Michaels Foods - Region 10 Education Service Center

RFP #2011-18Processing USDA Commodity Donated FoodsSPECIAL CONDITIONSShould it be determined by either the Multi-Regional Co-Op, member dishicts, or arvardedvendors that special conditions will need to be placed for items such as, but not limited to,number of deliveries, distance concerns, multiple delivery sites during the week, or bi-rveeklydrops, pleaso list any additional fees belorv. Please be specific as to formulas, fees, or anyother charges incurred. The Multi-Regional Co-Op reserves the right to negotiate any or allportions of this contract at any time during the tabulation, alvard, or execution year(s) of thiscontract.Fee for storage appliances (please indicate per location or district);Method for fee calculation:Please providc any additional information below:Nlfr{VendorlzAuthorized Company official's Name: To* o'K1tt .I'."-*,IsignatureofCompany O^"r^r, Q D'LComplete and return with proqosalPage 23 of36

RFP #20r1-18Processing USDA Commodity Donated FoodsSPECIAL CONDITIONSShould it be determined by either the Multi-Regional Co-Op, member districts, or awardedvendors that special conditions will need to be placed for items such as, but not limited to,number of deliveries, distance concerns, multiple delivery sites during the week, or bi-weeklydrops, please list any additional fees below. Please be specific as to formulas, fees, or anyother charges incurred. The Multi-Regional Co-Op reserves the right to negotiate any or allportions of this contract at any time during the tabulation, award, or execution year(s) of thiscontract.Feeforstorageappliances(pleaseindicateperlocationordistrict):Method for fee calculation:fV I €Please provide any additional information below:{Vendor Name:|,Authorized Company Offi cial' sof Company Official:)signatureComplete/J7',r^ O'l1p'uand return with proposalPage 23 of 36

RFP #2011-18Processing USDA Commodity Donated FooelsF''ELOIYY CONVICTION NOTIT'ICATIONState of Texas Legislative Senate Bill No. l, Section 44.034, Notification of CriminalHistory, Subsection (a), states "a person or business entity that enters into a contract with aschool district must give advance notice to the district if the person or an olvner or operatorof the business entity has been convicted of a felony. The notice must include a generaldescription of the conduct resulting in the conviction of a felony."Subsection (b) states "a school district may terminate a contract rvith a person or businessentity if the district determines that the person or business entity failed to give notice asrequired by Subsection (a) or misreprosented the conduct resulting in the conviction. Thedistrict must compensate the person or business entity for services performed before thetermination of the contract."This Notice Is Not Required of a Publicly Held Corporationvendor's*.'. fl1 i Chc..,p [s 6ocJSAuthorized Company Official's Name (Printed)Yrom o' raneA, My firm is a publicly held corporation, therefore, this reporting requirement is notapplicable.,^ ./d Siguature of Compauy official: ' / al^'O'(t

RFP #2011-r8Processing USDA Commodity Donated FoodsCertifi cation Regarding LobbyingApplicable to Grants, Subgrants, Cooperative Agreements, and Contracts Exceeding $100,000 in FederalFunds.Submission of this certification is a prerequisite for making or entering into this transaction and is imposed bysection 1352, Title 31, U.S. Code. This certification is a material representation of fact upon rvhich reliancervas placed rvhen this transaotiou was made or entered into. Any person rvho fails to file the requiredcertification shalt be subject to a civil penalty ofnot less than $10,000 and not more than $100,000 for eachsuch failure.The undersigned certifies, to the best ofhis or her knorvledge and belief, that:(1) No Federal appropriated ft:nds have been paid or rvill be paid by or on behalf ofthe undersigned, toany person for influencing or attempting to influence an officer or employee of any agency, a Merriber ofCongress, an ofticer or employee of congress, or an employee of a Member of Congress in connection rvith thearvarding of a Federal contract, the making ofa Federal grant, the making of a Federal loan, the entering into acooperative agreelnent, and the extension, continuation, renetval, amendment, or modification of a Federalcontract, grant, Ioan, or cooperative agreement.(2) If any funds other than Federal appropriated funds have been paid or rvill be paid to any person forinfluenoing or attempting to influence an officer or ernployee of any agency, a lvlember of Congress, an officeror employee of congress, or an employee of a lv{ember of Congress in connection rvith this Federal grant orcooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "disclosure Form toReport Lobbying," in accordance rvith its instructions'(3) The undersigned shall require that th€ language of this certification be included in the arvarddocurnents for all covered subarvards exceeding $100,000 irr Federal funds at all appropriate tiers and that allsubrecipients shall certifl and disclose accordingly,of Organization11 Torn O'Kane' Name/Title of Submittine Qfficial{t2*a'!t--4Dlgnarure?fro-vua*t O* r{);nne{o'b^ 'r'?tVConplete and returnPage 25 of 36

