4b Hormel - Liability Insurance dated 11-19-2024

AID 1773423 · View on Simbli

Agenda Item

i. Contract Renewal ~ ITB 22-18 ~ School Nutrition USDA Product Processing ~ Renewal #4 of 4 (Not to exceed $5,600,788 ~ SY 25-26)

Summary: Presented by: Mr. Erick Hofstetter, Chief Operating Officer, Division of Operations
Request: It is requested that the DeKalb County Board of Education (“the Board”) approve the contract renewal for School Nutrition USDA Product Processing in the not -to- exceed amount of $5,600,788 for SY25-26 to the following processors:


Brookwood Farms, Inc.
Gold Creek Foods, LLC,
Goodman Food Products dba Don Lee Farms
Jennie O Turkey Store Sales, LLC dba Hormel Foods
JTM Provisions Co. Inc.,
Land O’ Lakes, Inc.,
Out of the Shell, LLC dba Yang’s 5th Taste
Tyson Prepared Foods
Why: Approval of the contract renewal ensures that DeKalb County School District (DCSD) School Nutrition Services (SNS) provides healthy reimbursable meals to students that meet the Child Nutrition, USDA standards for meal pattern requirements.

Approval of the contract renewal for School Nutrition USDA Product Processing Strategic meets Goal Area 1: Student Academic Success with Equity and Access
Details: USDA allows recipient agencies, such as school districts, to contract with state-approved food processors to convert USDA commodities into a variety of convenient, ready-to-use end products. School Nutrition Services (SNS) uses various USDA commodities for processing products, such as whole chicken processed into roasted chicken, natural American and mozzarella cheese processed into cheese sauce and coarse ground beef processed into beef patties. This has increased menu options and acceptability for students. Food safety is maintained at the school level by limiting the use of raw products.

School Nutrition Managers and Central Office personnel are provided a vendor complaint form (Quality Assurance Form) to evaluate vendor performance, including accuracy and quality. This information is used to communicate with vendors, evaluate pricing, assess products, and monitor deliveries.

These vendors met the assessment criteria. Therefore, SNS requests to renew ITB 22-18 for an additional year with the same terms and conditions as the original contract terms from July 1, 2025, through June 30, 2026.
Financial impact: Funds will be paid from GL account 622.3100.563500.00062.8200.9990.8015.040.0000 in the amount not to exceed $5,600,788 for SY 25-26.
Contact: Mr. Erick Hofstetter, Chief Operating Officer, Division of Operations, (678) 676-1447
Dr. Connie R. Walker, Executive Director of School Nutrition Services, Division of Operations, (678) 676-1780
Effective: Upon Board Approval
Status: Approved by the Office of Legal Affairs
                                                                                                                                                                    Page 1 of 2
                                                                                                                                                                  DATE (MM/DD/YYYY)
                                             CERTIFICATE OF LIABILITY INSURANCE                                                                                     11/19/2024
  THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
  CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
  BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
  REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
  IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
  If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
  this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER                                                                                    CONTACT WTW Certificate Center
                                                                                            NAME:
Willis Towers Watson Midwest, Inc.                                                          PHONE                                                   FAX
c/o 26 Century Blvd                                                                         (A/C, No, Ext): 1-877-945-7378                          (A/C, No): 1-888-467-2378
                                                                                            E-MAIL
P.O. Box 305191                                                                             ADDRESS: certificates@wtwco.com
Nashville, TN   372305191 USA                                                                                  INSURER(S) AFFORDING COVERAGE                                NAIC #

                                                                                            INSURER A :   Everest National Insurance Company                                10120
INSURED                                                                                     INSURER B :
Hormel Foods Corporation
One Hormel Place                                                                            INSURER C :
Austin, MN 55912                                                                            INSURER D :

                                                                                            INSURER E :

                                                                                            INSURER F :
COVERAGES                                   CERTIFICATE NUMBER: W36269068                                                        REVISION NUMBER:
  THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
  INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
  CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
  EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR                                               ADDL SUBR                                         POLICY EFF   POLICY EXP
 LTR              TYPE OF INSURANCE                INSD WVD             POLICY NUMBER               (MM/DD/YYYY) (MM/DD/YYYY)                            LIMITS
           COMMERCIAL GENERAL LIABILITY                                                                                           EACH OCCURRENCE               $
                                                                                                                                  DAMAGE TO RENTED
                CLAIMS-MADE         OCCUR                                                                                         PREMISES (Ea occurrence)      $
                                                                                                                                  MED EXP (Any one person)      $
                                                                                                                                  PERSONAL & ADV INJURY         $

