Farmers Market Committee Meeting

City of Dripping Springs Farmers Market Association Board Meeting Agenda Tuesday, May 12, 2015 at 10:00 AM City Hall, 511 Mercer Street, Dripping Springs, Texas I. CALL TO ORDER AND ROLL CALL COMMISSION: Marianne Simmons - Chair Gouri Johannsen Brandon Willin Kambra Bolch Aimee Mick Teresa Strube Aubrey Munguia Diana Black Market Managers: Stacy Qualls II. PRESENTATION BY CITIZENS Floor open to discussion on any subject. No action may be taken by law. Citizens wishing to speak shall do so after being recognized by the Chair. The Chair may establish a time limit on each citizen wishing to speak. III. MINUTES A. Approval of Regular Meeting Minutes, April 14, 2015 IV. BUSINESS Discussion and possible action regarding: A. City Secretary Administers Oath of Office for New Board Member Diana Black, Term Expiring June 2016 B. Review Vendor Applications 3 C. Farmers Market Manager's Monthly Report 4 Verbal report from the Market Manager to the Board regarding Farmers Market activities. D. Market Events Planning/Updates 9 E. Report on the Status of the Veterans Memorial Park\The Triangle Committee F. Review of Farmers Market Marketing Activities 1. Dripping Springs Chamber of Commerce Welcome Bags - 500 Due by May 20, 2015 2. Review of the Dripping Springs Outlook May 2015 Cover Photo and Note from the Editor 3. Dripping Springs Outlook June Advertisement Regarding the 2015 Tomato Round-Up Event 4. Discuss New Marketing Ideas such as a New Logo, New Banner, T-Shirts, and Cards or Fliers G. Discuss a New Design for and the Purchase of a Market Banner H. Discuss the Acquisition of a Portable Public Address System for the Farmers Market I. Review of Possible Sponsorship of the USDA Food and Nutrition Service Summer Food 11 Service Program (SFSP) J. Report on the Buy Fresh, Buy Local Program 13 K. Report on Texas Department of Agriculture Healthy Living with Texas Produce Grant 1. Status of Grant Proposal 17  2. Discuss Creating a Committee for Implementing the Program if the Grant is Awarded L. Report on the Status of the 2015 Tomato Round-Up Event M. Report on Repairs to the Culvert at Veterans Memorial Park\The Triangle Where the Market is Held N. Discuss the Donation of Six Painted Rocking Chairs from Harriet Greenlee of Furniture in the Raw and Possible Plaques to be Added V. ANNOUNCEMENTS A. Regular City Council Meeting, May 12, 2015 at 7:00pm B. Regular Parks & Recreation Commission Meeting, June 8, 2015, at 6:00pm C. Regular Farmers Market Association Board Meeting, June 9, 2015 at 10:00am VI. ADJOURN All agenda items listed above are eligible for discussion and action unless otherwise specifically noted. Notice is posted in accordance with Chapter 551, Government Code, Vernon’s Texas Codes, Annotated. I certify that the above notice of meeting was posted at City of Dripping Springs City Hall and website, www.cityofdrippingsprings.com on the of , 2015 at o’clock __M. ____________________________________________ Kerri Craig, City Secretary This facility is wheelchair accessible. Accessible parking spaces are available. Requests for auxiliary aids and services must be made 48 hours prior to this meeting by calling (512) 858-4725. Craig, Kerri Subject: FW: DSFM board meeting - May 12th Begin forwarded message: From: Corey Harris <countoncorev@,gmail.com> Date: April 24, 2015 at 8:12:33 AM CDT To: CODS-Farmers Market <farmersmarket@.citvofdrippingsprings.com> Subject: Re: Dripping Springs Farmers Market Because of market rules, we will not be able to participateimtil we have meat processedin Texas. I will let you know when that happens. Thank you. Corey Harris High Country Bison On Tue, Apr 14, 2015 at 1:16 PM, CODS-Farmers Market <farmersmarket@,cityofdrippingsprings.com> wrote: Dear John & Corey, Please let me introduce myself. My name is Stacy Quails and I am the market manager for the Dripping Springs Farmers Market. I am so pleased to hear that you are reapplying for the market. High Country Bison will be an exciting addition that I'm certain our shoppers will support. Our Board members very recently updated the vendor application. I hope this email reaches you before you fill out the old one. Please call or email if you have any questions. I look forward to meeting you both, Stacy Quails DSFM Manager 512-633-1765 This outboimd email has been scanned by the DD Email Security System and deemed safe from viruses, trojans and malware. 3  INTEROFFICE MEMORANDUM TO: CITY COUNCIL MICHELLE FISCHER FROM: STACY QUALLS, MARKET MANAGER SUBJECT: FARMERS MARKET UPDATE DATE: 5/1/2015 The Farmers Market celebrated Earth Day on April 22nd with special events. Master Gardener Joe Scott gave a presentation on composting and vermiculture (composting with worms). Author Miki Cook came with her book about green building. Josh Raymer of Bakery JoJu brought his wood-fired oven to the market and used produce and sausage from the attending vendors to demonstrate how delicious pizza can be made with a variety of local fresh produce. Josh’s presence was a huge success. The customers gobbled up his free samples but since Josh was a presenter and not selling pizza they were a little disappointed they couldn’t purchase whole pizzas. Lucky for us, Josh has decided to join our market full time and in a couple of weeks wood-fired pizza will be available at every market. Other new additions to the vendor list are Suncatchers, Jenschke Orchards and Wild Heart Herbs. The Market is very fortunate to have musicians who donate their time and talent to help create the wonderful environment which encourages the community to sit and visit with neighbors and friends after their shopping is done. We had a new musician this month who was very well received. Bob Slaughter entertained us with his music stylings, and the vendors showed their appreciation with gifts of produce. The picnic tables are great for having a meal of ready-to-eat food, but those spaces fill up quickly. We are happy to report that the market has received a generous donation from a Dripping Springs family who frequently attends the market. The Greenlee Family owns the company Furniture in the Raw and they have given us six gorgeous rocking chairs. The 4th Annual Tomato Round-Up will be on June 20th and the committee is hard at work preparing for another successful event. All gardeners are encouraged to enter their tomatoes for ribbons and bragging rights. Just like to eat tomatoes? We need judges too! Email the Market Manager for more information at farmersmarket@cityofdrippingsprings.com. 4 5 6 7 8  DSFM Special Events Calendar Ongoing - Every 1st Wed Book Swap Event (Stacy) - Music Schedule - 1st & 3rd Jerry; 4th - Alex; 2nd - Open Mike? Jan Feb 4 11 18 25 - Hays Co Master Gardener “Spring Gardening Info” - Diana Mar 4 11 18 25 - Hays Co Ext “Cheese Making”? - Vendor Orientation/Social 6:30pm Apr 1 8 15 22 29 - Pound House Chuck - Texas Master Gardner's Earth Day Celebration Wagon Wednesday Plant Sale - Micky Cook – Green (Marianne) Building Talk (Aimee) - - Hays County Ext “Home 9 Composting”? (Diana) May 6 13 20 27 - - Chef Demo, Merchantile - Chef Demo, Merchantile (Stacy)? (Stacy)? Jun 3 10 17 20 24 -Tomato Roundup Jul 1 8 15 22 29 - Canning Demo (Marianne?) Aug 5 12 19 26 Sep 2 9 16 23 30 - Pound House Chuck Wagon Wednesday (Marianne) Oct 7 14 21 28 - Chef Demo, (Stacy)? Page 1  DSFM Special Events Calendar Nov 4 11 18 25 - Dec 2 9 16 23 30 List of Potential Chefs for Chef Demos: Mercantile Verde's Sibby Barrett