health Department personnel at any time with or without notice. • Ensures that all sites are in compliance with TDA regulations regarding food safety, meal service, documentation of meals served and other required reporting. Responsibilities of Organization/Site: • All site supervisors will attend pre-operational training prior to starting meal service. The training is conducted by CitySquare and covers all TDA regulations. • All TDA and USDA rules governing the SFSP must be followed at all times. • Trained staff will maintain and report daily information to CitySquare including delivery receipts and meal counts using electronic reporting system (backup: paper forms). Failure to report meal counts may result in suspension of deliveries until reporting requirements are completed. • Site staff will monitor daily food usage and orders to maintain food waste below 2% • Site staff will participate in outreach to neighbors and promote the meal service to the community. Sites that serve less than 2S children per day on average may be discontinued. • All sites must meet local and state health and safety standards. If required by applicable health and safety regulations, sites supervisors will obtain food handler training credentials. • Organization and site staff will notify CitySquare of any changes to service including, but not limited to, changes in meal times, meal types, service dates and field trips with fifteen (1S) day notice prior to change. Organization will be notified when changes have been approved by TDA. SFSP Partner Agr OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX j,v60-. lot Cit)(Square Fooc 2021 CitySquare Summer Food Service Program Agreement— Partner Sites Per TDA regulations, only one food service sponsor is permitted per site. Please complete the following form to have your organization receive meals sponsored by CitySquare. Name of Organization:City Of Fort Worth Authorized Representative: Mailing Address:200 Texas Street city:Fort Worth ST:Texas zip:76102 Phone:817-392-5726 Main:817-392-5700 cell:817-992-0155 Email:sheri.endsley@fortworthtexas.gov Additional sites may be added on a separate page. Check here if additional pages are used R With five(5) business days' notice,sites may terminate meal service by written notice to Kay Thomason at kthomason@citysquare.org or CitySquare, 1610 S Malcolm X Blvd Suite 250, Dallas, TX, 75226. CitySquare may terminate meal service due to failure of a site to meet the criteria specified in this agreement. If sites repeatedly fail to report meals served and/or waste food, CitySquare reserves the right to bill the organization for their cost of the meals that can't be reimbursed. Additionally, if sites fail to report meal usage for 2 consecutive days, CitySquare reserves the right to halt service until all completed documents are received. The agreement to participate in the Summer Food Service Program sponsored by CitySquare is indicated by the signature of the authorized representative of each organization as shown below: Sarai Ferreira Mar 9 2021 Sara!Ferreira(Mar9,202114:54 CST) 7 Summer Food Site Authorized Representative Signature Date Sarai Ferreira Mar 9 2021 Sarai Ferreira(Mar 9,202114:54 CST) 7 CitySquare Authorized Representative Signature Date For questions or to submit agreement, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement, Page 2 of 2 ADDENDUM TO SITE AGREEMENT BETWEEN THE CITY OF FORT WORTH AND CITY SQUARE FOOD This Addendum to the 2021 Site Agreements for the Summer Food Service Program ("Addendum") is entered into by and between the City Square Food ("Sponsor") and the City of Fort Worth ("City"), collectively the"parties." The Contract documents shall include the following: 1. The City Square Food 2021 Summer Food Service Program Agreement; 3. This Addendum; and 2. Locations for Partnered Sites. Notwithstanding any language to the contrary in the attached 2020 Site Agreement (the "Agreement"), the Parties hereby stipulate by evidence of execution of this Addendum below by a representative