       GEN'L AGGREGATE LIMIT APPLIES PER:                                                                                         GENERAL AGGREGATE             $
                      PRO-
           POLICY     JECT          LOC                                                                                           PRODUCTS - COMP/OP AGG        $

           OTHER:                                                                                                                                               $
       AUTOMOBILE LIABILITY                                                                                                       COMBINED SINGLE LIMIT         $
                                                                                                                                  (Ea accident)
           ANY AUTO                                                                                                               BODILY INJURY (Per person)    $
           OWNED                SCHEDULED                                                                                         BODILY INJURY (Per accident) $
           AUTOS ONLY           AUTOS
           HIRED                NON-OWNED                                                                                         PROPERTY DAMAGE               $
           AUTOS ONLY           AUTOS ONLY                                                                                        (Per accident)
                                                                                                                                                                $
           UMBRELLA LIAB            OCCUR                                                                                         EACH OCCURRENCE               $          5,000,000
 A
           EXCESS LIAB              CLAIMS-MADE     Y    Y            XC8CU00044-241                04/01/2024 04/01/2025 AGGREGATE                             $          5,000,000

              DED          RETENTION $ 4,000,000                                                                                                                $
       WORKERS COMPENSATION                                                                                                            PER             OTH-
       AND EMPLOYERS' LIABILITY                                                                                                        STATUTE         ER
                                             Y/N
       ANYPROPRIETOR/PARTNER/EXECUTIVE                                                                                            E.L. EACH ACCIDENT            $
       OFFICER/MEMBER EXCLUDED?                    N/A
       (Mandatory in NH)                                                                                                          E.L. DISEASE - EA EMPLOYEE $
       If yes, describe under
       DESCRIPTION OF OPERATIONS below                                                                                            E.L. DISEASE - POLICY LIMIT   $




DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
This Voids and Replaces Previously Issued Certificate Dated 03/19/2024 WITH ID: W32927474.

Hormel Foods Corporation is self-insured for General Liability and Product Liability with a $4,000,000 Self-Insured
Retention.

DEKALB COUNTY SCHOOL DISTRICT is included as an Additional Insured as respects to Umbrella/Excess Liability as

CERTIFICATE HOLDER                                                                          CANCELLATION

                                                                                              SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
                                                                                              THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
                                                                                              ACCORDANCE WITH THE POLICY PROVISIONS.


                                                                                            AUTHORIZED REPRESENTATIVE
 DEKALB COUNTY SCHOOL DISTRICT
 1701 MOUNTAIN INDUSTRIAL BLVD
 STONE MOUNTAIN, GA 30083
                                                                                             © 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)                                   The ACORD name and logo are registered marks of ACORD
                                                               SR ID: 26790017          BATCH: 3710647
                                                           AGENCY CUSTOMER ID:
                                                                       LOC #:


                                 ADDITIONAL REMARKS SCHEDULE                                                   Page   2   of   2

AGENCY                                                             NAMED INSURED
                                                                   Hormel Foods Corporation
Willis Towers Watson Midwest, Inc.
                                                                   One Hormel Place
POLICY NUMBER                                                      Austin, MN 55912
See Page 1
CARRIER                                               NAIC CODE
See Page 1                                            See Page 1   EFFECTIVE DATE: See   Page 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER:      25     FORM TITLE: Certificate of Liability Insurance
required by contract or agreement.

Waiver of Subrogation applies in favor of DEKALB COUNTY SCHOOL DISTRICT with respects to Umbrella/Excess Liability.




ACORD 101 (2008/01)                                                                © 2008 ACORD CORPORATION. All rights reserved.
                                     The ACORD name and logo are registered marks of ACORD
                               SR ID: 26790017          BATCH: 3710647              CERT: W36269068
Named Insureds:
Hormel Foods Corporation, including its subsidiaries and divisions
1 Hormel Place Austin, MN 55912

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Applegate Farms LLC
Burke Marketing Corporation, dba Burke Corporation
Century Foods International LLC
Columbus Manufacturing Inc
Dan's Prize Inc.
Dold Foods LLC
Fontanini Foods, LLC
Hormel Foods Corporate Services LLC
Hormel Foods Int'l Corp.
Hormel Foods Sales LLC
Hormel Health Labs LLC
Jennie-O Turkey Store Inc
Jennie-O Turkey Store Sales LLC
Justin's LLC
Lloyds Barbeque Company LLC
Mexican Accent LLC
Mountain Prairie, LLC
Osceola Food LLC
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Rochelle Foods LLC
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