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<br />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 is <br />not being provided by PERFORMING AGENCY, or the PERFORMING AGENCY is not com- <br />plying with the provisions of USDA and/or RECEIVING AGENCY directives. RE- <br />CEIVING AGENCY reserves the right to grant exceptions to the above funding <br />formula. <br />RECEIVING AGENCY agrees to break óut 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 versus other administrative costs. <br />ADVANCE PAYMENTS <br />General Provisions, Advance Payments Article is not applicable to this <br />Attachment. <br />PROGRAM INCOfVfE <br />General Provisions, Program Income Article, paragraph one is not applicable to <br />this Attachment. <br />FINANCIAL REPORTS <br />Annual/final: A final report, Financial Status Report, State Supplemental <br />Form 269 (TDH Form GC-3) shall be submitted not later than December 31, 1990. <br />An amended Form 269a shall be submitted if the amount of expenditures reported <br />in the last quarter changed. If necessary, a State of Texas Purchase Voucher <br />will be submitted if all costs have not been recovered or a refund will be <br />made of excess monies if costs incurred were less than funds received. <br />REPORTS & INSPECTIONS <br />PERFORMING AGENCY shall submit monthly performance data which includes: Report <br />of Program Operation, AC 80-1, Report of Card Sequence Used, AC 80-3, and <br />Cards Voided, AC 80-4. Lost/Stolen Report, AC 78-10, shall be submitted as <br />necessary. On an annual basis, a Racial/Ethnic Group Participation Form, <br />FNS-191, for the reporting month of September shall be submitted by the <br />seventh working day of October. <br />TER~nNATION <br />In addition to the Termination Article in the General Provisions, guidelines <br />in the State WIC Policy and Procedures Manual require that RECEIVING AGENCY <br />shall provide persons aggrieved by any of the PERFORMING AGENCY'S determ- <br />inations a prompt opportunity for a fair hearing. <br />Unilateral termination of this contract by RECEIVING AGENCY for cause shall <br />be subject to review on appeal by PERFORMING AGENCY in accordance with State <br />WIC Policy and Procedure Manual. <br />SECTION IV. BUDGET: <br />All categories of costs billed to the RECEIVING AGENCY and allocations of such <br />costs must be in accordance with the RECEIVING AGENCY approved "Plan to <br />Allocate Direct Costs," (PADC). A listing of the categories contained in the <br /> -4- <br />