Redirect Partnership Renewal Agreement

Thank you for your interest in partnering with Second Helpings’ Hunger Relief Program.

Community partners receive food donated to Second Helpings. We realize many of your clients may have special dietary needs or prefer certain foods. While we do our best to accommodate community partner requests, we rely on the generosity of our food donors and do not shop or order food for our Hunger Relief Program. We cannot predict the exact food items we will receive each day, and we cannot guarantee a specific request. Please answer the following questions as specifically as possible.

Upon receipt of your information, we will contact you to schedule a time for us to visit your organization. Should you have any questions before then, please feel free to contact me at 317-632-2664 ext. 127 or adriane@secondhelpings.org.

Community Partner Information

Organization Name(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

What county are you located in?(Required)

Delivery Address(Required)

Same as mailing address

Street Address Address Line 2 City State ZIP Code

Nearest Cross Streets(Required)

Organization Director Name(Required)

Organization Director Phone(Required)

Contact for Deliveries Name(Required)

Contact for Deliveries Phone(Required)

Fax Number

Email(Required)

Website(Required)

Hours of Operation(Required)

Federal ID Number(Required)

Is your organization willing to participate in a Second Helpings newsletter or marketing project?(Required)

Yes

Please describe your organization’s mission statement and services(Required)

Food Storage

Hours of Operation (Serving Clients)(Required)

Is your food pantry open to the public?(Required)

Yes

Do you have refrigeration?(Required)

Yes

How many refrigerator(s)?(Required)

Do you have freezer storage?(Required)

Yes

How many freezers?(Required)

Size of freezers?(Required)

Dry Storage?(Required)

Yes

On-Site Feeding/Kitchen Supervisor Name(Required)

Phone(Required)

Organization Position(Required)

Date (mm/dd/yyyy)(Required)

Community Partner Agreement

Consent(Required)

THIS COMMUNITY PARTNER AGREEMENT ("Agreement") is made and entered into as of today's date ("Effective Date") by and between your organization, an Indiana nonprofit corporation ("Community Partner") and Second Helpings, Inc., an Indiana nonprofit corporation ("SHI").

WHEREAS SHI desires to donate prepared food (“Donated Food”) to Community Partner.

WHEREAS Community Partner desires to accept Donated Food from SHI; and

NOW, THEREFORE, in consideration for the Donated Food and the mutual promises contained herein, SHI and Community Partner agree as follows:

1. All Donated Food is donated in "as is" condition. SHI assumes no risk for any loss of or damage to life or property, direct, indirect, special or consequential damages, arising out of the use or, failure of, or inability to use the Donated Food. Community Partner shall inspect the Donated Food upon delivery. Community Partner shall reject at the time of delivery any food that it finds to be unfit for human consumption, adulterated, tainted, contaminated, or harmful to the health or well-being of consumers of said food, and shall immediately notify SHI of such rejection and the reason therefor. Community Partner acknowledges that it relies solely on its own skill and judgment in all respects and in particular: (i) in its decision to accept Donated Food, and (ii) that the Donated Food is fit for the purpose for which it is being used.

2. While SHI does its best to accommodate dietary requests, SHI relies on the generosity of its food donors (“Donors”) from which the Donated Food is acquired and is unable to cook to dietary restrictions. Therefore, Community Partner is responsible for inquiring about and managing distribution of Donated Food in light of the allergies or other dietary restrictions of its clients.

3. SHI and the Donors do not make any representation or warranty whatsoever with respect to the Donated Food. SHI and the Donors expressly disclaim any express or implied warranties whatsoever with respect to the Donated Food, including but not limited to any warranty of merchantability or warranty of fitness for a particular purpose. Community Partner acknowledges that it has not been induced by any statements or representations of any person with respect to the quality or condition of the Donated Food and that no such statements or representations have been made.

4. Community Partner’s use of Donated Food shall be related to its exempt purpose and solely to feed the ill, needy, or infants, as described in Section 170(e)(3) of the Internal Revenue Code. Community Partner shall not offer Donated Food for sale or barter in exchange for money, other properties, or services.

5. Community Partner shall serve the product delivered by SHI only on the day that it is delivered (unless prior arrangements are made) and only in the designated and inspected group setting. Any heated leftovers must be discarded and cannot be reheated or taken out of the Community Partner’s facility.

6. Community Partner shall maintain a current license for its kitchen from the county health department if they plan to heat and serve Second Helpings meals. If the kitchen is determined unusable at any time during the year by the county health department, Community Partner must notify Second Helpings within 24 hours.

7. Community Partner shall ensure that at least two staff members or volunteers have food safety training through a program that is recognized by the Indiana State Public Health Department and meets SHI’s food safety standards. At least one such staff member or volunteer must be present each time meals from SHI are served at the Community Partner.

8. Community Partner shall meet food safety standards as set forth by the Marion County Public Health Department or its county health department and SHI. A qualified SHI staff member or volunteer will inspect Community Partner’s site at an initial site visit and then periodically thereafter.

9. When SHI learns that a food product has been recalled in the marketplace, SHI will promptly remove the recalled product, if any, from its inventory. Community Partner shall also be responsible for keeping informed on food recalls and removing any recalled product from its inventory.

10. Community Partner shall either pay $20/per restaurant pan each year or provide SHI with a new, clean 2-inch full size restaurant pan for each pan of Donated Food delivered by SHI per day. Failure to return or provide an equal number of clean and sanitized restaurant pans will result in a reduction of the amount of Donated Food delivered.

11. Community Partner shall provide delivery instructions (including how the delivery driver is to notify the Community Partner of his/her arrival, i.e., doorbell locations, buzzers) to SHI prior to the first scheduled delivery.

