PENINSULA AGENCY ON AGING, INC. INVITATION FOR BID FOOD SERVICES FOR OLDER ADULTS APRIL 26, 2021
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PENINSULA AGENCY ON AGING, INC. 2021 FOOD SERVICES INVITATION FOR BID TABLE OF CONTENTS I. Purpose 4 II. Submission of Bids 7 III. Contract Period 8 IV. Scope of Services to be Performed 9 V. Meal Related Items and Services 10 VI. Delivery of Meals 11 VII. Certification 14 VIII. Method of Determining the Number of Meals 14 IX. Contract Period 14 X. Claims 15 XI. Access to Inspect 15 XII. Payment of Meals 15 XIII. Required Vendor Information 16 XIV. Pre-Award Meeting 16 XV. Pre-Contract Start Date Meeting 16 XVI. Contract Conditions 16 XVII. Signature Page 19 Attachment A Bid for Meal Preparation to the Elderly Attachment B Menu Planning Guidelines Attachment C Equipment Supplies to Vendor by PAA Attachment D Sample Temperature Record Attachment E PAA Meal Vendor Monitoring Attachment F Number of Meals Required / Locations Attachment G Menu Requirements Attachment H Sample Menu Attachment I Sample HDM Route Sheet Tags This Invitation for Bid has been created or produced by PAA with financial assistance, in whole or in part, from the Administration on Community Living and/or the Virginia Department for Aging and Rehabilitative Services. 2
INVITATION FOR BID (IFB) FOR MEAL PREPARATION SERVICES Title III-C (Nutrition Program for the Elderly) Of The Older Americans Act of 1965 (As Amended) Issuing Agency: Peninsula Agency on Aging, Inc. 739 Thimble Shoals Blvd. Suite 1006 Newport News VA 23606 Contract: Meal Preparation Services Title: Home Delivered Meals (C2) Congregate Meals (C1) Telephone No: 757- 873-0541 Important Dates: Invitation for Bid Issued April 26, 2021 Question Deadline May 7, 2021 Amendments Posted (if any) May 10, 2021 Bid Package Due May 27, 2021 at 4:30 p.m. Initial Evaluation May 28, 2021 at 2:00 p.m. Intent to Award posted June 4, 2021 Contract Effective October 1, 2021 3
PENINSULA AGENCY ON AGING INVITATION FOR BID INSTRUCTION FOR BIDDERS I. PURPOSE Peninsula Agency on Aging is accepting bids for provision of Title IIIC Older American Act Nutrition service under the Area Plan for Aging Services for an initial three year period of October 1, 2021 through September 30, 2022 (year #1), October 1, 2022 through September 30, 2023 (year #2), October 1, 2023 through September 30, 2024 (year #3), with two optional years of October 1, 2024 through September 30, 2025, and October 1, 2025 through September 30, 2026. Bids will be accepted for provision of the following nutrition services: 1. Congregate Meals 2. Home Delivered Meals The services funded are governed by the Older Americans Act of 1965, as amended. Copies of the Older Americans Act of 1965, as amended, and of the most recent Federal Regulations interpreting the Act. These can be viewed at: http://www.aoa.gov/AOA_programs/OAA/ Providers will be selected based on the evaluation criteria shown below. Bidders may be requested to attend interviews or to otherwise clarify their bids. This Invitation for Bid does not commit PAA to award a contract, to pay for any costs incurred in the preparation of a bid, to respond to this request or to be bound to procure or contract for these services. The decision to award will be based on, but not limited to, the following: Responsiveness to the purpose and scope of the Invitation for Bid; Adherence to the conditions, rules, regulations and requirements of the Invitation for Bid; Experience and reputation of the bidder; Identification as a small, minority, veteran or woman owned business; Cost of the products/services and location respective to PAA sites; Availability of funding. An Intent to Award will be sent to all bidders, listed on the PAA website, and posted at PAA’s main office on June 4, 2021. 4
Additional Regulations and Provisions governing this Invitation for Bid include: 1. Equal Employment Opportunity: All contracts shall contain a provision requiring compliance with E.O. 11246, “Equal Employment Opportunity,” as amended by E.O. 11375, “Amending Executive Order 11246 Relating to Equal Employment Opportunity,” and as supplemented by regulations at 41 CFR part 60, “Office of Federal Contract Compliance Programs, Equal Employment Opportunity, and Department of Labor.” 2. Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333): All contracts awarded by PENINSULA AGENCY ON AGING in excess of $2,000 for construction contracts and in excess of $2,500 for other contracts that involve the employment of mechanics or laborers shall include a provision for compliance with Sections 102 and 107 of the Contract Works Hours and Safety Standards Act (40 U.S.C. 327-333), as supplemented by Department of Labor regulations (29 CFR part 5). Under Section 102 of the Act, each contractor is required to compute wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than 1-1/2 times the basic rate of pay for all hours worked in excess of 40 hours in the work week. Section 107 of the Act is applicable to construction work and provides that no laborer or mechanic shall be required to work in surroundings or under working conditions that are unsanitary, hazardous, or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. 3. Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act (33 U.S.C. 1251 et seq.), as amended: Contracts and sub-grants of amounts in excess of $100,000 shall contain a provision that requires the recipient to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act, as amended (33 U.S.C. 1251 et seq.). Violations shall be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). 4. Byrd Anti-Lobbying Amendment (31 U.S.C. 1352): For all contracts or sub-grants of $100,000 or more, PENINSULA AGENCY ON AGING shall obtain from the contractor or sub-grantee a certification that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Likewise, since each tier provides such certifications to the tier above it, PENINSULA AGENCY ON AGING shall provide such certifications in all situations in which it acts as a sub- recipient of a sub-grant of $100,000 or more. 5
5. Debarment and Suspension (E.O.s 12549 and 12689): For all contracts in excess of the simplified acquisition threshhold fixed at 41 U.S.C. 403(11) ($150,000), PENINSULA AGENCY ON AGING shall obtain from the contractor a certification that neither the contractor nor any of its principal employees are listed on the General Services Administration’s List of Parties Excluded from Federal Procurement or Non-procurement Programs. 6. Remedies: All contracts in excess of the simplified acquisition threshhold fixed at 41 U.S.C. 403(11) ($150,000) shall contain contractual provisions or conditions that allow for administrative, contractual, or legal remedies in instances in which a contractor violates or breaches the contract terms. 7. Termination: All contracts in excess of the simplified acquisition threshhold fixed at 41 U.S.C. 403(11) ($150,000) shall contain suitable provisions for termination by PENINSULA AGENCY ON AGING, including the manner by which termination shall be effected and the basis for settlement. In addition, such contracts shall describe the conditions under which the contract may be terminated for default as well as conditions where the contract may be terminated due to circumstances beyond the control of the contractor. 6
