Agency Partner Annual Agreements

Agency Partner Annual Agreements
Completed agreements are due by June 30, 2024 before an agency can receive product from Dare to Care Food Bank.

The purpose of this agreement is to establish the Agency Partner's membership with Dare to Care Food Bank, provide definition and guidance for the relationship between the Agency Partner and the Food Bank, co-create solutions, and strengthen the capacity of the Agency Partner Network.

Thank you for partnering with us!
The Agency Partner's authorized representative has reviewed and understands the documents in full, as checked below:*

Agency AgreementLiability ReleaseSuspension & Termination and Partnership Pause PoliciesPickup AgreementFood Safety Agreement
THIS AGREEMENT IS MADE BETWEEN

Dare to Care Food Bank located at 5803 Fern Valley Rd. Louisville, KY 40228 AND
Agency Name*
Agency Reference Number*
Agency Address (primary location for food storage and distribution)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I have read, understand, and attest that my agency will abide by all partnership requirements, policies, and procedures as established by Dare to Care Food Bank and Feeding America. Failure to do so may result in suspension and/or termination of partnership.
Signature*

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Agency Representative Name*

First NameLast Name
Agency Representative Email*
example@example.com
OPTIONAL: ADDITIONAL AGENCY ACCOUNT

If your organization has multiple agency accounts (i.e., you operate a kitchen and a food pantry), please list the additional account below.
Agency Name
Agency Reference Number
Agency Address (primary location for food storage and distribution)
Agency Address (primary location for food storage and distribution)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CONFIRMATION OF AGENCY CONTACTS

To ensure Dare to Care Food Bank is reaching out to the appropriate contact(s) please confirm your primary and secondary point of contact. The primary and secondary contacts should be the people who would interact with Dare to Care Food Bank on a regular basis. Contact information provided will be added to our email listservs.
Primary Contact Name*

First NameLast Name
Primary Contact Title*
Primary Contact Email*
example@example.com
Primary Contact Phone Number*
Please enter a valid phone number.
SECONDARY CONTACT

The secondary contact should have a differing phone number and email address from the Primary Contact.
Secondary Contact Name

First NameLast Name
Secondary Contact Title
Example: Food Pantry Coordinator
Secondary Contact Email
example@example.com
Secondary Contact Phone Number
Please enter a valid phone number.
Questions regarding the Annual Agency Partner Agreements? Contact the Partner Development Team:
- Maddie Monahan maddie@daretocare.org
- Trish Tobbe trish.tobbe@daretocare.org
- Clifton Griffin clifton.griffin@daretocare.org
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