General InformationPermanent Agreement • August 1st, 2020
This is an agreement (Agreement) between the Wisconsin Department of Public Instruction (DPI) [hereafter referred to as the State Agency, (SA)] and the School Food Authority (SFA). The SFA agrees to administer the Child Nutrition Programs approved in its contract in accordance with federal regulations including policy and instructions issued by the United States Department of Agriculture (USDA) and SA.
PARENT & ATHLETE AGREEMENTAthlete Agreement • July 7th, 2014
As a Parent and as an Athlete it is important to recognize the signs, symptoms, and behaviors of concussions. By signing this form you are stating that you understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury. This form must be on file for every sports season and every youth athletic organization the athlete is involved with and must be renewed each school year (clubs- every 365 days).
PI-6302 Agreement Between ABC School District and XYZ's Great Meals for Schools Page 7 of 18Agreement • May 25th, 2022
This Agreement (“Agreement”) is entered into by and between ABC School District herein after referred to as the School Food Authority (SFA), and XYZ's Great Meals for Schools, herein after referred to as the Vendor. The effective date of this Agreement is July 1, 2017.
COACHES AGREEMENTCoaches Agreement • June 19th, 2014
As a Coach it is important to recognize the signs, symptoms, and behaviors of concussions. By signing this form you are stating that you understand the importance of recognizing and responding to concussions and head injuries per the guidelines set forth by the Department of Public Instruction and Statute 118.293.
ATHLETE AGREEMENTAthlete Agreement • July 25th, 2022
As a parent/guardian and as an athlete it is important to recognize the signs, symptoms, and behaviors of concussions and sudden cardiac arrest. By signing this form, you are stating that you have read the Department of Public Instruction’s (DPI) and the Wisconsin Interscholastic Athletic Association (WIAA) Concussion and Head Injury information sheet and Sudden Cardiac Arrest Information sheet.
Updated April 2020April 17th, 2020
This is an agreement (Agreement) between the Wisconsin Department of Public Instruction (DPI) [hereafter referred to as the State Agency, (SA)] and the School Food Authority (SFA). The SFA agrees to administer the Child Nutrition Programs approved in its contract in accordance with federal regulations including policy and instructions issued by the United States Department of Agriculture (USDA) and SA.
USDA FOODS GLOSSARY OF TERMSFoods Glossary of Terms • August 5th, 2019
AGREEMENT – USDA FOODS, PROCESSING: A legal document entered into between a processor and a distributing agency or eligible recipient agency that provides for the further processing of USDA Foods. Processing agreements are not viable until the distributing agency approves them prior to the commencement of processing. A processing agreement is also referred to as a processing contract.
ContractOctober 12th, 2020
Wisconsin Department of Public Instruction CHILD AND ADULT CARE FOOD PROGRAM PERMANENT AGREEMENT/POLICY STATEMENT Sponsoring Organizations of Family Day Care Homes PI-1459-AP (Rev. 10-10) INSTRUCTIONS: Complete this Agreement/Policy Statement in duplicate and submit both copies to: WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION ATTN: Mike Ryan COMMUNITY NUTRITION PROGRAMS P.O. BOX 7841 MADISON, WI. 53707-7841
PERMANENT AGREEMENTPermanent Agreement • April 28th, 2022
This Agreement/Policy Statement is permanent and is between the School Food Authority (SFA) and the Wisconsin Department of Public Instruction (DPI). The SFA agrees to administer the Special Milk Program approved in its contract in accordance with federal regulations including policy and instructions issued by the United States Department of Agriculture (USDA) and DPI. The applicable regulations are 7 CFR 215 (Special Milk Program), and applicable procurement regulations stipulated in the aforementioned program and applicable procurement regulations contained in 2 CFR 200 including but not limited to subsections found in Procurement Standards, which include 200.318 General procurement standards, 200.319 Competition, and 200.320 Methods of procurement to be followed.
AMENDMENT TO RENEW FIXED MEAL PRICE FOOD SERVICE MANAGEMENT COMPANY CONTRACTService Management Company Contract • February 2nd, 2021
This “Amendment” is entered into and between NAME OF SCHOOL, the School Food Authority (“SFA”) and NAME OF FSMC the Food Service Management Company (“FSMC”) and collectively referred to herein as the “Parties”.