Nong Empanada Creek Rd. Other Groups to Participate: Mom's Group Library YMCA Vets 10 Potential Activities: Kid's Story Time Reading Wine tasting/Social Page 2  USDA United States DepartmentofAgriculiiiic MSI Food and Nutrition Service Home » How To Help Summer Food Service Program (SFSP) IHowto Become a Sponsor Thank you for your interest in helping to feed children in your community as a sponsor in the Summer Food Service Program (SFSP)! Here is information about how the program works and the role of sponsors and feeding sites—as well as the steps to apply to become a sponsor. How SFSP Works: SFSP Is administered at the Federal level by the Food and Nutrition Service (FNS), an agency of the United States Department of Agriculture (USDA). FNS decides overall program policy and publishes regulations and payment rates. State education agencies administer SFSP in most States. Other State agencies may also be assigned to run the program. The State agency approves sponsor applications, conducts training of sponsors, monitors SFSP operations, and processes program payments. Sponsors sign agreements with their State agencies to run the program. SFSP reimburses approved sponsors for serving meals that meet Federal nutritional guidelines. Sponsors receive payments from USDA, through their State agencies, based on the number of meals they serve. All meals are served free to eligible children. Role of a Sponsor: Sponsors are organizations that manage SFSP feeding sites. As a sponsor, you will: • Attend your State agency's training • Locate and recruit eligible sites • Hire, train, and supervise staff and volunteers • Arrange for meals to be prepared or delivered • Monitor your sites • Prepare claims for reimbursement • Ensure that your Summer Food project and sites are sustainable through community partnerships, fundraising, and volunteer recruitment. Who Can Be a Sponsor: Sponsors must be organizations that are fully capable of managing a food service program. To be a sponsor, you must follow regulations and be responsible, financially and administratively, for running your program. The following types of organizations can be sponsors: • Public or private nonprofit schools • Units of local, municipal, county, tribal, or State government • Private nonprofit organizations • Public or private nonprofit camps • Public or private nonprofit universities or colleges What is a Site: http://www,fns.usda.gov/sfsp/how-become-sponsor 4/24/15. 9:24 AM 11 Page 1 of3  A site Is the physical location, approved by the State agency, where you serve SFSP meals during a supervised time period. States classify and approve SFSP meal sites as open, closed enrolled, camp, migrant, or NYSP: • Open sites operate In low-Income areas where at least 50 percent of children residing In the area are eligible for free and reduced-price school meals, based on local school or census data. The meals are served free to any child at the site on a first-come, first-serve basis. • Closed enrolled sites are established for a specific group of children who enroll In an organized activity program or who do not reside In an eligible low Income area. The site becomes eligible for SFSP If at least half of the enrolled children qualify for free and reduced-price meals. Because the site Is not open to the community, meals are served free only to enrolled children. • Camps are sites that offer regularly scheduled food service along with organized activities for enrolled residential or day campers. The camp receives reimbursement only for meals served to enrolled children who qualify for free and reduced-price meals. • Migrant sites primarily serve children of migrant workers. The site qualifies by providing appropriate certification from a migrant organization. • NYSP College or university participating In the National Youth Sports Program (NYSP). Children must be enrolled In NYSP to participate. Who Can Become a Site Meal service sites may be located In a variety of settings. Including schools, recreation centers, playgrounds, parks, churches, community centers, day camps, residential summer camps, housing projects, and migrant centers, or on Indian reservations. Some organizations do not have the financial or administrative ability to run the program, but they can supervise a food service for children, along with recreational or enrichment activities, at a site. If you supervise a site, you will: • Attend your sponsor's training • Supervise activities and meal service at your site • Manage volunteers • Distribute meals by following SFSP guidelines • Keep dally records of meals served • Store food appropriately • Keep the site clean and sanitary • Help your sponsor promote the program In the community How to Prepare Meals A sponsor may prepare Its own meals, purchase meals through an agreement with an area school, or contract for meals with a food service management company (vendor). Summer Is an Ideal time to Incorporate local foods Into meals. If your site has Its own kitchen, you may want to prepare meals yourself. If your kitchen is not on the premises, you may still want to prepare your own meals, and then transport them to the site. Meals that you prepare yourself receive a slightly higher rate of reimbursement. You would receive ''self-prep" rates, whether you prepare the meals from scratch or purchase the components and assemble the meals yourself. Many government and private nonprofit sponsors lack the kitchen facilities to prepare meals themselves. In that case, you may arrange to purchase meals from a school or another public or private food supplier with approved meal preparation facilities. How to Apply http;//wvvw.fns.usda.gov/stsp/how-become-sponsor 4/24/15 9.24 AM 12 Page 2 of 3 From: marianne s To: Craig, Kerri Subject: Fw: Buy Fresh Buy Local Central Texas Chapter Forming – you could be a member Date: Tuesday, May 12, 2015 9:36:49 AM Attachments: Publication1homepage.pdf Publication1categorypage.pdf Hello, Kerri, Would you please upload this forwarded message and attachments to Boardbook? (Under Buy Fresh Buy Local). Thanks. It was sent to my wrong email, which I have corrected. Also, how do we update the calendar...do we have to send you a new one? I was wondering if our calendar, board list, rules & regs, applications, etc can be in the "Resources" section of our Boardbook site? Thanks, Marianne DSFMAB On Friday, May 8, 2015 10:33 AM, Buy Local <buylocal@sustainablefoodcenter.org> wrote: Dear Mary & Stacy, Do enough people know about your farmers’ market, CSA, or farm stand? Partners working on the new Buy Fresh Buy Local Central Texas Chapter, a newly authorized Food Routes, Inc. chapter in Texas hosted by Sustainable Food Center, want to help you reach new customers and reinvigorate old customers in Central Texas. · The Buy Fresh Buy Local Central Texas Campaign focuses on raising awareness about the local food system by improving farm direct relationships between consumers and farmers. This is achieved with a dynamic website, useful printed materials and innovative digital mobile marketing. · The Buy Fresh Buy Local Central Texas Chapter will spread the word simply and loudly with a highly identifiable brand available only to members who sell their own agricultural products direct to the public – whether your business is a “producer-only” farmers’ market, farm stand, or Community Supported Agriculture farm. · The Buy Fresh Buy Local Central Texas brand will raise the unified voice of the Central Texas local food