RFP #2011-18Processing USDA Commodlty Donated FoodsU.S. Department of AgricultureCertification Regarding Debarment, Suspension, lneligibility and Voluntary Exclusion-Lorver Tier CoveredTransactionsThis certification is required by the regulations implementing Executive Order 12549, Debarment andSuspension, 7 CFR Part 3017, Section 3017.510, Participauts' responsibilities. The regulations rvere publishedas Part IV of the January 30, 1989, Federal Register (pages 4722-4733). Copies of the regulations may beobtained by contacting the Deparhncnt of Agriculturc agency'rvith whioh this transaction originated.(Before completing certification, read attached instructions.)(l) The prospective lorver tier participant certifies, by submission of this proposal, that ne ither it norits principals is presently debaned, suspended, proposed for debarment declared ineligible, orvoluntarily excluded from participation in this transaction by any Pederal department or agency.(2) Where the prospective lorver tier participant is unable to certi! to any of the statements in thiscertification, such prospective participant shall attaoh an explanation to this proposal.Organization Namett-ttrPR/Arvard Number or Project NameTom O'Kane SR.Dir. Finance FoodserviceName and Title of Authorized Representative-t)*o'(tv--' Signature./- /N, t/(b/ tr\, r -- ' ,DateComplete and return rvith proposalPage 26 of36

RFP #2011-18Processing USDA Commodity Donated FoodsInstructions for Certificationr l. By signing and submitting the form on page 19, the prospective lower tier participant is providing thecertification set out on the form in accordance with these instructions.t 2. The certification in this clause is a material representation of fact upon which reliance was placed whenthis transaction was entered into. If it is later determined that the prospective lower tier participant knowinglyrendered an erroneous certification in addition to other remedies available to the federal government, thedepartment or agency with which this transaction originated may pursue available remedies, includingsuspension and / or debarment.r 3. The prospective lower tier participant shall provide immediate written notice to the person to which thisproposal is submitted if at any time the prospective lower tier participant learns that its certification waserroneous when submitted or has become erroneous by reason ofchanged circumstances.r 4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction,""participants," "person," "primary covered transaction," "principal," "proposal" and "voluntarily excluded," asused in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementingExecutive Order 12549. You may contact the person to which this proposal is submitted for assistance inobtaining a copy ofthose regulations.r 5. The prospective lower tier participant agrees by submitting this form that, should the proposed coveredtransaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a personwho is debarred, suspended, declared ineligible or voluntarily excluded from participation in this coveredtransaction, unless authorized by the department or agency with which this transaction originated.r 6. The prospective lower tier participant further agrees by submitting this form that it will include this clausetitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower TierCovered Transaction" without modification in all lower tier covered transactions and in all solicitations forlower tier covered transactions.t 7 . A participant in a covered transaction may rely upon a certification of a prospective participant in a lowertier covered transaction that it is not debarred, suspended, ineligible or voluntarily excluded from the coveredtransaction, unless it knows that the certification is erroneous. A participant may decide the method andfrequency by which it determines the eligibility of its principals. Each participant may, but is not required to,check the Nonprocurement List.r 8. Nothing contained in the foregoing shall be construed to require establishment of a system of records inorder to render in good faith the certification required by this clause. The knowledge and information of aparticipant is not required to exceed that which is normally possessed by a prudent person in the ordinarycourse of business dealings.r 9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a coveredtransaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred,ineligible or voluntarily excluded from participation in this transaction, in addition to other remedies availableto the federal government, the department or agency with which this transaction originated may pursueavailable remedies, including suspension and / or debarment.Page27 of36

