Food Donation Programs (Food for Progress & Section 416(b)) and McGovern-Dole International Food for Education and Child Nutrition Program

Food Donation Programs (Food for Progress & Section 416(b)) and McGovern-Dole International Food for Education and Child Nutrition Program

FreightForwardercertificationforms

Food Donation Programs (Food for Progress & Section 416(b)) and McGovern-Dole International Food for Education and Child Nutrition Program

OMB: 0551-0035

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USDA is an Equal Opportunity Employer

Food for Progress

Freight Forwarder Certification



[Insert Participant Name] has selected [insert Freight Forwarder Name] to act as freight forwarder for all [insert Participant Name] FY 20XX Food for Progress Program agreements.


OR


[Insert Participant Name] has selected [insert Freight Forwarder Name] to act as freight forwarder for all [insert Participant Name] FY 20XX Food for Progress Program agreements in [insert Country Name].


[Insert Participant Name] certifies that [insert Freight Forwarder Name] is licensed by the Federal Maritime Commission and:


1) is not engaged, and will not engage, in supplying commodities or furnishing ocean transportation or ocean transportation-related services for commodities provided under any Food for Progress Program agreement to which the [insert Participant Name] is a party; and


2) is not affiliated with [insert Participant Name] and has not made arrangements to give or receive any payment, kickback, or illegal benefit in connection with its selection as an agent of [insert Participant Name].




Name and Title of Participant Representative

Signature of Participant Representative















McGovern-Dole International Food for Education and Child Nutrition Program

Freight Forwarder Certification



[Insert Participant Name] has selected [insert Freight Forwarder Name] to act as freight forwarder for all [insert Participant Name] FY 20XX McGovern-Dole International Food for Education and Child Nutrition Program (McGovern-Dole) agreements.


OR


[Insert Participant Name] has selected [insert Freight Forwarder Name] to act as freight forwarder for all [insert Participant Name] FY 20XX McGovern-Dole International Food for Education and Child Nutrition Program (McGovern-Dole agreements in [insert Country Name].


[Insert Participant Name] certifies that [insert Freight Forwarder Name] is licensed by the Federal Maritime Commission and:


1) is not engaged, and will not engage, in supplying commodities or furnishing ocean transportation or ocean transportation-related services for commodities provided under any McGovern-Dole Program agreement to which the [insert Participant Name] is a party; and


2) is not affiliated with [insert Participant Name] and has not made arrangements to give agent of [insert Participant Name].



Name and Title of Participant Representative

Signature of Participant Representative








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File Modified2011-09-28
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