movement that represents a sense of place with simplicity and integrity. · The Buy Fresh Buy Local Central Texas Chapter will support its members by providing the following: o   Website Listing (see attached screenshots) o   Digital Marketing Campaign (for bigger cities) o   Local Food Guide Listing o   Signage with colorful logo o   Educational Webinars Who can Join the Buy Fresh Buy Local Central Texas Campaign?: 13  · Farmers’ Market, Community Supported Agriculture (CSA) Farm, or Farm Stand within Central Texas that sells only 100% locally grown, raised, or harvested products · The first year of membership is FREE, followed by incremental member fees to help sustain the chapter (estimated at somewhere between $20-$40 annually) We would like to include you as a founding member of the Buy Fresh Buy Local Central Texas Chapter. Please fill out this very brief request for info, and we’ll follow up with membership and participation details. We sincerely thank you for taking the time to fill out the interest survey here. Buy Fresh Buy Local Central Texas Chapter steering committee members _______________________________________________________________________________________ This inbound email has been scanned by the DD Email Security System and deemed safe from viruses, trojans and malware. _______________________________________________________________________________________ 14 15 16 17  TEXAS DEPARTMENT OF AGRICULTURE GRANT AGREEMENT COM M ISSIONER SID M ILLER Grant Agreement Number Amount of Grant Funds SC-MKTG-HLTP-15-07 $1,000.00 Period of Performance/Term of Agreement Amount of Matching Funds From: 05/01/2015 To: 11/15/2015 0.00 Grant Program: Type SCBG – Healthy Living with Texas Produce Federal CFDA-10.170 Project Title: Healthy Living with Texas Produce – Dripping Springs Farmers Market GRANTEE GRANTOR Name Name Dripping Springs Farmers Market Texas Department of Agriculture Physical Street Physical Street P.O. Box 384 1700 North Congress Avenue Stephen F. Austin Building, 11th Floor City/State/Zip City/State/Zip Dripping Springs, TX 78620 Austin, Texas 78701 Project Manager Grants Coordinator Stacy Qualls, Market Manager Karen Reichek/ Richard De Los Santos Phone Email Phone E-mail 512-858-4725 farmersmarket@cityof 512-463-7472 Grants@TexasAgriculture.gov drippingsprings.com Authority and Purpose Chapter 12 of the Texas Agriculture Code (Code) provides that the Grantor, shall encourage the proper development of agriculture and that the Grantor may enter into cooperative agreements with local, state, federal and other governmental entities to carry out its duties under the Code. The Specialty Crop Block Grant Program (SCBGP) is authorized under section 101 of the Specialty Crops Competitiveness Act of 2004 (7 U.S.C. 1621 note) and amended under section 10010 of the Agricultural Act of 2014, Public Law 113-79 (the Farm Bill). SCBGP is currently implemented under 7 CFR part 1291 (published March 27, 2009; 74 FR 13313). Required Attachments Attachment A – Award Specific Provisions Attachment D – Certification and Assurances Attachment B – Standard Terms and Conditions – Attachment E – Allowable and Non-Allowable Expenses - (intentionally omitted) (intentionally omitted) Attachment C – Approved Grant proposal and Budget All required attachments are incorporated into this grant agreement as if fully set forth herein. Except as specifically provided otherwise in this Agreement, any alterations, additions, or deletions to the terms of this Agreement shall be by amendment in writing and executed by both parties to this Agreement or as otherwise provided. Such amendments shall not invalidate this agreement, nor relieve or release the Grantor or the Grantee from its obligations under this Agreement. Authorized Signatory. Each person signing the Agreement certifies that he or she is authorized by the Grantor or Grantee to bind the party on whose behalf they are signing to the terms and conditions in the Agreement. This Agreement is executed by the Parties in their capacities as stated below. Grantee Grantor ___________________________________________________ ___________________________________________________ Michelle Fischer City Administrator Jason Fearneyhough, Deputy Commissioner Date Date Award Agreement #SC-MKTG-HLTP-15-07 TDA – Dripping Springs Farmers Market Page 1 of 1 18  Texas Department of Agriculture Attachment A – Award Specific Provisions 1. Program Purpose and Grant The Healthy Living with Texas Produce program allows GO TEXAN certified farmers markets to partner with a local hospital clinic to host a nutritional demonstration to support and highlight Texas specialty crops (fruits, vegetables and/or tree nuts) at their farmers market while giving visitors the opportunity to learn nutritional tips for using produce at home. 2. Scope Grantee will conduct a minimum of four (4) Healthy Living with Texas Produce events between May 1, 2015, and November 15, 2015, in accordance with its proposal attached hereto as Attachment C and shall perform all activities in accordance with this Agreement and all applicable law including: 7 CFR Part 1291 Specialty Crop Block Grant Program; 7 CFR Part 3015 USDA’s Uniform Federal Assistance Regulations; 7 CFR Part 3016 Uniform Administrative Requirements for Grants and Cooperative Agreement to State and Local Governments; and Specialty Crop Competitiveness Act of 2004 (7 U.S.A.1621 note) of Public Law 108-465. 3. Reporting Requirements To be eligible for reimbursement, Grantee must submit Event Assessments on a form prescribed by Grantor within 30 days of completion of an event. Final Event Assessments must be received by December 15, 2015. Failure to comply with timely submission of Event Assessments will result in disallowance of eligible costs for reimbursement and may be grounds for termination of this Agreement. 4. Licensing Requirements A. Grantee is required to maintain current applicable health permits at all times during this Agreement. Failure to comply with all local, state and federal requirements for food handling and/or operation of the farmers market may result in the termination of this Agreement and disallowance of eligible costs. B. Grantee must maintain current GO TEXAN membership and farmers market certification for the duration of this Agreement. C. Failure to maintain all required licenses and permits may result in the immediate termination of this Agreement and disallowance of costs expended prior to termination. 