California Department of Education School Food Service Contracts Unit

Nutrition Services Division January 2016

CNIPS Form SFSC-02: EC 49554 CertificationPage 1 of 2

Certification of Compliance with California Education Code Section 49554

and

Request to Contract with a Private Company for Vended Meals

School DistrictName / CNIPS ID

School Districts must annually certify compliance to the CDE and every time they enter into a new Contract.

WHEREAS EC 49554 states: Any school district or county superintendent of schools which has had no food service employees since July 1, 1977, or has inadequate or no food preparation facilities as determined by the State Department of Education, and is, therefore, unable to provide a nutritionally adequate breakfast or lunch, or both, may contract for the preparation, delivery, and service of those meals. Any contract for the preparation, delivery, and service of meals shall not be deemed to establish food service positions for the purposes of EC Section 39902.

Prior to contracting for preparation, delivery, and service of such meals, a school district shall certify to the State Department of Education that no school district in the county nor the county superintendent of schools has the facilities and is willing to furnish those services.

Districts that are contracting for only one or two of the services do not need to submit this form.

THEREFORE, this district certifies that:

  1. It has had no food service employees since July 1, 1977, or
  2. It is unable to provide a nutritionally adequate breakfast or lunch, or both because (Check One):
  3. Inadequate food preparation facilities (Attach documentation from the local county health department certifying that facilities are inadequate for meal preparation.)
  4. No food preparation facilities

Additionally, the district/COE certifies that:

  1. No school within the district has the facilities to prepare meals
  2. No school district in the county or the county superintendent of schools has the facilities and is willing to furnish those services
  3. This certification applies to all schools in the district, or
  4. This certification only applies to schools on the attached list
  5. It will request annual certification from the California Department of Education (CDE)
  6. Copies of vended meal requests and responses from districts within the county and the county superintendent of schools will be retained and made available to the CDE upon request.

  1. Explain how the meal program has been operating since 1977 without food service employees.
  1. Explain how meals have been provided with no or inadequate food preparation facilities.
  1. List Schools covered by this Certification: (if necessary, attach additional list)

CNIPS Site No. / CNIPS Site Name
Total Sites:
By signing, we certify that the statements are herein are true and accurate, we acknowledge responsibility to notify the CDE if the condition(s) for which approval was granted CHANGE:
1. The existing vended meal contract is canceled
2. Meals will be prepared on our own
3. Meals will be purchased from another school district
Printed Name of School Official Authorized to Sign this Certification / Date
Signature of School Official Authorized to Sign this Certification / Title
Telephone Number E-Mail
CDE/SFSCU USE ONLY
Approved Effective Period (e.g.2015-16): / Copy to SFA
Denied Reason:
Entered Note in CNIPS Entered Note in Contracts Tracking Database File Original in SFA Contract File
Signature of Contract Analyst Processing this form ______Date: ______