Food Service Management Company Fixed Price Prototype Contract Wisconsin Department of Public Instruction February 2015February 20th, 2015
This Request For Proposal (RFP) which is also referred to as the “prototype contract” is provided by the Wisconsin Department of Public Instruction (DPI) and is required for use by school food authorities (SFAs) initiating a new fixed price contract with a food service management company (FSMC). In accordance with 7 CFR 210.16, any changes made by the SFA or a FSMC to this prototype contract must be reviewed by DPI before the contract is executed. To comply with this requirement, the SFA must complete the necessary sections of this prototype contract. Then the SFA must submit the completed prototype contract to DPI for review. After DPI reviews the submitted prototype contract, the SFA may release the contract for soliciting proposals.
COACHES AGREEMENTCoaches Agreement • July 25th, 2022
As a coach it is important to recognize the signs, symptoms, and behaviors of concussions and sudden cardiac arrest. By signing this form you are stating that you have read the Centers for Disease Control and Prevention (CDC) fact sheet for Coaches in English or Spanish and the Wisconsin Interscholastic Athletic Association (WIAA) Concussion Policy and WIAA concussion resources. By signing this form, you are stating that you understand the importance of recognizing and responding to concussions and head injuries per the guidelines set forth by the Department of Public Instruction (DPI), WIAA, and Wis. Stat. 118.293.
Voluntary Random Selection AgreementSelection Agreement • November 2nd, 2023
Pursuant to Wis. Stat. §§ 118.60 (3)(a) and/or 119.23(3)(a), the undersigned school agrees to conduct its random selection process for admission to the choice program as follows:
DATA USE AGREEMENT BETWEEN Wisconsin Department of Public Instruction andData Use Agreement • April 6th, 2023
This Data Use Agreement is made and entered into by and between the Wisconsin Department of Public Instruction (DPI), hereafter “Holder,” and Organization Name, hereafter “Recipient.” Holder and Recipient agree to all of the following terms and conditions pursuant to which Holder will disclose
THE ACT HIGH SCHOOL ASSESSMENTS AGREEMENT TO MAINTAIN CONFIDENTIALITYAugust 26th, 2022
The ACT Assessment and the PreACT Secure Assessment, collectively the ACT High School Assessments, are secure, proprietary test instruments with components copyrighted by the ACT Inc. Any disclosure of test items to any person might constitute a copyright violation. Also, any such disclosure or dissemination of test items will undermine the value of the test and adversely affect the validity of test results. The confidentiality of test questions and answers is paramount in maintaining the integrity and validity of the test. Accordingly, the Department of Public Instruction (DPI) and Wisconsin educators must take every step to assure the security of these test instruments. For that reason, DPI is requiring all Test Coordinators complete this Agreement.
WIDA ACCESS FOR ELLS AGREEMENT TO MAINTAIN CONFIDENTIALITYJuly 23rd, 2020
The WIDA ACCESS for ELLs is a secure, proprietary suite of test instruments with components copyrighted by The Board of Regents of the University of Wisconsin System and DRC. Any disclosure of test items to any person might constitute a copyright violation. Also, any such disclosure or dissemination of test items will undermine the value of the test and adversely affect the validity of test results. The confidentiality of test questions and answers is paramount in maintaining the integrity and validity of the test. Accordingly, the Department of Public Instruction and Wisconsin educators must take every step to assure the security of these test instruments.
DYNAMIC LEARNING MAPS (DLM) AGREEMENT TO MAINTAIN CONFIDENTIALITYConfidentiality Agreement • July 24th, 2020
The Dynamic Learning Maps (DLM) is a secure, proprietary test instrument with components copyrighted by Kansas University. Any disclosure of test items to any person might constitute a copyright violation.
DYNAMIC LEARNING MAPS (DLM) AGREEMENT TO MAINTAIN CONFIDENTIALITYConfidentiality Agreement • July 24th, 2020
The Dynamic Learning Maps (DLM) is a secure, proprietary test instrument with components copyrighted by Kansas University. Any disclosure of test items to any person might constitute a copyright violation.