5. Reimbursement and Expenses A. Only costs incurred in association with Attachment C, Approved Budget, which is incorporated into this Agreement as if fully set forth herein, will be allowed. Funds not used to promote Texas specialty crops and/or tree nuts will not be reimbursed. B. Funds may not be used for expenditures that are not made in compliance with any applicable State purchasing laws and regulations. C. Grantee may not verbally disparage or distribute materials that negatively reflect on any other agricultural commodity, whether conventionally or organically grown, including, but not limited to: fruits, vegetables, tree nuts, beef, poultry, or fish. Failure to comply with this requirement may result in the disallowance of costs. Award Agreement #SC-MKTG-HLTP-15-07 TDA – Dripping Springs Farmers Market Attachment A Page 1 of 3 19  D. Funds may not, under any circumstances, be used for alcoholic beverages, entertainment or charitable or political contributions. Proof of payment (invoices showing “paid” or receipts) of all allowable expenditures must be submitted with the Event Assessment. E. All payments will be made in accordance with the Texas Prompt Payment Act, Chapter 2251 of the Texas Government Code. 6. Termination A. Either party may terminate this Agreement before the end of the Term of Agreement, without cause, by delivering a written notice of termination to the other party. B. Grantor may terminate this Agreement for failure to comply with any of the terms and requirements set forth in this Agreement. Early termination of this Agreement shall not relieve Grantee from the reporting requirements. C. In the event of termination of this Agreement, Grantor shall make no further disbursement of funds to Grantee beyond those already approved at the time of termination, and Grantee specifically waives all rights to any remaining funds allocated in Attachment C. D. This Agreement is subject to the availability of funds. If such funds become unavailable during the Term of Agreement and Grantor is unable to obtain sufficient funds, this Agreement shall be reduced or terminated. 7. Remedies for noncompliance. If Grantee materially fails to comply with the terms of this Agreement, Grantor may take one or more of the following actions, or impose other sanctions, as appropriate in the circumstances: a. Temporarily withhold cash payments pending correction of the deficiency by the Grantee; b. Disallow (that is, deny both use of funds and matching credit for) all or part of the cost of the activity or action not in compliance; c. Wholly or partly suspend or terminate the award made under this Agreement; d. Withhold further awards for the program; e. Require reimbursement to Grantor for any funds that are not properly expended under this Agreement; or f. Take other remedies that may be legally available. 8. Amendments Grantee may request an amendment to the Agreement by submitting the requested change, in writing, to Grantor. All requests for an amendment to the Agreement must include a summary of events held to date and a statement explaining the need for the change. Approval of amendment requests are at the discretion of Grantor. Amendments must be approved in writing by Grantor and signed by both parties. 9. Compliance A. Access to Records. During the Term of Agreement and for at least three years after termination of the Agreement, Grantee shall allow representatives of Grantor and/or the Award Agreement #SC-MKTG-HLTP-15-07 TDA – Dripping Springs Farmers Market Attachment A Page 2 of 3 20  State Auditor’s Office upon request by such, access to and the right to examine the premises, books, accounts, records, files and other papers or property belonging to or in use by Grantee and pertaining to the Agreement. Such records shall be maintained by Grantee at a location that is readily accessible to Grantor and/or the State Auditor’s Office. B. Authority to Audit and Investigate. Grantee understands that acceptance of grant funds under the Agreement acts as acceptance of the authority of the State Auditor’s Office, its successor agency, and any representative of the Grantor to conduct an audit or investigation in connection with such funds. Grantee further agrees to cooperate fully with the State Auditor’s Office, its successor or any representative of the Grantor in the conduct of the audit or investigation, including providing all records requested and providing the State Auditor or any representative of the Grantor with access to any information they consider relevant to the investigation or audit. Grantee shall ensure that the clause concerning the authority to audit funds received indirectly by any subcontractors used by Grantee and their requirement to cooperate is included in any subcontracted awards. C. Records Retention. All records under the Agreement are required to be maintained by the Grantee for three years after the expiration or termination of the Agreement, or any litigation or audit is completed, whichever is longer. 10. General Terms and Conditions A. Delegation to Third-Party. Grantee may not subcontract or delegate its responsibilities under this Agreement at any time. B. Indemnification. GRANTEE, ITS AGENTS, EMPLOYEES AND REPRESENTATIVES SHALL INDEMNIFY AND HOLD HARMLESS GRANTOR, ITS AGENTS AND EMPLOYEES FROM ANY AND ALL CLAIMS, DEMANDS AND CAUSES OF ACTION ARISING FROM OR RELATED TO GRANTEE’S PERFORMANCE UNDER THIS AGREEMENT, INCLUDING REASONABLE ATTORNEYS’ FEES INCURRED IN DEFENDING OR SETTLING ANY SUCH CLAIMS. C. Applicable Law. This Agreement shall be governed by and construed in accordance with the laws and court decisions of the State of Texas. If any legal action is necessary to enforce this Agreement, or for any dispute arising out of the operations or actions contemplated herein, exclusive venue shall lie in the District Courts of Travis County, Texas. D. Public Information Act. ALL INFORMATION PROVIDED BY GRANTEE PURSUANT TO THIS AGREEMENT IS SUBJECT TO THE TEXAS PUBLIC INFORMATION ACT, TEXAS GOVERNMENT CODE, CHAPTER 552, AND MAY BE SUBJECT TO DISCLOSURE TO THE PUBLIC. Award Agreement #SC-MKTG-HLTP-15-07 TDA – Dripping Springs Farmers Market Attachment A Page 3 of 3 21  PRINT FORM CLEAR FIELDS 74-176 (Rev.5-11/11) For Comptroller’s Use Only Vendor Direct Deposit / Advance Payment Notification Authorization For State Agency Use This form may be used by vendors or individual recipients Advance Payment Notification - to receive payments from the state of Texas by direct deposit International Payments Verification - to change or cancel existing direct deposit information Interagency Transfer Transaction Type SECTION 1 New setup (Sections 2, 3, 4 and 5 - Section 6 is optional) Change account type (Sections 2, 3, 4 and 5 - Section 6 is optional) Change financial institution (Sections 2, 3, 4 and 5 - Section 6 is optional) Cancellation (Sections 2 and 4 - Sections 7 and 8 for state agency use) Change account number (Sections 2, 3, 4 and 5 - Section 6 is optional) Payee Identification Social Security Number (SSN) or Mail code SECTION 2 Employer Identification Number (EIN) (If not known, leave blank.) Payee name (Business/Individual) Phone number ( ) ext. Mailing address City State ZIP code Financial Institution (Completion by financial institution is recommended.) Financial institution name City State Routing transit number (9 digits) Customer account number (maximum 17 characters) Type of account SECTION 3 Checking Savings Financial representative name (optional) Title (optional) Financial representative signature (optional) Phone number (optional) Date (optional) ( ) ext. Authorization for Setup, Changes or Cancellation (required) I authorize the Texas Comptroller of Public Accounts to deposit my payments from the state of Texas to my financial institution electronically. I understand that the Texas Comptroller of Public Accounts will reverse any payments made to my account in error. SECTION 4 I further understand that the Texas Comptroller of Public Accounts will comply at all times with the National Automated Clearing House Association's rules. (For further information on these rules, please contact your financial institution.) Authorized signature Printed name Date International Payments Verification (required) SEC 5 Will these payments be forwarded to a financial institution outside the United States? ......................................................... YES NO Authorization for Advance Payment Notification Setup (optional) I authorize the