of each party duly authorized to bind the parties hereto, that the parties hereby agree that the provisions in this Addendum below shall be applicable to the Agreement as follows: 1. Term. The Agreement shall become effective upon the signing of the Agreements (the"Effective Date")and shall expire one(1)year after the Effective Date(the Expiration Date"), unless terminated earlier in accordance with the provisions of the Agreement or otherwise extended by the parties. The Agreement may be renewed for four one-year renewals at City's option, each a "Renewal Term." City shall provide Sponsor with written notice of its intent to renew at least thirty(30) days prior to the end of each term. 2. Funds. This Agreement is not an obligation or commitment of City funds, nor a basis for the transfer of City funds. All obligations of and expenditures by each party are subject to their respective entity's budgetary and fiscal processes and availability of funds pursuant to all laws, regulations, and policies applicable thereto. 3. Termination. Either City or Sponsor may terminate the Agreement at any time and for any reason by providing the other party with 30 days written notice of termination. 4. Law and Venue. The Agreement and the rights and obligations of the parties hereto shall be governed by, and construed in accordance with the laws of the United States and state of Texas, exclusive of conflicts of laws provisions. Venue for any suit brought under the Agreement shall be in a court of competent jurisdiction in Tarrant County,Texas. To the extent the Agreement is required to be governed by any state law other than Texas or venue in Tarrant County, City objects to such terms and any such terms are hereby deleted from the Agreement and shall have no force or effect. Addendum to City Square Food 2021 Summer Food Service Program Agreement Page 1 of 4 5. Sovereign Immunity. Nothing herein constitutes a waiver of City's sovereign immunity. To the extent the Agreement requires City to waive its rights or immunities as a government entity; such provisions are hereby deleted and shall have no force or effect. 6. Confidential Information. City is a government entity under the laws of the State of Texas and all documents held or maintained by City are subject to disclosure under the Texas Public Information Act. To the extent the Agreement requires that City maintain records in violation of the Act, City hereby objects to such provisions and such provisions are hereby deleted from the Agreement and shall have no force or effect.In the event there is a request for information marked Confidential or Proprietary,City shall promptly notify Sponsor.It will be the responsibility of Sponsor to submit reasons objecting to disclosure.A determination on whether such reasons are sufficient will not be decided by City, but by the Office of the Attorney General of the State of Texas or by a court of competent jurisdiction. 7. Addendum Controlling. If any provisions of the attached Agreement, conflict with the terms herein, are prohibited by applicable law, conflict with any applicable rule, regulation or ordinance of City, the terms in this Addendum shall control. 8. LIABILITY AND INDEMNIFICATION. LIABILITY - SPONSOR SHALL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF SPONSOR, ITS OFFICERS, AGENTS, SERVANTS OR EMPLOYEES. INDEMNIFICATION - SPONSOR HEREBY COVENANTS AND AGREES TO INDEMNIFY,HOLD HARMLESS AND DEFEND THE CITY,ITS OFFICERS,AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR LAWSUITS OF ANY KIND OR CHARACTER,WHETHER REAL OR ASSERTED,FOR EITHER PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO SPONSOR'S BUSINESS, AND ANY RESULTING LOST PROFITS) PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT,TO THE EXTENT CAUSED BY THE ACTS OR OMISSIONS OF SPONSOR, ITS OFFICERS, AGENTS, SUBCONTRACTORS, SERVANTS OR EMPLOYEES. 9. Right to Audit. Sponsor agrees that City shall have access to and the right to examine any books, documents, papers and records of Sponsor which are directly pertinent to transactions relating to this Agreement and that involve the obligation, commitment or transfer of City funds. 