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4th Amendment 01/21/2015 el foods. Nourishment. Delivered. November 25, 2014 Mr. Danny L. Kolhage, A/L o f 4 i \ o n c Gato Building U 1100 Simonton Street Key West, Florida 33040 Re: CPI Adjustment for 2015 Dear Mr. Kolhage: Please accept this letter as 30 -day notice of rate adjustment effective January 1 2015 through December 31 2015, during the 1 Extension option as stated in our agreement. We request an adjustment of a 2.37% increase, reflecting the Unadjusted 12 Month Averaged Consumer Price Index for All Urban Consumers (CPI -U) as released after month of October. The new adjusted 2015 rate will be $3.73 per meal. Also included, please see updated Supply Sheet for 2015. Please return with signature of acceptance to: G.A. Food Service, Inc., 12200 32 Court North, St. Petersburg, FL 33716. If you have questions, please contact Frank Kneen, Customer Relations Representative at (727)573 -2211 Ext. 377. Sincerely, G.A. Food Service, Inc. Kenneth A. LoBianco CEO (SEAL) ATTEST: r,47 Accepted: Q . C Vla eY, .17, ' ! Mr. Danny L. Kolhage c y or 71: 7 :; .� . _. Date: \— a- , 2015 MO ' . E COU ' Y 1 R• ER AS Te ' O' cc: S. Graham, Director _ P DR' J. , RCADO A - - . •r' ' • " Date ' ? / 12200 32" Court North • St. Petersburg, Florida 33716 • (800) 852 -2211 • www.GAFoods.com Monroe County includes Bayshore Manor Supply Order Sheet Effective 2015 Site: Delivery Date: Quantity Cost Code Item Description 5146.79 D114A Reg. Coffee, 160 /CS• 5144.15 D115A Decaf. Coffee, 160 /CSR 52.86 D800 Tea Bags, 1C BG /BX $20.28 0820 Instant Tea, 50 30Z BG /CS $10.21 F170 French, 200 /CS 512.31 F180 Italian, 200 /CS 511.10 F240 Ketchup, 500 /CS $9.73 F250 Mayo, 200 /CS 59.55 F259 Relish, 200 /case 510.14 F260 Mustard, 500 /CS $11.80 F290 Pepper, 3000 /BG $6.13 F300 Salt, 3000 /BG 521.85 F310 Sweetener, 3 M /CS 514.90 F320 Sugar, 2 M /CS $7.84 F340 Tartar, 2 C/CS 512.90 K030 Paper Bags, 5 C /BD 513.80 K060 Poly Bag (T Sack), 900 /CS $6.58 K090 Poly (Sandwich) Bags, 2M /BX 518.90 8200 8 oz Cups, 1M /CS $ .80 K380 Gloves 100 /pack 53.05 K400 White Hair Covers 100 /pack 523.47 K435A 4/1 Kit (Plastic ware 250/box) 528.96 K580 Can Liner, 250 EA /CS $6.10 1(610 Naapkins,1 PACK contains 375 $19.42 K660 6" Plates, 1M /CS $19.48 K690 Placemats, 1M /CS 52.18 K740 Straws, SC/BX $ .25 each 1(800 Handi Wipes, PRICE PER TOWEL (CASE of 150 only) $3.60 L010 Bleach, 1 GL 52.85 L360 Detergent, 1 QT $ .35 ea. G290B 8 oz Low Fat Milk (1/2 PT.)- Used for C -1 Program $ .35 ea. A391 Sun Meadow Dairy Beverage (In Total Meal System) Used for the C -2 Program Only $ .30 ea. A760 Non Fat Dry Milk in Shelf Stable (FOR BREAKFAST PACKS) $ .30 ea. F160 Non Fat Dry Milk In Shelf Stable (5.5.) or Emergency Meals Only $ .60 ea. D202 MILK, UHT, Packed In Case of 27 only $11.79 F182 Lemon Juice, 200 /Carton 512.16 F400 Saltines, 500 /CS 57.35 1(410 Overseas Hat, 100 /CS 543.62 K010 Apron, 100 /BX X 10 $20.46 G255 OIeo,1,080 /CS (PATS) 521.66 1(720 4 oz. Squat Cups Foam The Prices on coffee are only good for 10 days SKU's and Quantity of Packs can change due to the supplier. Effective '1.1.2015 f PLUU 00 NOT M,TMR TNS 1COU. u MO MOM M G1$T00114COMTRLCT MOM. N 1N nU TOY OM 0 0Of 00 TIM WT. PLUM M O!T AITMORM*ITOM ROY M MOORSY 0M[OTOR MOO TO RfO1.0111 01Mt *00 M TSM TO TNS UST. i MOM T0ORtO1MRT K A0000 TOM UST IMOT WIT OF TOW COMIMCT_ M f 10TKS 01 00TM00T •COLT TOM MOWS. 11 UIUI'.u.111Si: UUSLtW U PtIl Ilai