ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Cost ReimbursablePUBLICForm #23 CR PUBLIC
2
Revised 01/2023
3
4
 RESPONSE AND PROJECTED OPERATING STATEMENT
5
6
PUBLIC- Response and Projected Operating Statement
7
for
8
SFA:
9
 School Year 2023 - 2024
10
11
We the undersigned, agree to operate the food service program as described in the RFP specifications.
12
FSMC NAME:
13
FSMC ADDRESS:
14
PREPARER'S NAME:TITLE:
15
TELEPHONE #:FAX #:
16
PREPARER'S E-MAIL :
17
This proposal is subject to all the attached terms, conditions and specifications. If accepted we hereby agree to enter into a FOOD SERVICE MANAGEMENT COMPANY (FSMC) CONTRACT as described in the Contract/RFP.
18
19
20
FSMC Administrative/Management Fee ( i.e.- General Support Services, Administrative, etc.) must be included in one fee below.
21
22
23
Administrative/Management Fee, Profit/Loss and Guarantee
24
NSLP, SBP, ASSP CACFPSFSPCATERING/VENDEDTOTAL
25
CENTS PER MEAL:$0.0000$0.00$0.00$0.00$0.00
26
FLAT FEE:$0.00$0.00
27
TOTAL INCOME$0.00$0.00$0.00$0.00$0.00
28
TOTAL (EXPENSES) COST$0.00$0.00$0.00$0.00$0.00
29
RETURN / (LOSS)$0.00 $0.00 $0.00 $0.00 $0.00
30
EQUIPMENT INVESTMENT (1 YR.)$0.00$0.00$0.00$0.00$0.00
31
R/L WITH EQUIP & MEAL CHARGE DEBT$0.00 $0.00 $0.00 $0.00 $0.00
32
GUARANTEE: FSMC must check one of the following options.
33
AmountGuaranteed Breakeven
34
No GuaranteeNA$0.00
35
36
Guaranteed (Loss)$0.00 Guaranteed Return$0.00
37
38
BOND TYPE & REGULATIONCHECK BOX IF INCUDEDBOND AMOUNTBOND BASED ON THIS AMOUNT:BOND PERCENT FROM RFP*Note: State Bid Bond 10% not to exceed $20,000.00 - see RFP for requirements.
39
*BID BOND 18A:18A $0.00$0.00$0.0010.00%
40
BID BOND - SFSP (FEDERAL SURETY CO. ONLY)$0.00$0.005.00%**Note: Bid and Performance Bonds for SFSP are required if SFSP reimbursement is greater than $100,000.
41
**PERFORMANCE BOND - SFSP (FED. SURETY CO. ONLY)$0.00$0.00$0.0010.00%
42
43
44
48
$0.00
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103