10. Assignment and Subcontracting_To the extent that Sponsor assigns or subcontracts any of its duties or obligations either under this Agreement or otherwise related to the provision of TDA or USDA foods at City sites, Sponsor shall require such assignee or subcontractor to execute a written agreement with Sponsor agreeing to be bound by the duties and obligations of Addendum to City Square Food 2021 Summer Food Service Program Agreement Page 2 of 4 Sponsor under this Agreement. Such subcontract shall require the assignee or subcontractor to indemnify, hold harmless and defend City and its officers, agents, servants and employees, from and against any and all claims or lawsuits of any kind or character, whether real or asserted, for either property damage or loss (including alleged damage or loss to Sponsor's business, and any resulting lost profits) personal injury, including death, to any and all persons arising out of or in connection with this Agreement or the provision of TDA or USDA foods at City sites,to the extent caused by the acts or omissions of the assignee or subcontractor, its officers, agents, subcontractors, servants or employees. (signature page follows) Addendum to City Square Food 2021 Summer Food Service Program Agreement Page 3 of 4 Executed this the day of 12020. CITY: City of Fort Worth Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration VaGe�re GUas 1ka4v of this contract,including ensuring all By.Valerie Washington(Mar 11,2 109:26CST) performance and reporting requirements. Valerie Washington Assistant City Manager ,,,,;ai�,p,,,, By.Sheri Endsley(Mar 9,2021 426 CST) Date: M a r 11, 2021 Sheri Endsley,District Superintendent Park&Recreation Department Approval Recommended: Approved as to Form and Legality: By.Richard Zavala(Mar 9,aM 20:57 CST) Richard Zavala,Director Park&Recreation Department By: Taylor Paris Approved: Assistant City Attorney 1216 Contract Authorization: By.SandraYoun o (Mar 9,202114:23CST) M&C• Not required Sandra Youngblood,Assistant Director Park&Recreation Department Attest: 4Y�FoFORT 00 Paa� 00 Y 00 o 00, 0 Mary Kayser �� City Secretary da��n000000 p SPONSOR: City Square Food Sarai Ferreira By.Sarai Ferreira(Mar 9,202114:54 CST) Sarai Ferreira Child Nutrition Program Manager Date: Mar 9, 2021 OFFICIAL RECORD CITY SECRETARY Addendum to City Square Food 2021 Summer Food Service Program FT. WORTH, TX Agreement Page 4 of 4 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name:Andrew Doc Session Community Center #of Children: 20 Physical Address:201 Sylvania Avenue city: Fort Worth Fzl�p:76111 On-Site Contact Name: Dan Leal Phone:8173926585 Email:Claniel.leal@fortworthtexas.gov Summer Program Dates From:June 28 To:Aug 6 Summer Program Hours of Operation:7:30 am to 6:00 pm Days of Week Meals Served (example: Mon-Fri): M-F Breakfast Time: Lunch Time: 11:30 am Snack Time: 2:00 pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Como Community Center #of Children: 50 Physical Address:4660 Horne Street city: Fort Worth Zip:76107 On-Site Contact Name:Clara Kirby Phone:$17-392-5300 Email:Cara.krby@fortworthtexas.gov Summer Program Dates From:June 28, 2021 To:August 6, 2021 Summer Program Hours of Operation:7:30am to 6:00pm Days of Week Meals Served (example: Mon-Fri): Mon-Fri Breakfast Time: Lunch Time: 11:00am-12pm Snack Time: 2:30-3pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Chisholm Trail Community Center #of Children: 60 Physical Address:4936 McPherson Blvd. city: Fort Worth Zip:76123 On-Site Contact Name:James Garrett Phone:817-392-8070 Email:fames.b.garrett@fortworthtexas.gov Summer Program Dates From:06/28/2021 To: 08/06/2021 Summer Program Hours of Operation:7:30a - 6p Days of Week Meals Served (example: Mon-Fri): Mon - Fri Breakfast Time: Lunch Time: 11:30a-12:30p Snack Time: 2:30p-3:30p Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Diamond Hill Community Center #of Children:40 Physical Address: 