RFP #2011-18Processing USDA Commodity Donated FoodsPROPO SAL ACKNOWLEDGMENTThe undersigned affirms that they are duly authorized to execute this contract, that this company, corporation,firm, partnership or individual has not prepared this Proposal in collusion rvith any other Offeror, and that thecontents ofthis Proposal as to prices, terms or conditions ofsaid Proposal have not been communicated by theundersigned nor by any employee or agcnt to any other person engaged in this type of business prior to theoffrcial opening ofthis Proposal.u*a* nA, crh a,e,.\ FcoJSAddressCity/StatelZip:Area Code/Phone Number:?7 7 -72-7' 3St4Area code/Fax Ns bur, 96^ - -258 - cf7/ o) off.ro, (Signature):( Off..o, (Print Name)\eositionwith company t P:rroV{.l.{ ,t*"rur" of company official AuthorizingThis Proposal: Q.^*O(X Company Official (Print Name):Tom OrKaney Position:Sr. Di-r Finance FoodserviceComDlete and return rvith proposalPage 28 of36

RFP #2011-18Processing USDA Commodity Donated FoodsPROCUREMENTInstructions for Completion of SF-LLL, Disolosure of Lobbying ActivitiesThis disclosure form shall be completed by the reporting entity, rvhether subawardeo or prime Federalrecipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing,pursuant to title 3l U.S.C, section 1352. The filing of a form is required for each payment or agreement tomake payment to any lobbying entity for influencing or attempting to influence an offrcer or employee of anyagency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congressin connection rvith a covered Federal action. Use the SF-LLL-A Continuation Sheet for additional informationif the space on the form is inadequate. Complete all items that apply for both the initial filing and materialchange report. Refer to the implementing guidance published by the Offrce of Management and Budget foradd itional information.l. Identify the type ofcovered Federal action for which lobbying activity is and / or has been secured to influence2.3.f,.6.7.9.10,lt.the outcome ofa covered Federal Action,ldentifi the status ofthe covered Federal Action.Identify the appropriate classification ofthis report. Ifthis is a follorv-up report caused by a material change tothe information previously reported, enter the year and quarter in which the change occurred. Enter the date ofthe last previously submitted report by this reporting entity for this covered Federal Action.Enter the full name, address, city, state and zip code ofthe reporting entity. Include Congressional District, ifknorvn. Check the appropriale classification of the reporting entity that designates if it is, or expects to be, aprime or subarvard recipient. Identifly the tier ofthe subarvardee, e,g., the first subarvardee ofthe prime is the l'ltier, Subawards include but are not limited to subcontracts, subgrants, and contract awards under grants.Ifthe organization frling the report in item 4 checks "Subarvardee," then enter the full name, address, city, slateand zip code ofthe prime Federal recipient, Include Congressional District ifknown.Enter the name of the Federal Agency making the award or loan commitment. Include at least one organizationallevel below agency name, if knorm. For example, Department of Transportation, United States Coast Guard.Eoter the Federal program name or description for ths covered Federal action (item l). If knorvn, enter the fullCatalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loancommitments.Enter the nrost appropriate Federal identifying number available for the Federal action identified in item l(e.g.,Request for Proposal (RIP) number; Invitation for Bid (lFB) number; grant announcement number; the contract,grant, or loan arvard number; the application proposal control number assigned by the Federal agency). Includeprefi xes, e,g. "RFP-DE-90-001.'For a covered Federal action s,here there has been an alard or loan commitment by the Federal agency, enter theFederal amount of the arvard / loan commitmont for the prime entity identified in item 4 or 5,(a) Entcr the flill name, address, city, state and zip code of the lobbying entity engaged by the reporting entityidentified in item 4 to influence the covered Federal action,(b) Enter the ful. names of the individual(s) perfoming services, and include full address if different from l0 (a).Enter Last Name, First Name, and Middle Initial (MI).Enter lhe amount of conpensation paid or reasonably expected to be paid by the rcporting entity (item 4) to thelobbying entity (item l0). Indicate rvhetherthe payment has been made (actual) orrvill bemade (planned). Checkall boxes that apply. If tbis is a material change repod, etrter the cumulative amount of payment made or plannedto be made.12. Check the appropriate box(cs). Check all boxes that apply. lfpayment is made through an in-kind contribution,specify the nature and value ofthe in-kind payment.13. Check the appropriate box(es). Check all bo.res that appty. lf other, specify nature.14. Provide a specific and detailed description of the services that the lobbyist has performed, or rvill be expected toperform, and the date(s) ofany services rendered. Include all preparatory and related activity, notjust time spentin actual contact with Federal officials, Identify the Federal official(s) or enrployee(s) contacted or the officer(s),employee(s), or Mcmber(s) of Congress that rvcrc contacted.I 5. Check rvhether or not a SF-LLL-A Continuation Sheet(s) is attached.16. The certifying oflicial shall sign and date the fomr, print hisfter name, title, and telephone number.Public reporting burden for this collection oflnformatlon lJ estlmated to averago 30 nrlnotes per relponse, iacluding dmefor reviewlng |[structions, searchlng exlsting data sources, gatherlng and malntalnlng the d.ta needed rld complctlng andrevlewlng ttc collectlon oflnfornrallon. Send comments regardlng the burdetr estlmate or any other aspect ofthir collectlonof hformrtlon, lncludlog ruggestiotrs for reducltrg thls burden, to tte Offlce of i\funagement arral Budgetl PapenyorkRcducllon ProJect (0348-00dO, Wtsblngton, D.C, 20503.Page 29 of36

