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VENDOR AGREEMENT WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) Vendor Number: SNAP Number: County: Name of Vendor: Address: City: State: Zip Code: Email Address: Telephone Number: This Agreement is for the period of XXXXX to XXXXX. The Vendor named above is authorized to participate in the West Virginia Special Supplemental Nutrition Program for Women, Infants and Children under administration of the West Virginia Department of Health and Human Resources subject to the following terms and conditions: A. The WV WIC Program Agrees To The Following: 1. The WV WIC Program will accept applications and authorize Vendors to maximize Program benefits while ensuring participant access, statewide coverage and fair treatment. 2. The WV WIC Program will use the same standards for vendor application and participation in the WIC Program for everyone regardless of race, color, national origin, age, sex, or disability. The State Agency will compile data, maintain records and submit reports as required to permit effective enforcement of the nondiscrimination laws. 3. The WV WIC Program will provide Vendors with training and guidance regarding Program requirements annually and once every three (3) years, or, on a more frequent basis as indicated by error patterns or violations. Consideration will be given to Vendor requests for additional training at the discretion of the WV WIC Program. 4. The WV WIC Program will ensure that an account is maintained with sufficient funds to cover daily banking activity. 5. The WV WIC Program will establish and apply limits on the purchase price and/or amount of reimbursement allowed for WIC food items and Vendor redemption requests. In setting allowable reimbursement levels, the WV WIC Program must consider participant access in a geographic area and may include a factor to reflect fluctuations in wholesale prices. 6. The WV WIC Program will provide Vendors with WV WIC Program materials including but not limited to the WIC Window decal, The WIC Approved Shopping Guide, shelf labels, the Vendor Handbook and any Vendor training materials. 7. The WV WIC Program will provide technical assistance and monitoring to ensure Vendors are operating in compliance with WV WIC Program requirements. 8. The WV WIC Program will maintain a fair hearings process to hear appeals related to denial of application to become an authorized Vendor, any adverse action which affects participation during the term of the Vendor Agreement and Vendor disqualification. 9. The WV WIC Program will notify Vendor in writing via email or regular mail of changes to Federal or State statutes, regulations, policies, or procedures governing the WV WIC Program at least sixty (60) days prior to implementation. The Vendor must comply with the Vendor Agreement and Federal and State statutes, regulations, policies, and procedures governing the Program, including any changes made during the Agreement period. Page 1 of 12