Texas Comptroller of Public Accounts to send an email notification one business day prior to the payment posting to my account. SECTION 6 Contact name (Please print) Contact phone number ( ) ext. Email address Cancellation by Agency (for state agency use) Reason Date SEC 7 Authorized Signature (for state agency use) Signature Date Please return your completed form to: TEXAS COMPTROLLER OF PUBLIC ACCOUNTS SECTION 8 Phone number Agency number Fiscal Management - Direct Deposit Program ( ) ext. P.O. Box 13528 Agency name Austin, TX 78711-3528 Comments FAX: (512) 475-5424 Phone: (512) 936-8138 22 Form 74-176 (Back)(Rev.5-11/11) Instructions for Vendor Direct Deposit / Advance Payment Notification Authorization Under Ch. 559, Government Code, you are entitled to review, request and correct information we have on file about you, with limited exception in accordance with Ch. 552, Government Code. To request information for review or to request error correction, contact us at (800) 531-5441, ext. 6-6057. Section 1: Select the appropriate transaction type(s). Section 2: Provide the Social Security Number or Employer Identification Number (EIN). Section 3: Completion by financial institution is recommended. Important: Your direct deposit account information may be different from the account information printed on your checks. It is recommended that you contact your financial institution to confirm your direct deposit account information. Note: A prenote test will be sent to your financial institution for the account information entered into the Comptroller's system. The prenote test is for a period of six banking days, and it is sent to your financial institution to verify your account information. If no further action is required by your financial institution, your direct deposit instructions will become effective when the six banking day prenote time frame has expired. Section 4: Must be completed in its entirety, and no alterations to the authorization language will be accepted. Section 5: If you receive state payments by direct deposit which are forwarded from a United States financial institution to a financial institution outside the United States, please contact the Texas Comptroller of Public Accounts at (512) 936-8138 and FAX your form to (512) 475-5424. Section 6: Provide the contact name, phone number and email address to which payment notifications are to be sent. Notifications are sent for direct deposit payments only, and emails are sent one business day prior to the deposit. Submit the completed form to the state agency with which you are conducting business. If the agency is unknown, please call (512) 936-8138 to obtain contact information. For State Agency Use Section 7: Provide reason for cancellation request. Section 8: Must be completed if submitting form to the Comptroller's office for international payment verification, advance payment notification or interagency transfer processing. Indicate requested action using the "For State Agency Use" box located at the top of the form. If an international payments verification, advance payment notification or interagency transfer is requested by the agency, select the desired action(s) in the box on the upper right corner of the form and submit the form to the Comptroller's office. State agencies should complete the direct deposit setup or change prior to submitting the form to the Comptroller's office. 23  TEXAS DEPARTMENT OF AGRICULTURE Healthy Living with Texas Produce Event Assessment Farmers Market Name: TDA Purchase Order Number: Event Location: Date of Event: Time of Event: Participating Hospital or Clinic: Name of Participating Nutritionist: Please answer all questions. If you are unsure or the question does not apply, please indicate accordingly. If you have pictures of the events, please attach them with your response. EVENT DETAILS 1. Describe the dish(es) prepared during the nutritional demonstrations. If no dishes were prepared, describe the events that occurred during the nutritional demonstration. 2. Describe how Texas specialty crops (fruits, vegetables, and/or tree nuts) were featured. 3. Did the participating nutritionist use ingredients produced by farmers market participants? If so, which ingredients and which participants were featured? 4. How many if any samples were distributed during the event? (Estimate) 5. Were recipe cards distributed? If so, please attach a copy. 6a. What were the total sales on the date of the event? 6b. What were the total sales for the same date last year? 6c. What are typical sales during this season? 7a. What was the actual farmers market attendance on the date of the event? 7b. What was the actual farmers market attendance for the same date last year? Healthy Living with Texas Produce Event Assessment Page 1 of 3 24  TEXAS DEPARTMENT OF AGRICULTURE HEALTHY LIVING WITH TEXAS PRODUCE EVENT ASSESSMENT EVENT MARKETING 8. How was the GO TEXAN certification mark featured at the event? (ex: signage, stickers, fliers) 9. Did you promote the event on Facebook, Twitter, or other social media? Please specify. 10. How was the event promoted? List all that apply and frequency of promotions. (ex: print ads, tv spots, radio) EVENT FEEDBACK 12. Were the goals and desired outcomes for the event accomplished? Please be specific. 13. Did you encounter issues conducting or promoting the event? 14. What was the overall feedback from farmers market visitors? 15. Do you have recommendations for future events? 16. Do you plan to apply for future GO TEXAN marketing program funds, including Healthy Living with Texas Produce? If not, why not? 17. Do you have any other feedback or suggestions about this program? Event assessments must be submitted within 30 days of the event to be eligible for reimbursement. Failure to submit an event assessment may result in forfeiture of reimbursement. Event Assessments and all supporting documentation should be submitted to: Richard De Los Santos Texas Department of Agriculture P.O. Box 12847 Austin, Texas 78711 or Richard.DeLosSantos@TexasAgriculture.gov Healthy Living with Texas Produce Event Assessment Page 2 of 3 25  TEXAS DEPARTMENT OF AGRICULTURE HEALTHY LIVING WITH TEXAS PRODUCE EVENT ASSESSMENT Farmers Market Name: Purchase Order No.: ACTUAL EXPENDITURES Please include all detailed receipts or invoices. Expenditure Category Amount Nutritionist Fee Food/Meals Equipment and Supplies Marketing: a. Newspaper b. Television c. Other (please specify) Other Approved Costs Total Amount «TOTAL_ » By signing, I certify that the information entered on this form is true and correct to the best of my knowledge. Signature Date Printed Name Title Email Address Phone Number Healthy Living with Texas Produce Event Assessment Page 3 of 3 26 27  Attachment D CERTIFICATIONS AND ASSURANCES This certification is a material representation of fact upon which the Texas Department of Agriculture (TDA) relies in determining the award of this agreement. If it is later determined that the Grantee knowingly rendered an erroneous certification, TDA, in addition to any other remedies available to the state and federal governments, may take appropriate action. Grantees must complete this form before they will receive state and/or federal funds. Recipients of state and/or federal funds must fully understand and comply with these requirements. Failure to comply with applicable assurances may result in the withholding of funds, termination of the award, or other sanctions. The Grantee hereby assures and certifies compliance with all applicable federal and state statutes, regulations, policies, guidelines and requirements, including OMB Circulars No. A-21 (2 CFR Part 220), A-87 (2 CFR Part 225), A-110 (2 CFR Part 215), A-122 (2 CFR Part 230), and A-133, as applicable; Executive Order 12372; and Uniform Agreement Management Standards (UGMS) that govern the application, acceptance and use of funds for this project. Also, by signature hereon, the Grantee assures and certifies that: 1. LEGAL AUTHORITY — It possesses legal authority to enter into the agreement, including all understandings and assurances contained therein, and the person identified as the official representative of the Grantee is duly authorized by the Grantee to act in connection with the agreement, to provide such additional information as may be required, to sign and execute the agreement on behalf of the Grantee, and to validly and legally bind the Grantee to all of its terms, performances, and provisions. 