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Recommended Steps to Successfully Submit an Extension for Approval

Read the Checklist. Ensure that each item listed is included with the contract submission, check each included item off the checklist, then sign the checklist. Submittal of the required checklist with your signature indicates that you have verified that each item is included with the extension and complete. If the checklist has not been used and/or signed, the documents will be returned to the Superintendent/CEO/Board President without being reviewed.

 The 2020-2021 contract extension may be retrieved online as a fillable PDF form. The extension may be completed by either entering text in the PDF document and printing the extension or by printing the extension and then completing it by hand. You must submit one original plus two copies of the contract extension. Once approved, the original will be returned to you for your files.


  • All lines on the extension form must contain appropriate information or N/A, if information is not applicable, as we cannot accept extensions with any blanks. Extensions with blanks will not be accepted and will be returned to the Superintendent/CEO/Board President without being reviewed. It is also essential that you have a copy of your original contract for your reference when completing the extension. Please contact our office at (518) 473-8781 if you need a copy.
  • REQUIRED CHECKLIST – The required checklist is to help assist you in properly completing the extension and must be filled out and submitted with the document.
  • SECTION 1 – The commencing and ending dates must be the same as the original contract date (month, day, and year). See original contract, agreement section. Have a copy of the original contract for your reference to facilitate completing the extension. In the event you need a copy, please contact our office at (518) 473-8781.
  • SECTION 2 – The commencing and ending dates must be the same month and day with the appropriate year. If different, include proof of approval from the School Board via board meeting minutes or a letter signed by the School Board President.
  • Use the CPI-U online worksheet to:
  • Ensure math calculations for the extension of contract are correct.
  • Follow the same rounding convention used in the original bid price. For example, if the original bid price stated a dollar amount with 4 decimal places, then the extension amount must be a dollar amount with 4 decimal places.
  • Fill-in all required information for Type II or III contract meal pricing.
  • Guaranteed Return – This is not subject to CPI-U increase and must agree with section 1 of the extension or the original contract, if applicable.
  • Check Participation in the Summer Food Service Program.
  • Ensure all required SIGNATURES AND DATES are in blue ink only.
  • Complete Required FORM #1 – Nutrition Standards in the National School Lunch and Breakfast Programs
  • Return a completed “Certificate of Lobbying” form and the “Lobbying Activities” form, if applicable.
  • Return Debarment Option A (SFA) or Debarment Option B (FSMC). Do not submit both.
  • Ensure that checklist is completed and signed.

USDA Nondiscrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. 

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1)     mail: U.S. Department of Agriculture
         Office of the Assistant Secretary for Civil Rights
         1400 Independence Avenue, SW
         Washington, D.C. 20250-9410;

(2)     fax: (202) 690-7442; or

(3)     email:

This institution is an equal opportunity provider.


Click here for Nondiscrimination Statement translations.

Los demás programas de asistencia nutricional del FNS, las agencias estatales y locales, y sus beneficiarios secundarios, deben publicar el siguiente Aviso de No Discriminación:

De conformidad con la Ley Federal de Derechos Civiles y los reglamentos y políticas de derechos civiles del Departamento de Agricultura de los EE. UU. (USDA, por sus siglas en ingles), se prohíbe que el USDA, sus agencias, oficinas, empleados e instituciones que participan o administran programas del USDA discriminen sobre la base de raza, color, nacionalidad, sexo, discapacidad, edad, o en represalia o venganza por actividades previas de derechos civiles en algún programa o actividad realizados o financiados por el USDA.

Las personas con discapacidades que necesiten medios alternativos para la comunicación de la información del programa (por ejemplo, sistema Braille, letras grandes, cintas de audio, lenguaje de seas americano, etc.), deben ponerse en contacto con la agencia (estatal o local) en la que solicitaron los beneficios. Las personas sordas, con dificultades de audición o discapacidades del habla pueden comunicarse con el USDA por medio del Federal Relay Service [Servicio Federal de Retransmisión] al (800) 877-8339. Además, la información del programa se puede proporcionar en otros idiomas.

Para presentar una denuncia de discriminación, complete el Formulario de Denuncia de Discriminación del Programa del USDA, (AD-3027) que está disponible en linea en: y en cualquier oficina del USDA, o bien escriba una carta dirigida al USDA e incluya en la carta toda la información solicitada en el formulario. Para solicitar una copia del formulario de denuncia, llame al (866) 632-9992. Haga llegar su formulario lleno o carta al USDA por:

(1)     correo: U.S. Department of Agriculture
         Office of the Assistant Secretary for Civil Rights
         1400 Independence Avenue, SW
         Washington, D.C. 20250-9410;

(2)     fax: (202) 690-7442; o

(3)     correo electró

Esta institución es un proveedor que ofrece igualdad de oportunidades.