1701 NE 36th St city: Fort Worth Zip:76106 On-Site Contact Name: Me'Shellia Allums-Davis Phone:817-392-5485 Email:Me'Shellia.Allums-Davis@fortworthtexas.gov Summer Program Dates From:June 28, 2021 To:August 6, 2021 Summer Program Hours of Operation:7:30am-6:00pm Days of Week Meals Served (example: Mon-Fri): Monday- Friday Breakfast Time: Lunch Time: 11:30am Snack Time: 2:00pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Eugene McCray Community Center #of Children: 60 Physical Address:4932 Wilbarger Street city: Fort Worth Zip:Texas On-Site Contact Name: Marilu Carlos Phone:817.392.7146 Email:marilu.carlos@fortworthtexas.gov Summer Program Dates From:June 28, 2021 To:August 6, 2021 Summer Program Hours of Operation:7:30am-6:00pm Days of Week Meals Served (example: Mon-Fri): Monday-Friday Breakfast Time: NA Lunch Time: 11 am-12pm Snack Time: 3pm-4pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 006 Cit)(Square Food 2021 CitySquare Summer Food Service Program Agreement — .Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization: Site Name: IF;,,.& 6Vzc_ row # of Children: 65 Physical Address: liot t.psc6'.5 . City: F;'-� 0 0 r f�L zip: 7(�<0q On-Site Contact Name: XJ! 64 2 ZAQ O A �,4N A�e64 NJ ATo Lw5 o A,( Phone: �r l-f- 3 �.? - Email: Ma,01c4.(Aua 0 Aa.Jwo,z.Yk f i-ws, 6 ov Summer Program Dates From: 61z_W1 Zo2-1 To: g�orD�wz( Summer Program Hours of Operation: 7 :90 4 AA Days of Week Meals Served (example: Mon-Fri): rAw FR-1 Breakfast Time: $.3o k,, - �.go,,, Lunch Time: t t :30 A.- - W-0 Snack Time: Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes d No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization: City of Fort Worth, Texas Site Name: Greenbriar Community Center #of Children: 65 Physical Address:5200 Hemphill Street city: Fort Worth, Texas zip:76112 On-Site Contact Name: James Turner or Daniel Duncan Phone: 817 392-6270 Email: james.turner@fortworthtexas.gov Summer Program Dates From: June 28, 2021 To:August 6, 2021 Summer Program Hours of Operation: 7:30 AM - 6:00 PM Days of Week Meals Served (example: Mon-Fri): Monday - Friday Breakfast Time: Lunch Time: 11:30 AM Snack Time: 2:45 PM - 3:15 PM Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes m:i No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Highland Hills Community Center #of Children:40 Physical Address: 1600 Glasgow Rd city: Fort Worth Z1p:76134 On-Site Contact Name: Rashad Jackson Phone:817-392-2580 Email:rashad.jackson@fortworthtexas.gov Summer Program Dates From:6/28/21 To: 8/6/21 Summer Program Hours of Operation:7:30am - 6pm Days of Week Meals Served (example: Mon-Fri): Mon - Fri Breakfast Time: Lunch Time: 12 pm Snack Time: 3 pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Handley Meadowbrook Community Center #of Children:40 Physical Address:6201 Beaty Street city: Fort Worth Zip:76112 On-Site Contact Name: Robbie Samuel Phone:817-392-2830 Email:robbie.samuel@fortworthtexas.gov Summer Program Dates From:June 28,2021 To:August 6,2021 Summer Program Hours of Operation:7:30a-6:00p Days of Week Meals Served (example: Mon-Fri): Monday-Fri Breakfast Time: Lunch Time: 11 am Snack Time: 2:30pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization: City of Fort Worth Site Name: Hillside Community Center #of Children: 45 Physical Address: 1201 E. Maddox Ave. City: Fort Worth Zip: 76104 On-Site Contact Name: Lorie Butler Phone: 817.392.7660 Email: lorie.butler@fortworthtexas.gov Summer Program Dates From: June 28th To: Aug 6th Summer Program Hours of Operation: 7:30 am-6:00 pm Days of Week Meals Served (example: Mon-Fri): Mon-Fri Breakfast Time: Lunch Time: 12:30pm - 1:30 PSnack Time: 2:30pm-3:00pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes N No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Martin Luther King Jr Community Center #of Children: 30 Physical Address:5565 Truman Drive city: Fort Worth Zip:76112 On-Site Contact Name: Kayren Davis Phone:817-392-5966 Email: Kayren.Davis@fortworthtexas.gov Summer Program Dates From: 06.28.21 To: 08.06.21 