12. In the event that Community Partner desires to suspend or cancel delivery of Donated Food, Partner Agency shall notify the Director of Partner Relations or, if unavailable, the Partner Relations Coordinator, of the desired suspension or cancellation of delivery of Donated Food at least five (5) business days before the scheduled delivery date. This notification shall be made by phone or e-mail (with confirmation of receipt). Failure to timely notify the Director of Partner Relations or the Partner Relations Coordinator of the desired suspension or cancellation of delivery of Donated Food may result in the suspension of all food donations by SHI for a period of one week. If Community Partner fails to notify the Director of Partner Relations or the Partner Relations Coordinator of a desired suspension or cancellation more than three (3) times, SHI reserves the right to discontinue all food donations and terminate this Agreement.

13. Community Partner, on behalf of itself and on behalf of its affiliates, related entities, officers, directors, employees, representatives, volunteers, or agents (“Releasing Parties”) releases and forever discharges SHI and the Donors and each of their affiliates, related entities, officers, directors, employees, representatives, volunteers, or agents (“Released Parties”), from, and covenants not to sue for, any and all liability, claims, damages, injuries, losses, actions, suits, proceedings, expenses and attorney’s fees, that they may have or might have, known or unknown, related to, involving or arising out of the Donated Food and/or related to Community Partner’s activities in connection with this Agreement (“Released Claims”). This release applies even if the act or omission complained of was caused in whole or in part by the strict liability or negligence in any form of the Released Parties. Community Partner further agrees to indemnify, defend and otherwise hold harmless the Released Parties from and against all liabilities, claims, damages, injuries, losses, actions, suits, proceedings, expenses and attorney’s fees, or any obligation whatsoever (including without limitation court costs, costs of settlement, costs of enforcing any right to indemnification and costs of pursuing any insurance providers) arising out of, related to, or attributed to (i) Community Partner’s and/or any of its personnel’s, volunteers’ or representatives’, handling, storage, transportation, delivery, distribution, alteration, or use of the Donated Food; (ii) any actual or alleged bodily injury or illness to, or death of, any person, or any other damage or loss by whomsoever suffered, claimed to result in whole or in part from the Donated Food; (iii) any actual or alleged breach by Community Partner of any of the representations, warranties, obligations or agreements which have not been, or may not under applicable law, be disclaimed; (iv) any actual or alleged negligent act or omission, willful misconduct or culpable act or omission on the part of Community Partner; or (v) Community Partner’s failure to comply with applicable law.

14. In no event shall SHI and/or the donors be liable under this agreement to the community partner or any third-party for any incidental, consequential, indirect, statutory, special, exemplary or punitive damages, including, but not limited to, lost profits, loss of use, loss of time, shutdown or slowdown costs, inconvenience, loss business opportunities, damage to goodwill or reputation, or other economic loss, regardless of whether such liability is based on breach of contract, tort, strict liability or otherwise, and even if advised of the possibility of such damages or such damages could have been reasonably foreseen. In no event shall SHI or the donors be liable to community partner or any party or person making a claim through community partner for any claims, liabilities, or expenses relating to this agreement, whether arising out of or related to breach of contract, tort (including negligence), strict liability, intellectual property infringement, indemnification obligations, or otherwise, in excess of $1,000. The foregoing limitations shall apply even if the remedies of community partner or any other party making a claim under or relating to this agreement (whether arising out of or related to breach of

contracts, tort (including negligence), strict liability, intellectual property infringement, indemnification obligations, or otherwise, fail of their essential purpose. The parties agree that SHI would not make the food donations and provide its services to community partner without, and has entered into this agreement in reliance on, these limitations of liability and the disclaimers of warranties and damages set forth in this agreement, and that the same form an essential basis of the bargain between the parties. The parties agree that the limitations and exclusions of liability and disclaimers specified in this agreement will survive and apply even if found to have failed of their essential purpose.

15. Community Partner shall participate in partnership building with SHI as described in the Community Partner Criteria for Qualification.

16. Failure by Community Partner to fully comply with this Agreement may result in SHI suspending or terminating food deliveries without notice at any time in its discretion.

17. This Agreement shall terminate one year from the Effective Date.

18. This Agreement contains the entire agreement between SHI and Community Partner. The Agreement shall be interpreted according to and controlled by the laws of the State of Indiana.

I have read and agree to these terms

Organization Name(Required)

Please enter your full name as a digital signature(Required)

Today's Date (mm/dd/yyyy)(Required)

Document Submission

Please upload the following required documents:

Please upload the IRS document granting your organization tax-exempt status(Required)

Max. file size: 512 MB.

Please upload documentation of food safety training(Required)

Relevant documentation may include ServSafe certification, proof of attendance at a Marion County Public Health Department food safety training class (or your county health department food safety training class), or a certificate from www.efoodhandler.com for completing on-line food safety training.

Max. file size: 512 MB.

Community Partner Demographics Report

Because Second Helpings receives funding from foundations and the United Way, we need to track the following information about those we serve. We realize that you may not have perfect records on clients served but ask that we are given as much of the following information as possible. Thank you for your help. If you have any questions, please call us at 317-632-2664, ext. 127.

Number of persons served ON A GIVEN DAY(Required)

Number of unduplicated persons served during a 12-month period(Required)

Estimated percentage of all agency clients at or below 100% of the Federal Poverty Level(Required)

Estimated percentage of all agency clients between 100 - 200% of the Federal Poverty Level(Required)

Please list the number of people you serve by gender

The total # of people listed in each field should total up to your total # of unduplicated persons served during a 12-month period. Please list a "0" in fields that have no quantity or where no quantity is known.

Male(Required)