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<br /> promotion. Nutrition education expenditures must be supported by documenta- <br /> tion of participant attendance or nonattendance. The breast feeding allocation <br /> of funds to the PERFORMING AGENCY will be based on the RECEIVING AGENCY'S <br /> proportional share of the statewide combined total of pregnant and breast- <br /> feeding participants as reported to the RECEIVING AGENCY. For a PERFORMING <br /> AGENCY whose monthly participation falls below 500, RECEIVING AGENCY has the <br /> option to compute the sliding scale allowable at a 500 participant level with <br /> the stipulation that the 20% nutrition education expenditure requirement is <br /> met. RECEIVING AGENCY reserves the right to exclude and/or recover any <br /> expenditures that have been claimed and/or paid that are not authorized by the <br /> regulations and/or directives pertaining to the program. <br /> RECEIVING AGENCY also reserves the right to withhold a proportionate amount of <br /> earned administrative funds when evidence exists that nutrition education and/ <br /> or breastfeeding promotion is not being provided by PERFORMING AGENCY, or <br /> PERFORMING AGENCY is not complying with the provisions of USDA and/or <br /> RECEIVING AGENCY directives. RECEIVING AGENCY reserves the right to grant <br /> exceptions to the above funding formula. <br /> PERFORMING AGENCY agrees to break out separately on the face of the claim for <br /> reimbursement (State of Texas Purchase Voucher, TDH form AG-37) the costs <br /> associated with nutrition education, breastfeeding, and other administrative <br /> costs. <br /> General Provisions, ADVANCE PAYMENTS Article, is not applicable to this <br /> attachment. <br /> General Provisions, PROGRAM INCOME Article, paragraph one, is not applicable <br /> to this attachment. <br /> General Provisions, FINANCIAL REPORTS Article, paragraph three (Annual/Final <br /> Report), first sentence is amended to r~ad: A final report, Financial Status <br /> Report, Federal Form 269 (TDH form GC-3), will be submitted no later than <br /> December 31st of each year. (Remainder of paragraph does not change.) <br /> General Provisions, REPORTS AND INSPECTIONS Article, paragraph one, is hereby <br /> modified to include the following wording: <br /> PERFORMING AGENCY will submit monthly performance data which includes: <br /> Report of Program Operation, AC 80-1; Report of Card Sequence Used, AC 80-3; <br /> and, Cards Voided, AC 80-4. Lost/Stolen Report, AC 78-10, will be submitted <br /> as necessary. On an annual basis, a Racial Ethnic Group Participation Form, <br /> FNS-191 , for the reporting month of April will be submitted by the seventh <br /> working day of May. <br /> General Provisions, EQUIPMENT AND SUPPLIES Article, is amended by adding the <br /> following: PERFORMING AGENCY agrees to accept responsibility and financial <br /> liability for all equipment and supplies purchased with RECEIVING AGENCY WIC <br /> Program funds whether purchased locally by the PERFORMING AGENCY, or by the <br /> RECEIVING AGENCY and transferred to the care and custody of the PERFORMING <br /> AGENCY. PERFORMING AGENCY further agrees to conduct an annual physical <br /> inventory of all equipment purchased with RECEIVING AGENCY WIC Program funds <br /> and submit it to the RECEIVING AGENCY WIC Program by February 28th of each <br /> -4- <br />