2. CONTRACT/AGREEMENT ADMINISTRATION — It will maintain an appropriate agreement administration system to ensure that all terms, conditions and specifications of the agreement, including these standard assurances, are met. 3. RELATIVES — It will comply with Texas Government Code, Chapter 573, by ensuring that no officer, employee, or member of the Grantee’s governing body or of the Grantee’s contractor shall vote or confirm the employment of any person related within the second degree of affinity or the third degree of consanguinity to any member of the governing body or to any other officer or employee authorized to employ or supervise such person. This prohibition shall not prohibit the employment of a person who shall have been continuously employed for a period of two years, or such other period stipulated by local law, prior to the election or appointment of the officer, employee, or governing body member related to such person in the prohibited degree. 4. PUBLIC INFORMATION — It will comply with the Public Information Act (Act), Texas Government Code, Chapter 552, and ensure that all information collected, assembled or maintained by the Grantee relative to a project assisted by this award will be provided to the public as required by the Act, unless otherwise expressly prohibited by law. 5. OPEN MEETINGS — If the Grantee is a governmental entity, it will comply with Texas Government Code, Chapter 551, which requires all regular, special or called meetings of governmental bodies to be open to the public, except as otherwise provided by law or specifically permitted in the Texas Constitution. 6. CHILD SUPPORT PAYMENTS — Under Section 231.006, Texas Family Code, relating to child support obligations, the Grantee and any other individual or business entity named in this agreement, contract or application is not ineligible to receive the specified agreement, loan, grant award or payment and acknowledges that this agreement may be terminated and payment withheld if this certification is inaccurate. TDA – Award Agreement Page 1 of 4 Attachment D Certifications and Assurances 28  Attachment D 7. SUSPECTED CHILD ABUSE — It will comply with the Texas Family Code, Section 261.101, which requires reporting of all suspected cases of child abuse to local law enforcement authorities and to the Texas Department of Child Protective and Regulatory Services. Grantee shall also ensure that all program personnel are properly trained and aware of this requirement. 8. NONDISCRIMINATION — It will comply with all State and Federal statutes relating to nondiscrimination, including the following: ♦ The Civil Rights Act of 1964, as amended (42 U.S.C. 2000d et seq.) ♦ Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794) ♦ The Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) ♦ The Age Discrimination Act of 1975 (42 U.S.C. 6101 et seq.) 9. DISPLACED PERSONS — It will comply with requirements of the provisions of the Uniform Relocation Assistance and Real Property Acquisitions (42 U.S.C. §§ 4601 - 4655) which provides for fair and equitable treatment of persons displaced as a result of federal and federally-assisted programs. 10. POLITICAL ACTIVITY — It will comply with provisions of federal law which limit certain political activities of employees of a State or local unit of government whose principal employment is in connection with an activity financed in whole or in part by federal agreements. (5 U.S.C. § 1501 et seq.) 11. FAIR LABOR STANDARDS ACT — It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act (29 U.S.C. §§ 201 - 219) and the Intergovernmental Personnel Act of 1970, as applicable. 12. EPA VIOLATING FACILITIES — It will ensure that the facilities under its ownership, lease or supervision which shall be utilized in the accomplishment of the project are not listed in the Environmental Protection Agency’s (EPA’s) list of Violating Facilities, and that it will notify TDA of the receipt of any communication from the Director of the EPA Office of Federal Activities indicating that a facility to be used in the project is under consideration for listing by the EPA. 13. FLOOD INSURANCE — It will comply with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act (42 U.S.C. § 4001). This section requires, on and after March 2, 1975, the purchase of flood insurance in communities where such insurance is available as a condition for the receipt of any Federal financial assistance for construction or acquisition purposes for use in any area that had been identified by the Secretary of the Department of Housing and Urban Development as an area having special flood hazards. The phrase “federal financial assistance” includes any form of loan, agreement, guaranty, insurance payment, rebate, subsidy, disaster assistance loan or agreement, or any other form of direct or indirect Federal assistance. 14. CONSERVATION — It will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. § 1271 et seq.) related to protecting components or potential components of the national wild and scenic river system. 15. HISTORIC PRESERVATION — It will comply with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. § 470), Executive Order 11593, and the Archeological and Historical Preservation Act of 1974 (16 U.S.C. § 469 et seq.) by (a) consulting with the Texas Historical Commission, as necessary, to identify properties listed in or eligible for inclusion in the National Register of Historic Places that are subject to adverse effects (see 36 CFR Part 800.8) by the activity, and notifying TDA of the existence of any such properties, and by (b) complying with all requirements established by the Texas Historical Commission or TDA to avoid or mitigate adverse effects upon such properties. TDA – Award Agreement Page 2 of 4 Attachment D Certifications and Assurances 29  Attachment D 16. ANIMAL WELFARE — It will comply with the Laboratory Animal Welfare Act of 1966 (Public Law 89-544, as amended, 7 U.S.C. § 2131 et seq.) pertaining to the care, handling and treatment of warm blooded animals held for research, teaching, or other activities supported by this award. 17. HUMAN TEST SUBJECTS — It will comply with 45 CFR Part 46 regarding the protection of human subjects involved in research, development and related activities supported by this award. 18. TAXES — It will comply with all State and Federal tax laws and is solely responsible for filing all required State and Federal tax forms. The Grantee also certifies that it is not delinquent in the payment of any franchise taxes owed the State of Texas. 