AMENDMENT TO RENEW COST REIMBURSABLE PLUS FIX FEE FOOD SERVICE MANAGEMENT COMPANY CONTRACTService Management Company Contract • February 2nd, 2021
This “Amendment” is entered into and between NAME OF SCHOOL, the School Food Authority (“SFA”) and NAME OF FSMC the Food Service Management Company (“FSMC”) and collectively referred to herein as the “Parties”.
Vended Meals Agreement Template for the National School Lunch and/or School Breakfast Program(s)Vended Meals Agreement • March 7th, 2022
This Agreement (“Agreement”) is entered into by and between herein after referred to as the School Food Authority (SFA), and , herein after referred to as the Vendor. The effective date of this Agreement is July1, .
USDA FOODS PROGRAM TEMPLATE AGREEMENT BETWEEN SCHOOL FOOD AUTHORITY AND COMMERCIAL DISTRIBUTOR OF USDA FOODS IN WISCONSINTemplate Agreement • December 2nd, 2022
The purpose of this agreement is to arrange with a commercial distributor (herein referred to as distributor) for the handling, storing, staging, and delivery of USDA Foods. This agreement excludes further-processed USDA Foods obtained through the direct diversion of bulk USDA Foods. USDA Foods will include refrigerated, frozen, and dry food items. The distributor agrees to comply with federal regulations including policy and federal/state policy and instructions issued by the Wisconsin Department of Public Instruction (DPI). The applicable regulations are 7 CFR 210 (National School Lunch Program) 7 CFR 250 (Food Distribution Program), and applicable procurement and contracting regulations in 2 CFR Part 200 (the Super-Circular).
Voluntary Random Selection Agreement 2021-22 School YearOctober 29th, 2020
Pursuant to Wis. Stat. §§ 118.60 (3)(a) and/or 119.23(3)(a), the undersigned school agrees to conduct its random selection process for admission to the choice program as follows:
DEPARTMENT OF PUBLIC INSTRUCTIONMemorandum of Agreement • May 5th, 2020 • Wisconsin
This contract to carry out the AmeriCorps Farm to School Program (“Contract”) is made and entered into by and between the State of Wisconsin Department of Public Instruction (“DPI”), and Host Site (“Contractor”). Individually and collectively, the parties are referred herein as a (“Party”) or (‘Parties”), respectively.
MEMORANDUM OF AGREEMENT Between the Wisconsin Department of Public Instruction And Member NameMemorandum of Agreement • May 5th, 2020
Based upon their mutual promises and other good and valuable consideration, the Department of Public Instruction (“DPI”) and Member Name agree as follows:
PARENT AGREEMENTParent Agreement • June 23rd, 2022
As a parent/guardian and as an athlete it is important to recognize the signs, symptoms, and behaviors of concussions and sudden cardiac arrest. By signing this form, you are stating that you have read the Department of Public Instruction’s (DPI) and the Wisconsin Interscholastic Athletic Association (WIAA) Concussion and Head Injury information sheet and Sudden Cardiac Arrest Information sheet.
Google Apps for Education AgreementFor Education Agreement • May 5th, 2020
This Google Apps for Education Agreement (the “Agreement”) is entered into by and between Google Inc. (“Google”), with offices at 1600 Amphitheatre Parkway, Mountain View, California 94043 and the Wisconsin Department of Public Instruction, with an address at 125 South Webster Street, Madison, Wisconsin 53707 (“Customer”). This Agreement governs Customer’s access to and use of the Services (as defined below) and will be effective as of the Effective Date.
THE ACT HIGH SCHOOL ASSESSMENTS AGREEMENT TO MAINTAIN CONFIDENTIALITYJuly 23rd, 2020
The ACT High School Assessments are secure, proprietary test instruments with components copyrighted by the ACT Inc. Any disclosure of test items to any person might constitute a copyright violation. Also, any such disclosure or dissemination of test items will undermine the value of the test and adversely affect the validity of test results. The confidentiality of test questions and answers is paramount in maintaining the integrity and validity of the test. Accordingly, the Department of Public Instruction and Wisconsin educators must take every step to assure the security of these test instruments.