II.SUBMISSION OF BIDS A. An original bid must be submitted to PAA no later than 4:30 p.m., Monday May 24, 2021. Type all information. Attach additional pages where necessary. B. Bids will be opened on Tuesday May 25, 2021 at 2:00 p.m. in the PAA office and reviewed by PAA’s Chief Financial Officer, VP of Community Services, and other parties as deemed necessary to ensure a fair evaluation of the Bid package. C. All Bids will be evaluated with the following criteria and weight: Criteria Weight Responsiveness and Adherence 20 Experience and Reputation 10 Professional Qualifications 10 Woman or Minority Owned Business 10 Cost of the Products/Services 50 Total Possible 100 D. Refer to the enclosed description of services as defined by the Virginia Department for Aging and Rehabilitative Services (DARS). Bidders must comply with the requirements set forth in these descriptions. E. The contract will be effective and services will commence on October 1, 2021. F. Bidders must have been in business for at least three (3) years and have five (5) references included with their bid. G. The successful bidder is required to have in place adequate liability ($1,000,000 minimum) that will indemnifies protect the Peninsula Agency on Aging from any damages to property and/or persons caused by the contractor. H. The food service vendor must furnish proof at the time of bid submission of Liability Insurance – a minimum of $1,000,000. I. PAA expects each bidder to thoroughly examine all aspects of this solicitation and be responsive to all stated requirements. J. All bid costs must be submitted on and in accordance with Attachment A. If more space is required to furnish a description of the services offered, the bidder may attach a letter hereto which will be made a part of the bid. 7
K. All bids must be submitted in a sealed envelope, plainly marked with bid identification “Sealed Bid” and addressed to the attention of Gerald Patesel, VP of Community Services. L. Late bids and amendments, received after the due date and time specified, will not be considered. It is the responsibility of the bidder to ensure the bid is in the PAA office by 4:30 p.m., May 24, 2021. M. Each bidder shall furnish the information required by the solicitation and sign the bid. The person signing the bid must initial erasures or other changes. Bids signed by an agent shall be accompanied by evidence of that agent’s authority, unless that evidence has been previously furnished to PAA. N. All contracting agencies must be Equal Opportunity Employers and must serve older adults without regard to age, race, sex, color, national or ethnic origin, or disability. O. The Peninsula Agency on Aging reserves the right to make the bid award in the best interest of the Peninsula Agency on Aging. PAA reserves the right to make multiple bid awards when deemed appropriate. P. The proposal shall include as a minimum the following sections, each under separate tabs: a. Section 1 – Introduction, Qualifications, & Experience b. Section 2 – Certification as a small, minority, veteran or woman owned business c. Section 3 – Proposal with required attachments from the Invitation for Bid d. Section 4 – Pricing e. Section 5 – Other relevant information Q. The Bidder shall bear all expenses incurred in responding to this Invitation for Bid. III. CONTRACT PERIOD A. Thirty-six (36) month contract (October 1, 2021 through September 30, 2024) will be awarded with an option to renew for two (2) twelve (12) month periods under the same terms and conditions that apply to the initial thirty-six (36) month contract period. B. Bidders must use Attachment A to submit their meal bid costs. C. Bidders shall develop and provide a single unit of service cost for year one (1), two (2), and three (3). Year two meal costs shall not be in excess of 3% of year one meal costs. Year three meal costs shall not be in excess of 3% of year two meal costs. 8
D. Bidders must understand that any agreement may be amended or terminated by the Peninsula Agency on aging with sixty (60) days’ written notice in the event that funding from the Virginia Department for Aging and Rehabilitative Services (DARS) is so curtailed or restricted as to render infeasible, in the Peninsula Agency on Aging’s opinion, further participation under this agreement. In the event that the vendor fails to comply with any provisions of this contract, the Peninsula Agency on Aging may terminate this agreement immediately. E. Bidders must understand that any agreement may be amended or terminated by either party with sixty (60) days’ written notice for default in the performance of any of the terms and conditions of this agreement, and for the failure to remedy such default within a mutually agreed time period. IV. SCOPE OF SERVICES TO BE PERFORMED MEAL REQUIREMENTS All meals under this agreement must comply with the Dietary Reference Intakes and the most recent Dietary Guidelines for Americans, published by the Secretary of Health and Human Services and the Secretary of Agriculture and provide to each participating older individual a minimum of 33 1/3 percent of the dietary reference intakes as established by the Food and Nutrition Board of the Institute of Medicine of the National Academy of Sciences, for a single meal (see Attachment B). Vendor must comply with applicable provisions of State and local laws regarding safe and sanitary handling of food, equipment, and supplies in the storage, preparation, service, and delivery of meals to an older individual. The number of planned meals per type is listed in Attachment F and is based upon meal requirements from the past two years. The vendor shall comply with the additional menu requirements listed in Attachment G. A. HOME DELIVERED MEALS are preplated meals in three compartment trays served Monday through Friday (and Saturdays for delivery in the East End of Newport News) to primarily elderly (60+) persons, who are homebound and unable to prepare a meal for themselves. Meals are picked up at a PAA designated meal preparation site by volunteers or a PAA representative and delivered via volunteer drivers. Food containers/trays, meal lids, and paper goods are supplied by PAA (see Attachment C). Home Delivered Meals will be provided approximately 245 days annually. B. CONGREGATE MEALS are preplated meals in three compartment trays and transferred to insulated transport containers/food caddies provided by PAA for distribution (see 9