Summer Program Hours of Operation:8:00 am - 3:00 pm Days of Week Meals Served (example: Mon-Fri): Monday - Friday Breakfast Time:8:00 am - 8:30 pmLunch Time: 11:45 - 12:45 Snack Time: 2:30 Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Park and Recreation Site Name: Mobile REC Summer Day Camp Site 1 Rosemont Park #of Children: 60 Physical Address: 1600 W. Seminary Drive city: Fort Worth Zip:76115 On-Site Contact Name:Sandra Medina Phone:817-392-5747 Email:Sandra.medina@fortworthtexas.gov Summer Program Dates From:June 28, 2021 To:August 4, 2021 Summer Program Hours of Operation: 9:00 am - 1 :00 pm Days of Week Meals Served (example: Mon-Fri): Monday -Friday Breakfast Time: Lunch Time: 11:30 am Snack Time: Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes ❑ No R (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Park and Recreation Site Name: Mobile REC Summer Day Camp Site 2 Tillery Park #of Children: 60 Physical Address: 2200 Rockridge Terrace city: Fort Worth Zip:76115 On-Site Contact Name:Sandra Medina Phone:817-392-5747 Email:sandra.medina@fortworthtexas.gov Summer Program Dates From:June 28, 2021 To:August 4, 2021 Summer Program Hours of Operation: 9:00 am - 1 :00 pm Days of Week Meals Served (example: Mon-Fri): Monday -Friday Breakfast Time: Lunch Time: 11:30 am Snack Time: Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes ❑ No R (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Park and Recreation Site Name: Mobile REC Summer Day Camp Site 3 #of Children: 60 Physical Address: 2400 Forest Drive city: Fort Worth Zip:76109 On-Site Contact Name:Sandra Medina Phone:817-392-5747 Email:sandra.medina@fortworthtexas.gov Summer Program Dates From:June 28, 2021 To:August 4, 2021 Summer Program Hours of Operation: 9:00 am - 1 :00 pm Days of Week Meals Served (example: Mon-Fri): Monday -Friday Breakfast Time: Lunch Time: 11:30 am Snack Time: Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes ❑ No R (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Park and Recreation Site Name: Mobile REC Summer Day Camp Site 4 #of Children: 60 Physical Address: 4200 S. Freeway city: Fort Worth Zip:76115 On-Site Contact Name:Sandra Medina Phone:817-392-5747 Email:sandra.medina@fortworthtexas.gov Summer Program Dates From:June 28, 2021 To:August 4, 2021 Summer Program Hours of Operation: 9:00 am - 1 :00 pm Days of Week Meals Served (example: Mon-Fri): Monday -Friday Breakfast Time: Lunch Time: 11:30 am Snack Time: Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes ❑ No R (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: North Tri-Ethnic Community Center #of Children: 30 Physical Address:2950 Roosevelt Ave. city: Fort Worh Zip:76106 On-Site Contact Name: Marcus Hatcher Phone:817-392-5200 Email: Marcus.Hatcher@fortworthtexas.gov Summer Program Dates From:6/28/21 To: 8/6/21 Summer Program Hours of Operation:7:30am - 6:00pm Days of Week Meals Served (example: Mon-Fri): Monday - Friday Breakfast Time: Lunch Time: 11 am - 1 pm Snack Time: 2:30pm - 3:30pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Riverside Community Center #of Children: 50 Physical Address:3700 E. Belknap St. city: Fort Worth Zip:76111 On-Site Contact Name: Frances Efiong Phone:817-392-7640 Email:frances.efiong@fortworthtexas.gov Summer Program Dates From:6/28/21 To: 8/06/21 Summer Program Hours of Operation:7:30am-6pm Days of Week Meals Served (example: Mon-Fri): Monday - Friday Breakfast Time: N/A Lunch Time: 11:30-12:30pm Snack Time: 2:30-3:00pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: RD Evans #of Children: 80 Physical Address:3242 Lackland city: Fort Worth Zip:76116 On-Site Contact Name: Paige Frantz Phone:817-392-7400 Email:paige.frantz@fortworthtexas.gov Summer Program Dates From:6/28/21 To: 8/6/21 Summer Program Hours of Operation:7:30am-6:00pm Days of Week Meals Served (example: Mon-Fri): Mon - Fri Breakfast Time: Lunch Time: 11 am-1 pm Snack Time: 3pm-4pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Southside Community Center #of Children: 20 Physical Address:959 