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Product
Code
Number
Product Description
Cas
e W
eig
ht
(lb
s)
Serv
ing
Size
(o
z)
Pie
ces
pe
r Se
rvin
g
Svgs
pe
r C
ase
Cal
ori
es
Cal
ori
es
Fro
m F
at
% C
al F
rom
Fat
Tota
l Fat
(g)
Sat
Fat
(g)
Tran
s Fa
t (g
)
Ch
ole
st (
mg)
Sod
ium
(m
g)
Tota
l Car
bs
(g)
Die
tary
Fib
er
(g)
Suga
rs (
g)
Pro
tein
(g)
Vit
am
in A
(%
DV
)
Vit
am
in C
(%
DV
)
Cal
ciu
m (
% D
V)
Iro
n (
%D
V)
CN Number
(if
applicable)
Meat/
MA
Credit
Veg
Credit
Bread
Svgs
Credit
20210 Wild Mike's 10-Cut Pepperoni 32.94 5.5 1 90 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00
20211 Wild Mike's 10-Cut Cheese 32.88 5.49 1 90 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00
90700 Wild Mike's 10-Cut Pepperoni - No Pork 33.67 5.63 1 90 370 150 40% 18 9 0 35 580 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00
20310 Wild Mike's 8-Cut Pepperoni 26.75 5.5 1 72 370 150 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00
20311 Wild Mike's 8-Cut Cheese 26.71 5.49 1 72 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00
90500 Wild Mike's IW Pepperoni 32.94 5.5 1 90 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00
90501 Wild Mike's IW Cheese 32.88 5.49 1 90 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00
15010 Wild Mike's Uncut Pepperoni 38.50 5.5 1 80 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00
15011 Wild Mike's Uncut Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00
80549 Wild Mike's 5" Deep Dish Pepperoni - No Pork 30.15 5.63 1 80 360 140 39% 167 7 0 35 570 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00
80550 Wild Mike's 5" Deep Dish Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00
80649 Wild Mike's 5" IW Deep Dish Pepperoni - No Pork 30.15 5.63 1 80 360 140 39% 167 7 0 35 570 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00
80650 Wild Mike's 5" IW Deep Dish Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00
90302 Wild Mike's Breakfast - No Pork 27.11 2.79 1 144 180 70 39% 8 3.5 0 15 320 17 2 2 9 4 6 15 6 P.F.S. 1.00 1/8 cup 1.00
90502 Wild Mike's IW Breakfast - No Pork 29.90 2.79 1 160 180 70 39% 8 3.5 0 15 320 17 2 2 9 4 6 15 6 P.F.S. 1.00 1/8 cup 1.00
00062 Wild Mike's 16" Cheesy Bottom Suggested 10 cut 33.12 24.9 1 20 190 50 26% 5 1.5 0 5 230 28 3 1 6 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00
00063 Wild Mike's 16" Cheesy Bottom Suggested 8 cut 27.50 20.4 1 20 190 50 26% 6 1.5 0 5 240 28 3 1 7 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00
00064 Wild Mike's 16" Cheesy Bottom Suggested 6 cut 25.85 15.9 1 24 200 60 30% 6 2 0 5 260 28 3 1 8 2 2 15 10 P.F.S. 2.00 1/8 cup 2.00
00071 Wild Mike's 8" x 12" Cheesy Bottom Suggested 6 cut 39.20 14.88 1 40 180 50 28% 5 1.5 0 5 230 28 3 1 6 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00
11001 Wild Mike's Cheese Bread Stick 16.00 2 1 112 140 60 43% 6 2 0 15 270 15 1 1 7 6 0 10 4 P.F.S. 1.00 1.00
11002 Wild Mike's IW Cheese Bread Stick 16.00 2 1 112 140 60 43% 6 2 0 15 270 15 1 1 7 6 0 10 4 P.F.S. 1.00 1.0011003 Wild Mike's Cheese Bites 17.00 1 1 240 70 30 43% 3 1 0 5 135 7 1 0 4 2 0 5 2 P.F.S. 0.50 0.50
Nutritional Information for S.A. Piazza & Assoc. LLC.School Year 2018 - 2019
For additional product information visit http://dese.mo.gov/divadm/food/Nutritional_Facts_Index.html
S.A. Piazza
Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Crust Sugg. 8-Cut Code No.: 00063 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 20/20.40oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: _3.67___(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditablegrains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and SchoolBreakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cerealgrains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of graincomponent based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group Huses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAIN Amount3 2.24 *Creditable grains are whole-grain meal/flour and enriched meal/flour.1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must beconverted to grams.2Standard grams of creditable grains from the corresponding Group in Exhibit A.3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 2.55oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 2.55oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�
������������
_______________________________________________ _____ ____________________________________________________________________________Signature
Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Crust Sugg. 8-Cut Code No.: 00063 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 20/20.40oz