Attachment C). Congregate Meals will be provided approximately 225 days annually. Meals will be delivered in bulk form upon request. The vendor will purchase all food and appropriate condiments and will prepare midday meals for pick-up by a PAA representative. The vendor will be notified at least one week in advance when meals will not be served on a particular day. During inclement weather, the congregate meal program will follow the public school closing schedule: if the schools are closed or delayed in a particular locality, no congregate meals will be prepared. The vendor should be willing to provide meals on holidays, under emergency conditions and/or for special events if such occasions occur during the regular meal schedule. When the nature of such meals warrants a price adjustment, the vendor will be permitted to negotiate a specific price for said meals prior to service. C. HOLIDAYS New Year’s Day January 1 Martin Luther King Day Third Monday in January President’s Day Third Monday in February Memorial Day Last Monday in May Juneteenth June 19 Independence Day July 4 Labor Day First Monday in October Columbus Day Second Monday in October Election Day First Tuesday in November Veterans Day November 11 Thanksgiving Day Fourth Thursday in November Friday after Thanksgiving Christmas Day December 25 Days designated as a holiday by special proclamation of the governor of Virginia or the President of the United States. V. MEAL RELATED ITEMS AND SERVICES A. HOME DELIVERED MEALS: the vendor will supply condiments and/or relishes in individual servings with each individual meal. Paper goods, meal trays and lids will be supplied by PAA (see Attachment C). B. CONGREGATE MEALS: the vendor will supply condiments and/or relishes in individual servings with each individual meal. Disposable items, specifically napkins, plates, straws, and flatware will be supplied by PAA (see Attachment C). PAA will provide training and follow-up to persons serving the meals in areas regarding portion control and sanitation when appropriate. 10
C. Food for Home Delivered and Congregate Meals must be prepared with the least possible manual contact, with suitable utensils and on surfaces that, prior to use, have been cleaned, rinsed and sanitized to prevent cross contamination. VI. DELIVERY OF MEALS A. HOME DELIVERED MEALS: Preplated meals in three compartment meal trays will be ready for transport in individual containers which are suitable to maintain safe temperatures up to the time of meal service and which are provided by PAA. The vendor shall apply meal reheating instructions on each individual meal. For the health and safety of participants, the temperatures of hot food must be at a minimum, 160 degrees F and cold food must be no more than 41 degrees F at the time the meals are picked up for delivery. Vendor must record the time and temperatures of the hot and cold foods at the time of meal pickup. Vendor will electronically transmit these times and temperatures to PAA on a weekly basis (see sample temperature record – Attachment D). PAA has the right to reject payment for hot meals with temperature readings below 135 degrees F and cold meals with a temperature of no more than 41 degrees F. Volunteers or a PAA representative will pick up noonday meals at the kitchen facility of the vendor between 10:30 a.m. and 12:00 noon. B. CONGREGATE MEALS Preplated meals in three compartment meal trays will be ready for transport between 10:45 a.m. and 12:00 noon in bulk containers/food caddies provided by PAA that are suitable to maintain safe temperatures up to the time of meals service. The vendor shall apply a standard meal lid with no written reheating instructions to cover each individual meal. For the health and safety of PAA participants, the temperatures of hot food must be at a minimum, 160 degrees F or higher and cold food must be no more than 41 degrees F at the time the meals are picked up. Vendor must record the time and temperatures of the hot and cold foods at the time of meal pickup for each congregate location (see sample temperature record – Attachment D.) Vendor shall place metal stem, dial faced thermometers in each bulk container of hot meals for transport to the PAA congregate dining location. Vendor will electronically transmit these times and temperatures to PAA on a weekly basis. PAA has the right to reject payment for hot meals with temperature readings below 135 degrees F and cold meals with temperature readings above 41 degrees F. 11
C. SPECIAL CONDITIONS 1. Should the vendor fail to provide meals for delivery for a period of three consecutive days, or should any person eating meals prepared under this contract become ill as a result of food poisoning attributable to the negligence of the vendor, as determined by the Bureau of Environmental Health, then such action shall be justification for immediate cancellation of the agreement, among other remedies. 2. Should shortages occur, PAA may replace shortages at vendor’s expense. Meals, or portions of meals, that are determined to be inedible, shall be cost adjusted at the end of the month. 3. The Peninsula Agency on Aging will provide food vendors with a daily meal count. One hundred percent (100%) accuracy in packing is expected of the food service contractor based on the meal count provided. If a discrepancy in the meal package is found to be the result of the food provider, then the Peninsula Agency on Aging may at its discretion deduct the cost of the meals not delivered plus up to a $1 administrative cost per meal. 4. The food service contractor is expected to follow approved menus with one hundred percent (100%) accuracy. Any and all changes or menu item substitutions in the approved menus must be preapproved by the Peninsula Agency on Aging Nutrition Department. The Peninsula Agency on Aging may at its discretion deduct the cost of the meal when any non-approved change and/or substitutions are made plus up to a $1 administrative cost per meal. 5. The food contractor shall pack home delivered meal trays into PAA provided bags/coolers by individual routes with the correct number of hot meals and cold bags. All hot meals shall be packed into a single bag/cooler and all cold food items shall be packed into a single bag/cooler, i.e. 2 coolers per individual meal route. Attached to each bag/cooler shall be a card notating the route number and number of items included. See Attachment I. 6. The contractor shall have adequate space onsite to store PAA supplies that include but not limited to food caddies, pans, three compartment trays, food sealing equipment, and bags/coolers required for daily operations. 7. The food contractor shall stack home delivered meal trays inside PAA provided bags/coolers in an alternating manner to help evenly displace the weight during transport. 8. The food contractor shall wrap the PAA congregate dining sites pans/containers plastic wrap to ensure holding temperatures and to help prevent spillage during transport. Heat stones (provided by PAA) may be required to maintain temperatures that will be placed at the bottom of the food caddy. 12