19. ELIGIBILITY; FINANCIAL PARTICIPATION — Under Texas Government Code, Section 2155.004, no person who received compensation for participating in preparing the specifications or request for proposals on which this agreement is based has any financial interest in this agreement. The Grantee certifies that the individual or business entity named in this agreement, contract or application is not ineligible to receive the specified agreement, loan, grant award or payment and acknowledges that this agreement may be terminated and payment withheld if this certification is inaccurate. 20. COMPLIANCE WITH REQUIREMENTS — It will comply, and assure the compliance of all its sub grantees and contractors, with all applicable requirements imposed by federal and state laws, executive orders, regulations, policies, program requirements and other administrative requirements governing this program. 21. WORKPLACE GUIDELINES — It will adopt and implement applicable provisions of the model HIV/AIDS workplace guidelines of the Texas Department of Health, as required by the Texas Health and Safety Code, Sec. 85.001 et seq. 22. CONFLICT OF INTEREST — It will establish safeguards to prohibit employees from using their positions for a purpose that is, or gives the appearance of, being motivated by a desire for private gain for themselves or others, particularly those with whom they have family, business or other ties. 23. LOBBYING — No funds provided under this agreement has been or will be used to pay any person for influencing, attempting to influence, or communicating with a member of the legislative or executive branches of state government (which includes a member-elect, a candidate for, an officer, an officer-elect, or an employee of the legislature or legislative committee or any state agency, department, or office in the executive branch), a Member of Congress, an officer or employee of Congress or a federal agency, or an employee of a Member of Congress in connection with any legislation, administrative action, the awarding or making of any state or federal contract, agreement, or loan, the entering into of any cooperative agreement, and the extension, renewal, amendment or modification of any state or federal contract, agreement, loan or cooperative agreement. Also, the Grantee will require that the language of this certification be included in the award documents for all sub-awards at all tiers and that all sub-recipients shall certify accordingly. 24. EXECUTIVE HEAD — Under Section 669.003, Texas Government Code, the Grantee certifies that no person who, in the last four years, served as an executive of TDA or any other state agency was involved with or has any interest in the grant application or proposal or this agreement. If the Grantee employs or has used the services of a former executive head of TDA or any other state agency, then the Grantee will provide the following information to TDA: name of former executive; name of state agency; date of separation from the state agency; position with the Grantee; and date of employment with the Grantee. 25. FELONY — Sections 2155.006 and 2261.053, Texas Government Code, prohibit TDA from awarding a contract to any person who, in the past five years, has been convicted of violating a federal law or assessed a penalty in connection with a contract involving relief for Hurricane Rita, Hurricane Katrina, or TDA – Award Agreement Page 3 of 4 Attachment D Certifications and Assurances 30  Attachment D any other disaster occurring after September 24, 2005. The Grantee certifies that the individual or business entity named in this agreement, contract or application is not ineligible to receive the specified agreement, loan, grant award or payment and acknowledges that the agreement may be terminated and payment withheld if this certification is inaccurate. 26. DRUG-FREE WORKPLACE — It will maintain a drug-free work environment and comply with applicable provisions of the Drug-Free Work Place Act of 1988 (Public Law 100-690, title V, § 5155, Nov. 18, 1988, 102 Stat. 4307) and 41 U.S.C. 8101 et seq. 27. AUDIT — If the Grantee currently expends combined federal funding of $500,000 or more in a year, the Grantee will submit an annual single audit by an independent auditor made in accordance with the Single Audit Act Amendments of 1996 (31 U.S.C. 7501–7507) and revised OMB Circular A–133, ‘‘Audits of States, Local Governments, and Non-Profit Organizations.’’ If the Grantee currently expends combined federal funding of less than $500,000 in a year, the Grantee is exempt from the Single Audit Act and cannot charge audit costs to a TDA agreement. The Grantee understands, however, that TDA may require a limited scope audit as defined in OMB Circular A-133. 28. DEBARMENT — TDA is federally mandated to adhere to the directions provided in the President's Executive Order 13224, Executive Order on Terrorist Financing - Blocking Property and Prohibiting Transactions With Persons Who Commit, Threaten to Commit, or Support Terrorism, effective 9/24/2001 and any subsequent changes made to it via cross-referencing respondents/vendors with the Federal General Services Administration's System for Award Management (SAM), https://www.sam.gov, which is inclusive of the United States Treasury's Office of Foreign Assets Control (OFAC) Specially Designated National (SDN) list. The Grantee certifies that the Grantee and its principals are eligible to participate in this agreement and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state or local governmental entity and the Grantee is in compliance with the State of Texas statutes and rules relating to procurement and that Grantee is not listed on the federal government's terrorism watch list as described in Executive Order 13224. Entities ineligible for federal procurement are listed at https://www.sam.gov. _________________________________________________________________ _____/_____/_____ Signature of Authorized Official Date _____________________________________________________________________________________ Printed Name and Title of Authorized Official _____________________________________________________________________________________ Grantee Organization TDA – Award Agreement Page 4 of 4 Attachment D Certifications and Assurances 31  AP-152 (Rev.2-09/12) For Comptroller's use only TEXAS APPLICATION FOR PAYEE IDENTIFICATION NUMBER PRINT FORM CLEAR FORM • Shaded areas for state agency use only • See instructions on back 1. Is this a new account? YES Mail Code 000 NO Enter Mail Code Agency number Complete Sections I - V Complete Sections I, II & V 2. PAYEE IDENTIFICATION NUMBER (PIN) - Indicate the type of number you are providing to be used for your PIN 1 - Federal Employer Identification Number (FEIN) SECTION I 2 - Social Security number (SSN) Enter the number indicated 3 - Comptroller's assigned number 3. Are you currently reporting any Texas tax to the Comptroller's office other than unemployment (e.g., sales tax, franchise tax)? YES NO If "YES," enter Texas Taxpayer Number..................... PAYEE INFORMATION (Please type or print) 4. Name of payee (Individual or business to be paid) 5. Mailing address where you want to receive payments 6. (Optional) SECTION II 7. (Optional) 8. (Optional) 9. City State ZIP Code 10. Payee telephone number SIC Security Zone (Area code and number) ( ) code type code ( 0, 1, 2 ) code 11. OWNERSHIP CODES - Check only on code