APPENDIX C: PROTOTYPE AGREEMENT DISCLOSURE OF FREE AND REDUCED PRICE INFORMATIONPrototype Agreement • July 19th, 2018
[Insert Name of Determining Agency] and [Insert Name of Receiving Agency] acknowledge and agree that children's free and reduced price meal and free milk eligibility information obtained under provisions of the Richard B. Russell National School Lunch Act (42 USC 1751 et seq.) (NSLA) or Child Nutrition Act of 1966 (42 USC 1771 et seq.) (CNA) and the regulations implementing these Acts is confidential information. This Agreement is intended to ensure that any information disclosed by the (insert name of determining agency) to the (insert name of receiving agency) about children eligible for free and reduced price meals or free milk will be used only for purposes specified in this Agreement and that the (insert name of determining agency) and (insert name of receiving agency) recognize that there are penalties for unauthorized disclosures of this eligibility information.
Confidentiality AgreementConfidentiality Agreement • July 24th, 2020
The Dynamic Learning Maps (DLM) is a secure, proprietary test instrument with components copyrighted by Kansas University. Any disclosure of test items to any person might constitute a copyright violation. Also, any such disclosure or dissemination of test items will undermine the value of the test and adversely affect the validity of test results. The confidentiality of test questions and answers is paramount in maintaining the integrity and validity of the test. Accordingly, the Department of Public Instruction and Wisconsin educators must take every step to assure the security of these test instruments.
WIDA ACCESS FOR ELLS AGREEMENT TO MAINTAIN CONFIDENTIALITYJuly 23rd, 2020
The WIDA ACCESS for ELLs is a secure, proprietary suite of test instruments with components copyrighted by The Board of Regents of the University of Wisconsin System and DRC. Any disclosure of test items to any person might constitute a copyright violation. Also, any such disclosure or dissemination of test items will undermine the value of the test and adversely affect the validity of test results. The confidentiality of test questions and answers is paramount in maintaining the integrity and validity of the test. Accordingly, the Department of Public Instruction and Wisconsin educators must take every step to assure the security of these test instruments.
PI-6301 Agreement Between Agency Name of Purchaser & Agency Name of Seller Page 5 of 6November 25th, 2023
This Agreement (“Agreement”) is entered into by and between Agency Name of Purchaser, hereinafter referred to as “Purchaser” and Agency Name of Seller, hereinafter referred to as “Seller” for the school year. The effective date of this Agreement is .
WHOLE GRADE SHARING AGREEMENTSFebruary 21st, 2020
Authorization for WGS agreements is included in s.118.50, Wis. Stats. State law requires that a WGS agreement include the following components:
COMMERCIAL DISTRIBUTION AGREEMENT FOR SCHOOL FOOD AUTHORITIES PARTICIPATING IN THE USDA FOODS PROGRAM AND CONTRACTING WITH COMMERCIAL DISTRIBUTORSDistribution Agreement • November 13th, 2023
Instructions: This document is for read-only purposes. This document describes the requirements of contracting with a commercial distributor and the USDA Foods Program. SFAs will be required to login to the Wisconsin USDA Foods Ordering System and accept these terms in the Contract Form under the Application. By clicking “Accept”, the SFA agrees with the following terms and conditions.
Confidentiality AgreementConfidentiality Agreement • July 23rd, 2020
The WIDA ACCESS for ELLs is a secure, proprietary suite of test instruments with components copyrighted by The Board of Regents of the University of Wisconsin System and DRC. Any disclosure of test items to any person might constitute a copyright violation. Also, any such disclosure or dissemination of test items will undermine the value of the test and adversely affect the validity of test results. The confidentiality of test questions and answers is paramount in maintaining the integrity and validity of the test. Accordingly, the Department of Public Instruction and Wisconsin educators must take every step to assure the security of these test instruments.
AMENDMENT TO FIXED PRICE FOOD SERVICE MANAGEMENT COMPANY CONTRACT FOR USDA Fresh Fruit and Vegetable Program (FFVP)Fixed Price Food Service Management Company Contract • April 2nd, 2021
This “Amendment” is between School Food Authority (SFA) ______________________and Food Service Management Company (FSMC) _______________________ for the purposes of adding the SFA’s participation in the Fresh Fruit and Vegetable Program (FFVP) to the FSMC contract.
