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TDH Document tIC 5000636 13 SPECIAL SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) A G R E E MEN T --------- In order to effectuate the Special Supplemental Food Program for Women, Infants and Children, hereinafter called WIG, of the United States Department Agriculture (USDA), the Texas Department Df Health, hereinafter called State, and City of San Marcos (36) the approved WIG Project, hereinafter called Project agree as follows: I For and in consideration of the payments and commitments to be made and performed by State, Project agrees and promises to: A. Perform professional, administrative and clerical services necessary to provide special supplemental foods to qualified women, infants and children in a specified geographic area as stated in the approved application according to the terms and specifications of such program as set out in State and/or USDA regulations, instructions, policies, and/or directives that will be issued to Project as they are formulated, and appear in the State WIG Policy and Procedure Manual. B. Assist in the collection and evaluation of data which will medically identify benefits of this nutrition intervention program and to furnish financial, dietary, medical, nutrition education and any other special reports in a timely manner as required by the State for the compilation of the foresaid data. G. Determine eligibility of applicants, register participants, collect data, conduct measurements, provide nutrition education, and maintain records as may be required by State and/or USDA Regulations for this program as identified in the State Policy and Procedure Manual. D. Have a competent professional authority as defined by WIG Federal Regulations and State policies, on the project staff and have the capability to perform the required certification procedures. E. Make available appropriate health services to participants up to the income level specified for the Program and inform applicants of the health services which are available. When health services are provided through referral, the project must have a plan for continued efforts to make health services available to participants at the clinic or through written agreements with health care providers. F. Provide a food voucher delivery system through the issuance of prenumbered food vouchers to qualified participants who will use such vouchers to obtain the specified food items from participating vendors; to maintain complete accountability of all food vouchers received from the State and to be held financially responsible for all unaccounted for food vouchers. G. Submit a State of Texas Purchase Voucher, AG-37, monthly or as needed, to claim reimbursable costs; Administrative and Nutrition Education costs must be broken out on the face of the voucher. Also, in accordance with the Uniform Grants and Contract Management Standards, submit to the State quarterly, a Financial Status Report, State Supplemental Form 269a, of total Project Administrative and Nutrition Education expenses by the 20th of the month following the report month.