RFP #20r1.18Processing USDA Commodity Donated F'oodsClean Air and Water ActI, ihe Vendor, am in compliance rvith all applicable standards, orders or regulations issued pursuant to theClean Air Act of 1970, as Amended (42 U.S.C. 1857(h), Seotion 508 of the Clean Vater Act, as amended (33U.S.C. 1368), Executive Order 117389 and Environmental Protection Agency Regulation, 40 CFR Part 15 asrequired under OMB Circular A-102,Attachment O, Paragraph 14 (1) regarding reporting violations to the grantor ag€ncy and to the United StatesEnvironment Frotection Agency Assistant Administrator for the Enforcement.Potential Vendor Namc:{ ritt. of Authorized Sr. Dir. Flnance FoodservicexXComplete and return rvit4 qroposalPage 30 of36

RFP #2011-18Processing USDA Commodity Donated FoodsRequest for ProposalATTACHMENTANOTARIZED STATEMENT VALIDATING PROPOSAL CONTENTSTo: Region,l0 Education Service CenterFrom:Yendor shall not prepare this proposal in collusion rvith any other Yendors and the cont€nts of thisproposal as to prices, terms or conditions may not be communicated by this organization nor by anemployee or agent ofthis organization to any other Yendor or to any persons engaged in this type ofbusiness activity prior to the official proposat due date, Moreover, the authorized agent or officersigning this proposal is not and has not been" for six months, directly or indirectly concemed in anyagreem€nt to control the conditions and/or prices of services proposed, or has not influenced anyperson to propose or not propose thereon.I have read the complete proposal RFP #2011-18 PROCESSING USDA COMMODITYDONATED FOODS for Region 7, 10, ll, 12 and t5 and verifl the accuracy of all informatloncontained in the proposal.Authorized Vendor Offi cer,QoL' Signature+Tom O'KaneTyped namecommission expires on theElrzaoetn A BlorltnNOIARY PUBLICI State of Mtnnesotau, ..i-]*lf:''"' t - 3' -201jComolete and returu rvith prooosalATTACHMENT BPage3l of36

RFP #2011-18Processing USDA Commodity Donated FoodsCERTIFICATION REGARDING DEBARMENT, SUSPENSION,INELIGIBILITY, AND VOLUNTARY EXCLUSIONIn accordance rvith Executive Order I2S4IDEBARMENT AND SUSPENSION, theprospective vendor certifies by submission of this Quote, that neither it nor it's principals ispresently debarred, suspended, proposed for debarment, declared ineligible, or voluntarilyexcluded from partioipating in this transaction by any Federal departrnent or agency.Where the prospective offeror is unable to certiff to any of the statements of thiscertification, such prospective participant shall attach an explanation to this Quote,The certification in this clause is material representation of the fact upon rvhich reliance rvasplaced rvhen this transaction rvas entered into. If it is later determined that the prospectiveofferor knorvingly entered an enoneous certification, in addition to other remedies availableto the Federal Government, the Education Service Center Region 10 may pursue any and allavailable remedies, including suspension and/or debarment.Additionally, the prospective vendor shall provide immediate rvritten notice to the person torvhich this Quote is submitted if at any time the prospective offer or learns that it'scertification rvas erroneous when submitted or has become erroneous by reason of changedcircumstances.The prospective vendor agrees by submitting this form that, should the proposed coveredtransaction be entered into, it shall not knowingly enter into any transaction lvith a person orfirm who is debarred, suspended, declared ineligible, or voluntarily excluded fromparticipation in this covered transaction, unless authorized by Region 10 ESC.Except for transaotions authorized under the previous paragraph, ifa prospective offeror in acovered transaction knorvingty enters into a transaotion rvith a person who is suspended,debarred, ineligible, or voluntarily excluded from participation in the transaction, in additionto other remedies available to the Federal Government, the Multi Region Co-Op Region 7,10, I l, 12 and 15 may pursue and all available remedies, including suspension and/ordebarment.Potentlal Vendorn"*", fy'\ ;"ho.e-'L Gad 5\ Title of Authorized Representatlve: Sr. Dir Fi,nance Foodservice{ MailingAddress: 301 Carl-son Pkwy. #400 Minnetonka. Mn 55305{Complete and return with proposalPage 32 of36