9. Vendor shall have policies and procedures regarding health and hygiene for all individuals who prepare and/or serve food that include: Infectious illness such as diarrhea, vomiting, fever, sore throat, etc. Open sores on hands or arms Gloves worn over nail polish and artificial fingernails for individuals handling food Kitchens will abide by Virginia Department of Health Food Regulations 10. All foods, whether purchased by of donated to the program, must meet the following criteria: Food shall be obtained from sources that comply with law Meet or exceed all applicable federal, state and local laws, ordinances, and regulations Safe and unadulterated Food in a hermetically sealed container shall be obtained from a food processing plant that is regulated by the food regulatory agency that has jurisdiction over the plant If served, hot dogs, luncheon meat, and soft cheeses (feta, Brie, Camembert, Blue veined, Mexican style) must meet temperature requirements Pasteurized shell, liquid, frozen, or dry eggs or egg products shall be substituted for raw shell eggs in the preparation of foods such as Caesar salad, hollandaise or béarnaise sauce, mayonnaise, egg-fortified beverages and for recipes in which more than one egg is broken and eggs are combined The following food must not be used: Prepackaged un-pasteurized juice (including un-pasteurized apple cider) Raw animal foods, such as raw fish, raw-marinated fish, raw molluscan shellfish, and steak tartare Partially cooked animal food such as lightly cooked fish, rare meat, soft-cooked eggs that are made from raw shell eggs, and meringue Raw seed sprouts (including alfalfa, clover, and radish) Home-canned foods Any foods prohibited under Virginia Department of Health Regulations or updated version of The Food Code 13
VII. CERTIFICATION The vendor shall comply with all Federal, State, and local laws and regulations governing the sale, preparation, handling, storing and transporting of food and shall have in effect all necessary licenses, permits and food handlers’ certificates as required by law. This includes but is not limited to health, fire and safety codes and regulations; purchasing regulations; licensure requirements; and other requirements applicable for meal preparation. VIII. METHOD OF DETERMINING THE NUMBER OF MEALS TO BE PREPARED EACH DAY The number of planned meals per type is listed in Attachment F and is based upon meal requirements from the past two years. A. CONGREGATE MEALS: The vendor shall be flexible regarding the number of meals to be provided at each site from day to day. PAA will notify the vendor of the number of meals required one month in advance, however, the number may be adjusted prior to 9:00 a.m. on the actual serving day. PAA staff will provide an approximate daily meal count for each dining location at the beginning of each month. Approximately 88 to 145 congregate meals required per week. B. HOME DELIVERED MEALS: The vendor must be willing to be flexible, as meal counts will vary daily due to the needs of the clientele. PAA meal count changes will be made the day before allowing for occasional exceptions when meal counts may be telephoned to the vendor prior to 9:00 a.m. on the serving day. PAA staff will email and/or fax the next day meal counts to the vendor by 3:00 p.m. Approximately 375 to 505 Home Delivered Meals required per day. IX. CONTRACT PERIOD This agreement shall take effect on the date of its final execution by both parties and shall continue for a period of three (3) years. Upon expiration of the initial thirty-six month term, the agreement may be renewed for a fourth and fifth year at the Peninsula Agency on Aging’s discretion. Vendor shall receive notification of the Peninsula Agency on Aging’s intention to exercise either the fourth or fifth year option of this agreement no less than ninety (90) days prior to the option date. 14
X. CLAIMS PAA will fully cooperate with and, where appropriate, assist the vendor in maintaining the palatability and safety of these foods. The vendor shall indemnify PAA against any loss or damage (including attorney’s fees and other costs of litigation) caused by the vendor’s negligence, omissions, or theft by vendor’s employees. PAA will promptly notify the vendor in writing of any claims against PAA. However, if the vendor refuses or neglects to defend, adjust, or settle the claim, the costs of so doing, including reasonable attorney’s fees, shall be charged to the vendor if negligence is found on the part of the vendor. XI. ACCESS TO INSPECT PAA shall have the right and authority to inspect at any reasonable time the vendor’s food preparations, packaging and storage areas, and the food containers used in transporting prepared meals and other food supplies to PAA sites to determine the adequacy of the vendor’s sanitation and maintenance practices. Designated PAA staff will conduct an annual inspection of the vendors facility using a PAA Monitoring Tool (see Attachment E) with a written report of finding submitted to the vendor for review. The vendor and PAA shall meet and/or talk at least quarterly to review contract performance. XII. PAYMENT OF MEALS A. PAA will pay the vendor for the actual number of meals received by PAA during the monthly billing period. B. A monthly invoice from each vendor will reflect the following: 1. Total number of meals ordered 2. Amount charged per meal 3. Amount of total invoice. C. Monthly invoices are to be submitted to PAA by the 5th day of the following month. PAA shall make such payment within thirty days after receipt of the vendor’s invoice. Invoices faxed or emailed are allowed to facilitate the invoice process. Payment will be made through electronic funds transfer to the vendor’s designated banking institution. To ensure timely setup of vendor direct deposit, vendors must send a W-9 and Electronic Funds Transfer form to the PAA Finance Department by September 15, 2021. D. Invoices older than 180 days will not be paid. 15
XIII. REQUIRED VENDOR INFORMATION UPON AWARD OF CONTRACT A. Food Service Permit for the facility where meals will be prepared B. Legible copy of the most recent health inspection and fire inspection reports C. Proof of Insurance D. IRS Form W-9, Request for Taxpayer Identification Number and Certification E. Name of contact person (and a secondary contact person) along with telephone number, fax, and accessible email address. F. Description of your contingency plans to provide meals in case of the following: 1. Power Outage 2. Weather Emergencies 3. Other XIV. PRE-AWARD MEETING Bidders may request a pre-award meeting to review/clarify bid specifications and ensure all requirements to provide PAA Home Delivered and Congregate Meals are understood. XV. PRE-CONTRACT START DATE MEETING A meeting shall be held with the winning bidder(s) to discuss the contract operational requirements. These will include but are not limited to: supply ordering, invoicing, meal counts, meal packing, correspondence, and cooler and supply storage. PAA reserves the right to make multiple bid awards when deemed appropriate. XVI. CONTRACT CONDITIONS CONTACT PERSONS The vendor shall designate a contact person for the vendor’s activities regarding these meals. The contact person for PAA will be the Vice President Community Services or his designated staff person. An after business hours contact person and telephone number will be provided by the vendor and PAA. 16
