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I. FOOD DELIVERY CHECKLIST

☐ Federal Moratorium

☐ State agency – imposed deferral of application processing ☐ Other (specify): Click or tap here to enter text.

b. If the State agency does not accept applications on an ongoing basis, please explain how the State agency processes applications if it is determined there will otherwise be inadequate participant access: Click or tap here to enter text.

3. Vendor Selection and Authorization

a. The vendor selection criteria used to select vendors for program authorization includes:

Required criteria: ☒ EBT capable as defined in 7 CFR 246.12(aa)(4)(ii) ☒ Competitive price criteria based on:

☐ Market basket prices

☒ Vendor applicant prices

☒ WIC redemption data

☐ A State agency standard drawn from a price survey

☐ Other (specify): Click or tap here to enter text. ☒ Minimum stocking requirements (MSR) that include the federal minimum. MSR are:

☒ Statewide

☒ Peer group specific

Please attach a copy and cite: I Appendix-G- 8.11 Minimum Stock Requirements and Allowable Exemptions. ☒ A requirement to obtain infant formula only from sources included in the State agency’s list of State licensed infant formula wholesalers, distributors, and retailers and manufacturers registered with the U.S. Food and Drug Administration ☒ A business integrity criteria that includes: ☒ No history during the past six years, among the vendor’s owners, officers, or managers of criminal convictions or civil judgments for activities listed in 7 CFR 246.12(g)(3)(ii) ☒ No history of other business-related criminal convictions or civil judgments ☒ Other (specify): Compliance with tax, unemployment and workers compensation. ☒ Lack of current SNAP disqualification or civil money penalty for hardship per 7 CFR 246.12(g)(3)(iii) ☐ Incentive items management (if the State agency is certified to authorize A50 vendors) (specify): N/A

Optional criteria ☒ A requirement to stock a full range of foods in addition to WIC supplemental

12 February 2024