RFP #2011-18CONFLIGT OF INTEREST QUESTIONNAIREFor vendor or slher person doing business wlth local governmerrtal entliyThls queslionnaire is being llled ln accordance with chapter 176 of the LocalGovemment Code by a person doing business with the govemrnental enlity.By law this questionnaire musl be filed with the records administrator of thelocal government not later than the 7th business day aftet the date the personbecomes aware of facts lhat require the statement to be 0led. See Section176,006, Local Government Code.A person comrnltts an offense if the person violales Section 176.006, LocalGovemment Code. An offensa under this section is a Class C misd€rteanor.Nanre of person doing buslness wlth local govemmenlal enllty.[-l checf thls box lf you aro tillng an update lo a prevtously flled guestlonnalre.t-lffhe law requires lhat you fil€ an updated compleled questionnalre nith the apptopriate filing authoity not laler lhanSeplember 1 of the year lor whlch en activity desuibed In Sec$on 176-006(a), Local Government Code. ls pending andnol later than lhe 7th buslness day affer the date the originally f'led que$lionnalre becomes lnmmplele or Inacourate.)Descrlbe each afliliallon or brrslness relallonshlp wllh an employea orcontraclor of ths local governmental enllty who rnakesrocommendatlons to E local governmenl oftlcar ot lhe local govemmental entity tJith respect to oxPendllure of money,b.) g- drt a lrioa{e}q }1.0,\d Corpo..lr"'l'b ^.'fr A/l\4- lcsoJ- o€ ov( bmo,tl*d7e- Vl'-a"< tbn O ConCl, et 6P i ^$rns51'Descrlba each afflllallon or buslness relatlonshlp vlth a person vrho ls a local governnrent officer and who appolnts oremployo a local government officer of tho local govornmental entlty that ls lho subJect of lhte questlonnalro.ha'\d Lot}oau"{'avtJg &{e cl.'P{tua-tsl$7-o *\e. besL o€ oLt{ t'r.c'.,Jege $Lp"eiS ovt Con €J,c{ o€ in,l-*"'*s*.

RFP #2011-I8Processing USDA Commodity Donated FoodsCONFLICT OF INTEREST QUESTIONNAIREFor vendor or olher person doing buslnes6 with local govemmental entityNanlsoflocalgov€rnDtantomceryJltlrwhornfilqrhasaflllltiotiooorbwlnesgrBlationahlp,anowerto A, E, or C ls YE3,)(CompletelhleaecfionoolylftheIbls eedisri, Hem 6 Including subpans A B. C & D, muct be completed for each oficsr r'/ilh whom the fil€r has afiiliaBon orbuslnoss relatiomtrlp. Atladr addiltonal pagos to tris Form CIQ ss necessaty,A. lg lbe local go/emment otfiGer named kt lhis sscdon f€cqtrtlg or likety trc receivo taxable furqlme fiom fie ftbt of lheqJ€stlonnsjrg?l--] vesB. ls ha 6ler ol the quesUonnahe recefulng orfikely to receive taxable income from or at the dirucllon ol tho local govemmentoffrcer named ln thls soclion AND hE baxabte Income h hot ftom lbo locsl govemmenbl enlity?[..l v".C. ts the Fder of lhb queslionnaire affiliat€d trdth s corporadon or other buein€ss ertlty lh6t lhe local govornrnent olricsr servesae an offroer or direclol, or holds an owoe.sbip of t0 p6rcant olopr€?fl toD. D€s$lbe eaci affillsuon or bvslfi€es relatlonshlp,I Dstcdba grry olber anliatlon or busln€es roletionshlP that mlght cauEs 6 confilct of Inlaresl(,-.)€. e,,,re. ;P;;+"li Cj; ;;;il;;dron 7 vL'Ll.aeol- oQ our lL^or)tec(r5 eQVt-ote- iL no Un6t] oci n{.o,reo] ,orsanizationName:fy'l ;dla*,lS [. "lS\- l oLo'fu*- .. u/aaht t-ShnaturD ol persort dofng buslne$ *ih lhe gorenmenlal enlityDelaI