INDEMNIFICATION The vendor shall at all times, during the term of this Agreement, and for a period of two (2) years immediately following the effective termination date of the Agreement, sufficiently, save, defend, keep harmless, and indemnify Peninsula Agency on Aging, Inc., its employees, agents, successors, and assigns, from any and all loss, damage, cost, charge, liability, or exposure, including court costs and attorney’s fees as a result of, or in connections with, any death, illness, personal injury, property or business damage of the violation of any code or regulatory provision alleged or proved by any person whatsoever arising out of vendor services under this contract. SUBCONTRACTING No part of this agreement may be assigned or subcontracted by the vendor without prior written approval by PAA. GRATUITIES The Vendor certifies that they have not given any gifts, gratuities, or special compensation to any PAA employee prior to the award of this contract and shall further certify that no gifts, gratuities, or special compensation shall be given to any PAA employee during the term of this contract. CIVIL RIGHTS COMPLIANCE The vendor certifies that it will conform to the applicable provisions of the Federal Civil Rights Act of 1964, as amended, and the Americans with Disabilities Act. During the performance of this contract, the vendor agrees as follows: 1. The vendor will not discriminate against any employee or applicant for employment because of that person’s race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age (40 and older), disability or genetic information. The vendor agrees to post in conspicuous places, available to employees and applicants for employment, notices setting forth the provisions of the nondiscrimination clause. 2. The vendor, in all solicitations or advertisements for employees placed by or on behalf of the vendor, will state that such vendor is an equal opportunity employer. 3. Notices, advertisements and solicitations placed in accordance with federal law, rule or regulation shall be deemed sufficient for the purpose of meeting these requirements. 4. The vendor will include the provisions of #1 above in every subcontract or purchase order over $10,000, so that the provisions will be binding upon each subcontractor or vendor. 17
IMMIGRATION REFORM AND CONTROL ACT OF 1986: By entering into a contract, the vendor certifies that it does not and will not during the performance of this contract employ illegal alien workers or otherwise violate the provisions of the Federal Immigration Reform and control Act of 1986. AMENDMENTS AND MODIFICATIONS This agreement may be modified by mutual agreement of authorized persons representing the vendor and PAA. No oral understanding or agreement will be recognized until it is written, dated, signed by both parties, and incorporated into this agreement. 18
XVII. SIGNATURE PAGE By signing below, the bidder acknowledges that all required terms and conditions for meal preparation services for the Peninsula Agency on Aging are understood, that the bid costs submitted are calculated based upon all the required terms and conditions listed in this bid package, and that the person listed below is authorized to submit this bid. Company Name: ______________________________________ Address: ______________________________________ ______________________________________ Contact Person: ______________________________________ Telephone: ______________________________________ Email address: ______________________________________ Signature: ______________________________________ Name (Print): ______________________________________ Title: ______________________________________ Date: ______________________________________ 19
ATTACHMENT A PENINSULA AGENCY ON AGING YEAR ONE BID FOR MEAL PREPARATION SERVICES TO THE ELDERLY 10/01/2021 – 9/30/2022 CONGREGATE MEALS HOME DELIVERED MEALS HOT | COLD |(Evening Meal Bags) | A) PRICE QUOTE PER | MEAL | | b) SPECIAL DIET AVAILABILITY YES NO YES NO (Mechanical soft, low cholesterol) (Mechanical soft, low cholesterol) Bidders must specify which regions they propose to provide with meal service. CONGREGATE MEALS HOME DELIVERED MEALS POQUOSON HAMPTON NEWPORT NEWS YORK COUNTY N/A 20
PENINSULA AGENCY ON AGING YEAR TWO BID FOR MEAL PREPARATION SERVICES TO THE ELDERLY 10/01/2022 – 9/30/2023 CONGREGATE MEALS HOME DELIVERED MEALS HOT | COLD |(Evening Meal Bags) | A) PRICE QUOTE PER | MEAL | | B) SPECIAL DIET AVAILABILITY YES NO YES NO (Mechanical soft, low cholesterol) (Mechanical soft, low cholesterol) Bidders must specify which regions they propose to provide with meal service. CONGREGATE MEALS HOME DELIVERED MEALS POQUOSON HAMPTON NEWPORT NEWS YORK COUNTY N/A 21
PENINSULA AGENCY ON AGING YEAR THREE BID FOR MEAL PREPARATION SERVICES TO THE ELDERLY 10/01/2023 – 9/30/2024 CONGREGATE MEALS HOME DELIVERED MEALS HOT | COLD |(Evening Meal Bags) | A) PRICE QUOTE PER | MEAL | | C) SPECIAL DIET AVAILABILITY YES NO YES NO (Mechanical soft, low cholesterol) (Mechanical soft, low cholesterol) Bidders must specify which regions they propose to provide with meal service. CONGREGATE MEALS HOME DELIVERED MEALS POQUOSON HAMPTON NEWPORT NEWS YORK COUNTY N/A 22
SAMPLE PRICE QUOTE PENINSULA AGENCY ON AGING YEAR ONE BID FOR MEAL PREPARATION SERVICES TO THE ELDERLY 10/01/2016 – 9/30/2017 CONGREGATE MEALS HOME DELIVERED MEALS HOT | COLD |(Evening Meal Bags) $3.85 $3.85 | $3.85 A) PRICE QUOTE PER | MEAL | | C) SPECIAL DIET AVAILABILITY YES X NO YES X NO (Mechanical soft, diabetic, low cholesterol) Bidders must specify which regions they propose to provide with meal service. CONGREGATE MEALS HOME DELIVERED MEALS POQUOSON Yes Yes HAMPTON Yes Yes NEWPORT NEWS Yes Yes YORK COUNTY Yes N/A 23
ATTACHMENT B DATE: February 1, 2016 SUBJECT: Menu Planning Guidelines TO: AAA Executive Directors and Nutrition Directors FROM: Nicole Keeney, Program Coordinator PURPOSE: To provide menu planning guidelines that comply with the Dietary Reference Intakes and the most recent version of the Dietary Guidelines for Americans. LEGISLATIVE REFERENCE: Older Americans' Act of 1965, as amended, Sec 339 BACKGROUND: The Virginia Department for Aging and Rehabilitative Services- Virginia Division for the Aging (DARS-VDA) establishes menu planning guidelines to aid program providers in the provision of safe and nutritious meals that meet the requirements of the Older Americans Act. TIMELINE FOR IMPLEMENTATION: The Liquid Nutrition Supplements section will be implemented by February 1, 2016. SPECIAL INSTRUCTIONS: The VDA Menu Planning Guidelines will be used for the planning and procuring of meals. They will be followed in all meals funded with Older Americans Act Title III and Nutrition Services Incentive Program (NSIP) funds, State funds, and program income. CONTENT: DARS-VDA Menu Planning Guidelines 24
