PLEASE PRINT, COMPLETE, SIGN AND RETURN TO KA***@FI**********.ORG
RECIPIENT AGREEMENT
1. You are authorized to sign this agreement on behalf of this organization and certify that the information set forth in this application and supporting documentation is correct.
1. You are authorized to sign this agreement on behalf of this organization and certify that the information set forth in this application and supporting documentation is correct.
2. You have read and understood the criteria that apply to this application and certify that the group meets each one.
3. The IRS determination letter has not been revoked, cancelled, or modified.
4. That food shall be protected against dampness, deterioration, and mold or from contamination by insects, birds, rodents or other animals.
5. That food spoiled or otherwise contaminated shall not be served.
6. To abide by restrictions or conditions of distribution, if any, imposed by the source of Donation and communicated to Recipient by Ambassador.
7. Any raw meat provided is not fit for human consumption and shall be used solely for feeding animals.
8. That feeding pet food to ruminant animals is prohibited.
9. To not sell, transfer, trade or barter any Donation or portion thereof in exchange for money, property or services or otherwise allow the items to enter commercial channels.
10. To release the Donor, Goods, and Ambassador from any liability arising from the condition of Donation and further agrees to indemnify and hold harmless Donor, Goods, and Ambassador against any and all damages, losses, claims, causes of action and suits of law or in equity or any obligation whatsoever arising out of or attributed to any action of in connection with Recipients receipt, handling or distribution of Donation.
11. That GOODS and Ambassador may list your organization as a participant in its publications, website or other informational materials but will not sell or disclose non-contact information for any commercial purpose.
12. That goods or services are provided on an "as is" and "as available" basis. GOODS and its Ambassador expressly disclaim all warranties of any kind, whether express or implied, including, but not limited to the implied warranties of merchantability or fitness for a particular use or purpose.
13. Your organization grants to GOODS and its Ambassador the following: 1) the right to include on its website a link to your organization’s website(s), 2) the right to use any image(s) that you submit to GOODS or its Ambassador that may be recorded by GOODS or its Ambassador during or in connection with events
that involve both organizations.
14. Permit monitoring, including a site visit if requested, by a Donor representative, as reasonable and necessary to verify that compliance with criteria, receipt, handling and use of Donation conform to this Agreement.
15. Applicant grants permission to GOODS, its Ambassador, and its product donors to use information contained in this application for their internal evaluation and response procedures.
16. All Handling Fee payments are to be made payable to the Ambassador Organization as requested, and in no event made to any individual or other organization.
I have read and agree to the terms and condiƟons described in this application.
Signed _____________________________
Organization ____________________________ Date_______
REVIEW OF ORGANIZATION, PERFORMED BY FWT
Organization: ________________________________
Review Completed By:__________________
Point of Contact: _______________________________
Point of Contact: _______________________________
Date of Review:______________________
1 Application-Organization Type
-Circle type of organization
Shelter Rescue – Cat/Dog,
Rescue – Non-Cat/Dog,
Feral Cat Group,
Sanctuary,
Pet Food Bank
-Is the organization a non-profit?
-If not a non-profit, is the organization a government agency?
-Does the organization have a contract with Animal Control Services?
-Is the organization a pure transport group?
If yes, Is the applicant organization registered with USDA (as required under the Animal Welfare Act):
https://www.aphis.usda.gov/aphis/ourfocus/animalwelfare/ct_awa_regulated_businesses
-Is the application complete?
-Does the person who completed the application have the authority to act on behalf of the organization?
-Has the group applied in the past and if so, what decision was made?
2 For non-profit groups
-IRS Non-Profit Website Search
-IRS Tax Exempt Organizations
-Is IRS Determination Letter attached?
-Is it the correct IRS Determination Letter?
-Does the organization name on the IRS letter match the name on the application?
-Does the organization address on the IRS letter match the address on the application?
-Are there any other discrepancies?
-Is the organization in good standing (not revoked)?
Does the EIN match the IRS data?
Is the organization doing business under a different name?
Type of 990 on file?
Amount of cash assets?
Do they receive government grants?
3 Other Feeding Programs
-Does the organization participate in a manufacturer feeding program?
-Has the organization received donated food over the past 12 months?
-Does the organization participate on a donor-directed food program (Hills, Blue Buffalo)?
4 Nearest Ambassador
-How long would it take to drive from the applicant address to the Ambassador address?
-Is there a closer Ambassador to them?
5 Spay/Neuter Policy
-Does the organization spay/Neuter all animals prior to adoption?
-If the answer is No, does the organization follow up with adopters to ensure the animals are S/N when ready?
-TNR program? (Feral Cat Organizations)
6 Internet Search
-Does the applicant have a custom website that is not a Facebook page (incl. on Adopt-a-Pet or Petfinder)?
-Shelter/Rescue: Does the website show:
● The mission statement?
● Adoption process?
● Adoption criteria?
● Adoption fees?
● What the fees cover (admin., vet treatments)?
● Animals available for adoption (include link to Adopt-a-Pet or Petfinder)?
● How many animals are posted for adoption?
-Is the mission statement reasonable and in alignment with the program requirements for the type of organization?
-Does a Google search of the organization or board members raise any red flags such as lawsuits, hoarding situations, and negative adoption practices?
-Has the organization or its officers been subject to law enforcement activity for animal-related offenses?
7 Food Use and Storage
-Does the reason given on the application for needing program support match with the mission of the organization?
-Does the organization have safe, dry, storage conditions for the food?
-What is the maximum food storage capacity?
8 Reference Checks
-Phone interview comments
-Veterinarian comments
-Other Reference comments
-Site visit (if required) conclusions