by the appropriate ownership type that applies to you or your business. I - Individual Recipient (not owning a business) L - Texas Limited Partnership: If checked, enter the E - State Employee: If checked, Texas File Number enter employing agency number................... T - Texas Corporation: S - Sole Ownership (Individual owning a business): If checked, If checked, enter the enter the owner's name and Social Security number (SSN) Texas Charter Number A - Professional Association: Owner's name If checked, enter the SSN.................. 2 Texas Charter Number SECTION III P - Partnership: If checked, enter two partner's names and C - Professional Corporation: Social Security numbers (SSN). If a partner is a corporation, If checked, enter the use the corporation's Federal Employer Identification Texas Charter Number Number (FEIN). O - Out-of-State Corporation Name G - Governmental Entity SSN/FEIN......... U - State agency / University Name F - Financial Institution SSN/FEIN......... R - Foreign (out of U.S.A.) N - Other: If checked, explain. SECTION IV 12. Payment Assignment? YES NO Note: A copy of the assignment agreement between payees must be attached. Assignee name Assignee PIN Assignment date 13. Comments SECTION V Authorized signature (Applicant or authorized agent) Date 14. Agency name Prepared by Phone (Area code and number) 15. 32  TEXAS APPLICATION FOR PAYEE IDENTIFICATION NUMBER SUSAN COMBS • TEXAS COMPTROLLER OF PUBLIC ACCOUNTS Statewide Fiscal Services Austin, Texas 78774-0100 WHO MUST SUBMIT THIS APPLICATION - This application must be submitted by every person (sole owner, individual recipient, partnership, corporation or other organization) who intends to bill agencies of the state government for goods, services provided, refunds, public assistance, etc. The Payee Identification Number (PIN) will be required on all maintenance submitted by state agencies. The use of this number on all billings will reduce the time required to process billings to the State of Texas. NOTE: To expedite processing of this application, please return the completed application to the state agency with which you are conducting business. It is not necessary for the payee to sign or complete this form. The state agency representative may complete the form for the payee. FOR ASSISTANCE - For assistance in completing this application, please call the State Comptroller's office at (800) 531-5441, ext. 3-3660, toll free nation- wide. The Austin number is (512) 463-3660. NOTICE TO STATE AGENCIES - When this form is used to set up additional mail codes, Sections I, II and V must be completed. State agencies may refer to the Texas Identification Number System (TINS) Guide for additional information. GENERAL INSTRUCTIONS - • Please write only in white areas. (Shaded areas are for state agency use only.) • Do not use dashes when entering Social Security, Federal Employer Identification or Comptroller's assigned numbers. • Disclosure of your Social Security number is required. This disclosure requirement has been adopted under the Federal Privacy Act of 1974 (5 U.S.C.A. sec. 552a(note)(West 1977), the Tax Reform Act of 1976 (42 U.S.C.A. sec. 405(c)(2)(C) (West 1992), and TEX. GOV'T. CODE ANN. sec. 403.055 (Vernon Supp. 1992). Your Social Security Number will be used to help the Comptroller of Public Accounts administer the state's tax laws and for other purposes. See Op Tex. Att'y Gen. No. H-1255(1978). SPECIFIC INSTRUCTIONS - SECTION I - PAYEE IDENTIFICATION NUMBER Enter a nine-digit Federal Employer Identification Number (FEIN) issued by the Internal Revenue Service if the business is a partnership or corporation, etc. Enter a nine-digit Social Security number or the nine-digit Federal Employer Identification Number (FEIN) issued by the Internal Revenue Service if a sole owner. Enter the nine-digit Social Security Number if an individual recipient. The Comptroller's assigned number is a number issued by the Texas Comptroller's office for specialized usage. Please enter only ONE of these numbers and check the type of number entered. If known, enter the Texas Taxpayer Number in Item 3. SECTION II - PAYEE INFORMATION Items 4 through 8 - Enter the complete name and mailing address where you want payments to be received. Names of individuals must be entered first name first. Each line cannot exceed 50 characters including spaces. If the name is more than 50 characters, continue the name in Item 5 and begin the address in Item 6. Item 9 - Enter the city, state and ZIP Code. Item 10 - Enter payee telephone number. SECTION III - OWNERSHIP CODES Item 11 - Check the box next to the appropriate ownership code and enter additional information as requested. Please check only one box in this section. The Secretary of State's office may be contacted at (512) 463-5555 for information regarding Texas charter or file numbers. SECTION IV - PAYMENT ASSIGNMENT Item 12 - Use when one payee is assigning payment to another payee. When setting up an assignment payment, fill out this section completely and include the assignment agreement between the assignee and the assignor. SECTION V - COMMENTS AND IDENTIFICATION Item 13 - Enter any additional information that may be helpful in processing this applicatiion. Items 14 and 15 are for identification purposes. Always complete the identification section, including comments and authorized signature. Under Ch. 559, Government Code, you are entitled to review, request and correct information we have on file about you, with limited exceptions in accordance with Ch. 552, Government Code. To request information for review or to request error correction, contact us at the address or toll-free number listed on this form. Form AP-152 (Back)(Rev.2-09/12) 33 From: CODS-Farmers Market To: mickfamilyfarms@yahoo.com; marianne simmons Cc: Craig, Kerri Subject: FW: Healthy Living with Texas Produce Events Date: Thursday, May 7, 2015 4:01:43 PM Attachments: Attachment D - Certification and Assurances.pdf pay id application.pdf Direct Deposit form.pdf budget.pdf HLwTP Event Assesment.docx Agreement and Attachment A.docx 2015 DS HLTP Mkt budget.docx.pdf Hey Kerri, Can you please add this email to the Boardbook? Thanks -s From: Richard De Los Santos [Richard.DeLosSantos@TexasAgriculture.gov] Sent: Thursday, May 07, 2015 2:05 PM To: CODS-Farmers Market Subject: Healthy Living with Texas Produce Events Stacy Your application for the Healthy Living with Texas Produce Events Grant has been approved. Please sign and return all the attachments. I have also included a couple forms to set you up as a vendor and process your payment quicker. Once you send everything to me you begin planning and conducting your event. Please send me a schedule and short description of each event once you are ready. We want to get with our Communications Department to help promote it. I have included an event assessment form which must be completed and submitted to me along with an invoice for payment. Please send photos along with your assessment. I look forward to working with you. Richard De Los Santos Texas Department of Agriculture Certified Farmers Market Program Marketing Coordinator Phone: 512-463-7472 Fax: 888-216-9872 _______________________________________________________________________________________ This inbound email has been scanned by the DD Email Security System and deemed safe from viruses, trojans and malware. _______________________________________________________________________________________ 34