MENU PLANNING GUIDELINES Purpose Menu Planning Guidelines are developed to sustain and improve client health through the provision of safe and nutritious meals using specific guidelines. These guidelines shall be incorporated into all requests for proposals/bids, contracts, and open solicitations for meals. Authorizing Documentation The Older Americans Act of 1965, SEC. 339 as revised in 2006, requires that meals 1. comply with the most recent Dietary Guidelines for Americans, published by the Secretary of Health and Human Services (HHS) and the Secretary of Agriculture, and, 2. provide to each participating older individual: a. a minimum of 33 1/3 percent of the dietary reference intakes as established by the Food and Nutrition Board of the Institute of Medicine of the National Academy of Sciences, if the project provides one meal per day, b. a minimum of 66 2/3 percent of the allowances if the project provides 2 meals per day, c. 100 percent of the allowances if the project provides 3 meals per day, and 3. to the maximum extent practicable, are adjusted to meet any special dietary needs of program participants. The Older Americans Act requires Older Adult Nutrition Programs to comply with the current Dietary Guidelines for Americans (DGAs). The DGAs translate the nutrient based recommendations from the dietary reference intakes (DRIs) into food, diet, and physical activity recommendations. The DRIs are considered the latest scientific nutrient reference values. Dietary Reference Intakes The Food and Nutrition Board of the National Academy of Sciences, beginning in the early 1990s, undertook the task of revising the RDAs, and new nutrient reference values were developed called the Dietary Reference Intakes (DRIs). There are four types of DRI values: the Estimated Average Requirement (EAR), the Recommended Dietary Allowance (RDA), the Adequate Intake (AI), and the Tolerable Upper Intake Level (UL), see definitions. The primary goal of having new dietary reference values was not only to prevent nutrient deficiencies but also to reduce the risk of chronic diseases such as osteoporosis, cancer, and cardiovascular disease. The development of the new federal guidelines impacts the standards to which the Older Adult Nutrition Program (OANP) is being held. 25
DRI Definitions Recommended Dietary Allowance (RDA): the average daily dietary intake level that is sufficient to meet the nutrient requirement of nearly all (97 to 98 percent) healthy individuals in a particular life stage and gender group. Adequate Intake (AI): a recommended intake value based on observed or experimentally determined approximations or estimates of nutrient intake by a group (or groups) of healthy people that are assumed to be adequate – used when an RDA cannot be determined. Tolerable Upper Intake Level (UL): the highest level of daily nutrient intake that is likely to pose no risk of adverse health effects for almost all individuals in the general population. As intake increases above the UL, the potential risk of adverse effects increases. Estimated Average Requirement (EAR): a daily nutrient intake value that is estimated to meet the requirement of half of the healthy individuals in a life stage and gender group – used to assess dietary adequacy and as the basis for the RDA. Dietary Guidelines for Americans The Dietary Guidelines for Americans (DGAs) provide science-based advice to promote health and to reduce risk for major chronic diseases through diet and physical activity. The information in the Dietary Guidelines is used in developing Federal food, nutrition, and health policies and programs. It also is the basis for Federal nutrition education materials designed for the public and for the nutrition education components of HHS and USDA food programs. The 2015-2020 Dietary Guidelines provide five overarching guidelines that encourage healthy eating patterns, recognize that individuals will need to make shifts in their food and beverage choices to achieve a healthy pattern, and acknowledge that all segments of our society have a role to play in supporting healthy choices. Follow a healthy eating pattern across the lifespan. Focus on variety, nutrient-dense foods, and amount. Limit calories from added sugars and saturated fats, and reduce sodium intake. Shift to healthier food and beverage choices. Support healthy eating patterns for all. Key Recommendations provide further guidance on how individuals can follow the five Guidelines. The Dietary Guidelines for Americans 2015-2020 Key Recommendations are as follows: Consume a healthy eating pattern that accounts for all foods and beverages within an appropriate calorie level. 26
A healthy eating pattern includes: A variety of vegetables from all of the subgroups – dark green, red and orange, legumes (beans and peas), starchy, and other Fruits, especially whole fruits Grains, at least half of which are whole grains Fat-free or low-fat dairy, including milk, yogurt, cheese and/or fortified soy beverages A variety of protein foods, including seafood, lean meats and poultry, eggs, legumes (beans and peas), and nuts, seeds, and soy products Oils A healthy eating pattern limits: Saturated fats and trans fats, added sugars, and sodium The following specified limits can help individuals achieve healthy eating patterns within calorie limits: Consume less than 10 percent of calories per day from added sugars Consume less than 10 percent of calories per day from saturated fats Consume less than 2,300 milligrams (mg) per day of sodium If alcohol is consumed, it should be consumed in moderation – up to one drink per day for women and two drinks per day for men – and only by adults of legal drinking age. Documentation Procedure Each AAA shall be responsible for ensuring that meals planned and served by nutrition service providers meet nutrient content guidance. The nutritional value of menus shall be confirmed either by (1) nutrient analysis software or (2) correspondence with the meal pattern. Either a staff person at the AAA or a consultant dietitian retained by the AAA shall have the expertise to review the menus with their nutrient analyses or meal pattern worksheets, determine if the menus comply with DARS-VDA nutrient content guidance, and work with vendors or menu planners to ensure compliance. Records of all menus implemented and the accompanying nutrition analyses and menu review shall be kept until monitored by DARS-VDA. Menus posted for client information may simply list in menu fashion the food items to be served for the week or month. For monitoring and evaluation purposes, programs using the meal pattern, option (2) above, shall document menus clearly indicating portion sizes, describing specific components of combination dishes, and explaining which food groups of the meal pattern the menu items are intended to complete. (See Meal Pattern Worksheet) For monitoring purposes, all menus used in the nutrition programs – congregate, home delivered, hot, shelf stable, breakfast, etc. – from all 27