E. Rosedale Street city: Fort Worth Zip:76104 On-Site Contact Name: Felicia Johnson Phone:$17.392.6605 Email:felicia.johnson@fortworthtexas.gov Summer Program Dates From:June 28 2021 To:August 6 2021 Summer Program Hours of Operation:8-5 pm Days of Week Meals Served (example: Mon-Fri): Mon-Fri Breakfast Time:8:30 am Lunch Time: 11:30-12:30 Snack Time: 2:00-3:00pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Southwest Community Center #of Children: 65 Physical Address:6300 Welch Ave city: Fort Worth Zip:76133 On-Site Contact Name: Kyle Geller Phone:8173927613 Email:kyle.geller@fortworthtexas.gov Summer Program Dates From:June 28 To:August 6 Summer Program Hours of Operation:7:30am - 6:00pm Days of Week Meals Served (example: Mon-Fri): Mort - Fri Breakfast Time:x Lunch Time: 11:00a-12:30p Snack Time: 2:00p-3:30p Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name:Thomas Place Community Center #of Children: 30 Physical Address:4237 Lafayette Ave. city: Fort Worth Zip:76107 On-Site Contact Name: Brittani Shand Phone:817-392-7427 Email: Brittani.Shand@fortworthtexas.gov Summer Program Dates From:June 28, 2021 To:August 6, 2021 Summer Program Hours of Operation:7:30am-6:00pm Days of Week Meals Served (example: Mon-Fri): Monday-Friday Breakfast Time: Lunch Time: 12:00pm Snack Time: 3:00pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization: City of Fort Worth Site Name:Worth Heights Community Center #of Children: 30 Physical Address:3551 New York Avenue city: Fort Worth Zip:76112 On-Site Contact Name: Deierdre Jimerson Phone:817.392.8726 Email:deierdre.jimerson@fortworthtexas.gov Summer Program Dates From:June 1 To:August 13 Summer Program Hours of Operation:7:30 AM - 6:00 PM Days of Week Meals Served (example: Mon-Fri): Breakfast Time: NSA Lunch Time: 11 AM - 12 PM Snack Time: 2 PM -3 PM Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Park & Recreation Site Name:Victory Forest Community Center #of Children: 65 Physical Address:3427 Hemphill Street city: Fort Worth Zip:76110 On-Site Contact Name: Bakahri Thornton Phone:817-392-8200 Email:bakahri.thornton@fortworthtexas.gov Summer Program Dates From:6/28/2021 To: 08/06/2021 Summer Program Hours of Operation:7:30 a.m. to 6:00 p.m. Days of Week Meals Served (example: Mon-Fri): Mon-Fri Breakfast Time: Lunch Time: 1 1:30am-1 2:301 Snack Time: 3:30-4:30pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information 4&-. lot CitySquare Food 2021 CitySquare Summer Food Service Program Agreement — Partner Sites Thank you for deciding to bring nutritious meals to kids at your organization this summer! CitySquare receives funding through the Summer Food Service Program (SFSP) from the Texas Department of Agriculture (TDA) and the U.S. Department of Agriculture (USDA) to provide meals to children 1-18 years old during the summer. Meal service is provided at no cost to the site or the children participating. Before receiving meals, sites must be determined eligible and approved by TDA. Any child 1-18 may receive a free meal at the site (Note: some circumstances may require sites to limit service to enrolled children). Partner meal service will operate Monday-Friday from June 1 - August 13 (Subject to changing ISD schedules). Name of Organization:City of Fort Worth Site Name: Sycamore Community Center #of Children: 20 Physical Address:2525 E. Rosedale St. city: Fort Worth Zip:76105 On-Site Contact Name: Nelson Rowls Phone:(817)392-7650 Email:nelson.rowls@fortworthtexas.gov Summer Program Dates From:6/28/2021 To: 8/6/2021 Summer Program Hours of Operation: 1 Clam - 6pm Days of Week Meals Served (example: Mon-Fri):Tuesday - Friday Breakfast Time: N/A Lunch Time: 12:45pm - 1:451Snack Time:4:00pm - 4:30pm Please list start and end times for 1 or 2 meals (lunch is required; breakfast OR snack optional) Does this site have refrigeration? Yes R No ❑ (check one) For questions, contact: Sarai Ferreira email: sferreira@citysquare.org phone: 469-904-7037 This institution is an equal opportunity provider. SFSP Partner Agreement—Site Information