RFP #2011-18Processing USDA Comnodity Donated tr'oodsCERTTFICATION OF PROPOSAL SPECIFICATIONS/TERMS & CONDITIONSRFP #201r-18All specifications, terms, and conditions of the proposal have been read.Our Company accepts the specifications and conditions unless otherrvise accepted in writing to SueHayes, Chief Financial Officer, Education Service Center Region X.COMPANY NAME:Address:City:pnoo",ffi ,191- 3ffi4 rrx,852l-%2: 37/o o"t", llltilhl/Name of Representative Authorized to sign for vendor:tTom o'KaneY / d;^Oru\Typ.d Nam"-******fr****tr***************tr***rt*rkit*tr*tr*frt(rt*************rtfrt *tr*****rfr***t *RESIDENT VEND OR CERTIFICATIONIn order for proposal to be considered the following information must be provided. Failure tocomnlete may result ln reiection of the pronosal:As defined by Texas House Bill 602, a "nonresident vendor" means a vendor whose principal place ofbusiness is not in Texas, but excludes a contractor rvhose ultimate parent company or majority ownerhas its principal_jp$e of business in Texas. I certi$ that my company is a "resident vendor":.-)ttSienaturef 't*4^DKl^---Date: u/ao/trIf you qualify as a "nonresident vendor," you rnust furnish the follorving information:What is your resident state? (The state your principal place of business is located.)(A) Does your "residence state" requireunderbid vendors rvhose residencepercentage to receive a comparableprincipal place ofbusiness is located.vendorsstate iscontract?YES(B) What is the amount or percentage?__%I certif that the above information is correct.r/ Tom O'Kane)\-Typed NamePlfcnae-t fooos, Inc.IrCompany NameComplete and return with nrooosalrvhose principal place of business is in Texas tothe same as yours by a prescribed amount or"Residence state" means the state in which theNO_ x,, Sr Dir. Finance FoodservicePage 35 of36

RFP #2011-18Processing USDA Commodity Donated FoodsPROPOSAL FORMforPROCESSING USDA COMMODITY DONATED FOODS PROPOSAL[RFP# 2011-18]TO: Education Service Centor Region l0I, or w€, the duly authorized undersigned, having carefully read the Instructions to Offerors, GeneralConditions, Notice to Offerors, Contract Specifications, Responsibilities of Offerors, and Proposal Forms, dohereby agree to enter into a contract rvith Region l0 by tendering this offer to perform the tvork requiredand/or provide the product(s) specified in this solicitation. I, or we, will deliver the product(s) perspecifications found in this Proposal document for the prices indicated. I, or tve, also certis to the accuracy ofthe certiftcations required (including, but not limited to, Felony Conviction Notice) rvhich accompany thisoffer.The prices in this offer have been determined iudependently, rvithout consultation, communication, oragreement for the purpose of restricting competition, as to any matter related to such prices, rvith any otherofferor or with any competitor. I, or ryq are authorized to submit this offer and have not be€n a party to anycollusion among offer/offerors in restraint of frcedom of competition by agreement to offer at a fixed price orto refrain from offering; or rvith any Region l0 employee, Board Director, or consultant as to quantity, quality,or price in the prospective contract, br in any terms of the prospective contract except in any authorizeddiscussion(s) rvith Region lO's Business personnel; or in any discussions or actions betrveen offer/offerors andany Region 10 employee, Board Director, or consultant concerning exchange ofmoney or other things ofvaluefor special consideration in the arvard ofthis contract.0olttName of Firm:Fiun'srom o,Kane SR. Dir Finance .""s!l*gJonha, rn tv ,eaPhone#: 977 - 727 -5771F*#,.q6^ - a57 - 47/ O.,/ ssorFedrD#, l3 -4l5ltl 4lnPROPOSAL ENVELOPES SHOULD BE PLAINLY MARKED:PROCESSING USDA COMMODITY DONATED FOODS PROPOSAL[RFP# 2011-181Multi-Regional Co-Op Purchasing Group('Request for ProposalrttAttn: Mrs. Sue Haves - Chief F'inancial OfficerDUE: Thursdav. December 2. 2011Complete and refurn with nroposalPage 36 of36