vendors and/or any self-planned shall be available. Agencies or providers shall have available the A) Meal Pattern Worksheet or B) Nutrient Analysis for each meal/menu. Menu Planning The following are recommendations for planning and using menus. Menus must be: 1. Planned in advance for a minimum of one month. Repetition of entrees shall be kept to a minimum. If a cycle menu is used, there shall be provisions to include seasonal foods. 2. Reviewed for the current Dietary Reference Intakes (DRI) based on the meal pattern or nutrient analysis. (See Menu Review) 3. Posted in a conspicuous location in each congregate meal site so as to be available to participants. It is acceptable to post menus weekly. 4. Posted in each place of food preparation. 5. Adhered to, with the exception that menus are subject to change based on seasonal availability of foods. Menu substitutions shall have prior approval by the AAA; the AAA may provide a pre-approved list of nutritionally equivalent substitutions. (See Specific Nutrient Resources) 6. On file, with the nutrient analyses or meal pattern reviews that document menu nutrient content compliance, and with any menu changes noted in writing for at least one year or according to AAA record retention policy. 28
Nutrient Analysis **Preferred ** The table that follows represents the most current DRI values for use when planning and evaluating meals. Values are provided for one meal a day for the average older adult population served by the program. For programs serving two meals a day, the values in the compliance range must be doubled, and for three meals per day, the values are tripled. Menus that are documented as meeting the nutrient requirements through nutrient analysis software must provide the following: Target Value Nutrient per meal (1) Compliance Range (2) Calories (Kcal) 685 600-750 Minimum of 14 gm pro in the Protein (grams) 23 gm entrée/protein portion of the meal Fat (grams) 23 gm 23-27 grams Vitamin A (ug) 300 ug or 1000 > 300 ug or 1000 I.U. (3) I.U. averaged over one week Vitamin C (mg) 30 mg Vitamin B6 (mg) 0.57 mg Vitamin B12 (ug) (4) 0.79 ug Calcium (mg) 400 mg Magnesium(mg) 140 mg >110 mg Zinc (mg) 3.1 mg Sodium (mg) 800 mg 8 gm (1)Target Value: This value represents one-third the Dietary Reference Intake. (2) Compliance Range: This range represents acceptable minimum or maximum values as specified by the State to allow for menu flexibility and client satisfaction. (3)Vitamin A content should be from vegetable (carotenoid) sources. (4)Fortified foods may be used to meet vitamin B12 needs. (5)Sodium is liberalized based on the information from the Mathematica study that demonstrated that for many participants the meal provides close to 40-50% of the participants daily intake and to allow for menu flexibility and client satisfaction. 29
Meal Pattern If nutrient analysis software is not used, each Older Adult Nutrition Program Meal will follow the meal pattern described in this section: Food Group MyPlate Amount per Older Amount for 2 Amount for 3 Amounts per Adult Nutrition meals/day meals/day Day (1) Program Meal (2) Grains 6 servings, 1 2 servings, 1 4 servings, 1 6 servings, 1 /Whole ounce (or ounce ounce each. ounce each. Grains slice) each. each. I slice of Two of the 1 Three of the Half of grains bread=I ounce. ounce 1 ounce served must One of the 1 ounce servings must servings must be whole servings be whole be whole grain grain must be whole grain grain Vegetables 2 ½ cups 3 servings - ½ cup 6 servings- 9 servings- or equivalent each. 1/2 cups or 1/2 cups or Fruits 2 cups Vegetables and equivalent equivalent fruits together each each should total a minimum of 1½ cups of vegetables and fruit or equivalent per meal Dairy 3 cups 1 cup 2 cups 3 cups Protein 5 ½ ounces 2 ounces 4 ounces 6 ounces Foods Oils 6 tsp 1-2 tsp optional 2-4 tsp 4-6 tsp optional optional Dessert / Empty Optional Optional Optional Calories (1)Caloric Value (2,000 Kcal/day) based on a 71+ year old male, less than 30 minutes physical activity/day. The caloric requirement for women 71+, less than 30 minutes physical activity/day, is 1,600 Kcal/day, per USDA ChooseMyPlate.gov (2)The amount per meal estimates provision of 1/3 of the DRIs. Note: Use of the meal pattern does not necessarily ensure that meals meet 33 1/3% the DRIs and the Dietary Guidelines for Americans. Meals are likely to require specific types of fruits and vegetables, whole grains, and high fiber foods in order to ensure the key nutrients are met. (See Meal Components and Specific Nutrient Sources). 30
Meal Pattern Summary and Requirements Requirements for One Meal Daily: 2 servings grains - 1 ounce or slice each (1 serving should be a whole grain source) Averaging 1½ cup vegetables and/or fruit (vegetables and fruit together should total a minimum of 1 ½ cups or equivalent/meal) 1 cup skim, 1%, or 2% milk 2 oz. edible cooked meat, poultry, fish, dry beans, eggs, or nuts Optional: oils, desserts, and “empty calorie” foods that provide calories and few other beneficial nutrients Averaging Each meal provided and counted as an OAA or NSIP meal must stand alone to meet all meal pattern and nutrient requirements without averaging, except if multiple daily meals are provided as described below. Requirements for Two Meals Daily 1. Congregate and home delivered meal providers serving two meals per day must furnish a total of 66 2/3 percent of the DRIs. Refer to Meal Components for additional information. 2. In cases where the provider knows that the participant is receiving 2 meals that together provide 66 2/3 percent of the DRI; each meal may not have to meet 33 1/3 percent. For example, one meal provides 40% of the DRI and the other meal provides 26 2/3%. If the participant receives both meals, requirements will be met. However, if the participant receives only the meal providing 26 2/3% of the DRI, requirements are not met. 3. If it is unknown which meal a participant is receiving, each meal must stand alone to meet the requirements for one meal. Requirements for Three Meals Daily 1. Congregate and home delivered meal providers serving three meals per day to the same population must provide 100% of the DRIs. Refer to Meal Components for additional information. 2. In cases where the provider knows that the participant is receiving 3 meals that together provide 100 percent of the DRI, each meal may not have to meet 33 31
1/3 percent. For example, one meal provides 40% of the DRI and the other meal provides 26 2/3% and a third provides 33 1/3 %. If the participant receives all meals, requirements will be met. However, if the participant receives various combinations of meals, requirements are not met. 3. If it is unknown which meal combinations a participant is receiving, each meal must stand alone to meet the requirements for one meal. Breakfast Meal Pattern When funding allows, agencies may provide breakfast in addition to another meal for the day. The 2 meals together shall meet the meal pattern requirements or the nutrient analysis requirements for 2 meals. Breakfast may not stand alone as the only meal provided for the day. A Breakfast Meal Pattern such as the following may be helpful in menu planning: Grains, 2 servings, 1 oz. each Cereal and Bread/Toast Fruit and Vegetable, 1½ cup Juice and Fruit, Vegetable Dairy, 1 cup Milk, yogurt, cheese Protein, 2 ounces** Egg, peanut butter, breakfast meat Oils, optional Margarine ** It is acceptable for the Breakfast Pattern to provide only 1 ounce from the protein group; however, the second meal must provide at least 3 ounces of protein foods (21 grams protein in the entrée) so that the 2 meal/day requirements for a total of 4 ounces of protein foods and other nutrients are met. The nutrient analysis or meal pattern worksheet must document this meal pattern variation. Meal Components Grains What foods are included: Any food made from wheat, rice, oats, cornmeal, barley or another cereal grain is a grain product. Bread, pasta, oatmeal, breakfast cereals, tortillas, and grits are examples of grain products. Grains are divided into 2 subgroups, whole grains and refined grains. Whole grains contain the entire grain kernel -- the bran, germ, and endosperm. Examples include: whole-wheat flour, bulgur (cracked wheat), oatmeal, whole cornmeal, and brown rice. Refined grains have been milled, a process that removes the bran and germ. Most refined grains are enriched. This means certain B vitamins (thiamin, riboflavin, niacin, 32
folic acid) and iron are added back after processing. Fiber is not added back to enriched grains. Some examples of refined grain products are: white flour, degermed cornmeal, white bread, and white rice. What counts as an ounce equivalent: In general, 1 slice of bread, 1 cup of ready-to-eat cereal, or ½ cup of cooked rice, cooked pasta, or cooked cereal can be considered as 1 ounce equivalent from the grains group. According to MyPlate, one half of the daily intake should be from whole grains. The OANP meals should include foods from whole grain products at least: 2 times/week for 1 meal/day 4 times/week for 2 meals/day 6 times/week for 3 meals/day aim for 1 whole grain serving per meal Include a variety of whole grain, wheat, bran, and rye breads and cereals. If using fortified products, look for items fortified with vitamin B-12 and Vitamin D if available. In order to provide variety, one slice of bread is also equivalent to: One biscuit (2 inch diameter) One small muffin (2 ½ inch diameter) ½ bagel (1oz) Cornbread, (small piece 2 ½” x 1 ¼” x 1 ¼”) One tortilla, 6 inch diameter Six crackers - saltine type ½ cup grits ½ cup rice ½ cup noodles, macaroni, spaghetti ½ cup bread dressing Limit use of breads that are relatively high in fat such as biscuits, muffins, cornbread, dressings, fried hard tortillas, or high fat crackers. Vegetables What foods are included: Any vegetable or 100% vegetable juice counts as a member of the vegetable group. Vegetables may be raw or cooked; fresh, frozen, canned, or dried/dehydrated; and may be whole, cut-up, or mashed. Canned vegetables are usually high in sodium; low sodium varieties are available but may be higher in cost. If it is necessary to use canned vegetables, they may be rinsed thoroughly to remove up to 40% of the sodium. However, rinsing may also remove other valued nutrients. 10 Menu Planning Guidelines (02/01/2016) vda.virginia.gov
Vegetables are organized into 5 subgroups, based on their nutrient content. The five subgroups are: Dark green vegetables, red and orange vegetables, dry beans and peas, starchy vegetables, and other vegetables. The OANP meals should aim to: Include a dark green vegetable at least o 2 times a week for 1 meal/day o 4 times a week for 2 or 3 meals/day Include an orange vegetable or fruit at least o 2 times a week for 1 meal/day o 4 times a week for 2 or 3 meals/day Include dried beans and peas at least o 2 times/week for 1 meal/day o 4 times/week for 2 or 3 meals/day Include starchy vegetables (white potatoes, sweet potatoes, yams, corn, green peas, and green lima beans) no more than ½ cup per meal for most meals. What counts as a cup: In general, 1 cup of raw or cooked vegetables or vegetable juice, or 2 cups of raw leafy greens can be considered as 1 cup from the vegetable group. A total of ½ cup vegetables as an ingredient in soups, stews, casseroles or other combination dishes is equivalent to ½ cup vegetables. Lettuce and tomato served as condiments are not a vegetable serving. One cup of lettuce or leafy greens and ½ cup tomato are each equivalent to ½ cup vegetables. Used as a vegetable, ½ cup of a legume dish is equivalent to ½ cup vegetables. A total of ½ cup vegetables in molded salads can count as ½ cup vegetable (approximate ¾ cup molded salad). Potatoes count as a vegetable serving. If using instant or dehydrated potatoes (higher in sodium), choose a brand enriched with vitamin C. Tossed salads may count as a Vitamin C source if they contain at least ½ cup greens and ¼ cup Vitamin C rich items such as peppers, cabbage, or tomatoes. The darker the greens, the greater the content of Vitamin C and Vitamin A. Pale green lettuce is low in nutrient content. Fruit What foods are included: Any fruit or 100% fruit juice counts as part of the fruit group. Fruits may be fresh, canned, frozen, or dried, and may be whole, cut-up, or pureed. Canned fruit must be packed in juice, water, or light syrup. 11 Menu Planning Guidelines (02/01/2016) vda.virginia.gov
What counts as a cup of fruit: In general, 1 cup of fruit or 100% fruit juice, or ½ cup of dried fruit can be considered as 1 cup from the fruit group. A small piece of fresh fruit such as a small apple, banana, orange, or peach can be considered ½ cup fruit. A total of ½ cup fruit in molded salads counts as ½ cup fruit (approximate ¾ cup molded salad). In the OANP meals, limit fruit juices. Offer mostly whole or cut-up fruit— canned, frozen, fresh, or dried rather than juice, for the benefits that the dietary fiber provides. Dairy What is included in the dairy group: All fluid milk products and many foods made from milk are considered part of this food group. Foods made from milk that retain their calcium content are part of the group, while foods made from milk that have little to no calcium, such as cream cheese, cream, and butter, are not. Calcium-fortified soymilk (soy beverage) is also part of the dairy group Most dairy group choices should be fat-free or low-fat (use skim or 1% milk). What counts as a cup: In general, the following are considered 1 cup from the dairy group: 1 cup (8 oz.) of fortified skim, 1 %, 2% (higher in fat), low fat chocolate milk or buttermilk (higher in sodium), lactose-reduced milk, lactose-free milk ½ cup (4 oz.) evaporated milk 1 cup (8 oz.) yogurt (note that most yogurt containers are only 4-6 oz. and would represent ½ - ¾ of a serving) 1/3 cup non-fat dry milk powder 1 ½ ounces hard cheese (cheddar, mozzarella, Swiss, parmesan) 1/3 cup shredded cheese 2 ounces processed cheese (American) (higher in sodium) ½ cup ricotta cheese 2 cups cottage cheese (higher in sodium) 1 cup pudding made with milk (higher in sugar) 1 cup frozen yogurt (higher in sugar) 1 ½ cups ice cream (higher in sugar and fat) For senior participants who avoid milk because of lactose intolerance, the most reliable way to get the health benefits of dairy products is to include lactose-free alternatives within the Dairy Group, such as cheese, yogurt, lactose-free milk, or calcium-fortified soymilk (soy beverage) or to take the enzyme lactase before consuming milk. 12 Menu Planning Guidelines (02/01/2016) vda.virginia.gov
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