I. Meat/Meat AlternatePlease fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
Mozzarella .31 X 1 .31XX
A. Total Creditable M/MMA Amount1 .31*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information.
II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, youmust provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz)*Percent of Protein As-Is is provided on the attached APP documentation.**18 is the percent of protein when fully hydrated.***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18.1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meatequivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (TotalCreditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 2.55 oz Total creditable amount of product (per portion) .31 oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _2.55____ ounce serving of the above product (ready for serving) contains _.31____ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _Signature
������������
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
00063
Wild Mike’s 16” Cheesy Bottom Crust Suggested 8-Cut
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions: (once pizza is created)
Wild Mike’s 16” Cheesy Bottom Crust Suggested 8-Cut
Item Code: 00063
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions: (once pizza is created)
Wild Mike’s Pizza (00063) is a 51% whole grain crust (Suggested 8-Cut.) This
crust is par-baked and full of flavor!
• Meat/Meat Alternate equivalent = .31 • Bread Alternate equivalent = 2
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Cheese Breadstick – BULK & IW Code No.: 11001 & 11002 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 112/2.0oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: .33(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 8.16 16 .51 Enriched Wheat Flour 7.84 16 .49
Total Creditable GRAIN Amount3 1
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 2.0oz Total contribution of product (per portion) 1.0oz equivalent
I certify that the above information is true and correct and that a 2.0oz portion of this product (ready for serving) provides 1.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
________________________________________________________________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Cheese Breadstick – BULK & IW Code No.: 11001 & 11002 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 112/2.0oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
Mozzarella 1.0 X 1 1.0 X X
A. Total Creditable M/MMA Amount1 1.0 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 2.0oz Total creditable amount of product (per portion) 1.0oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _2.0____ ounce serving of the above product (ready for serving) contains __1.0___ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODe:
11001
11002
Wild Mike’s Cheese Bread Stick Bulk/I.W.
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s Cheese Bread Stick Bulk/I.W.
Item Code: 11001/11002
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Wild Mike’s premium quality Cheese Breadsticks (11001/11002) are fresh baked
with 51% Whole Grain Rich flour and filled with tasty mozzarella cheese the
kids are sure to love!
• Meat/Meat Alternate equivalent = 1 • Bread Alternate equivalent = 1
Preheat oven to 350 degrees. Place frozen breadsticks on baking sheet.
Bake 6-8 minutes.
Let stand 1-2 minutes befroe serving due to cheesy filling being hot.
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Cheese Bites – BULK Code No.: 11003 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 240/1.0oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: .165(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditablegrains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and SchoolBreakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cerealgrains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of graincomponent based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group Huses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 4.08 16 .255 Enriched Wheat Flour 3.92 16 .245
Total Creditable GRAINS Amount3 .50*Creditable grains are whole-grain meal/flour and enriched meal/flour.1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must beconverted to grams.2Standard grams of creditable grains from the corresponding Group in Exhibit A.3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 1.0oz Total contribution of product (per portion) .5oz equivalent
I certify that the above information is true and correct and that a 1.0oz portion of this product (ready for serving) provides .5oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�
________________________________________________________________________________________________________________________________Signature
Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Cheese Bites – BULK Code No.: 11003 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 240/1.0oz
I. Meat/Meat AlternatePlease fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
Mozzarella .50 X 1 .50XX
A. Total Creditable M/MMA Amount1 .50*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information.
II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, youmust provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz)*Percent of Protein As-Is is provided on the attached APP documentation.**18 is the percent of protein when fully hydrated.***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18.1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meatequivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (TotalCreditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 1.0oz Total creditable amount of product (per portion) .50 oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a __1.0___ ounce serving of the above product (ready for serving) contains __.50___ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�
_______________________________________________________________________________________________________________________________________Signature
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�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Maple Bread Stick – BULK & IW Code No.: 11004 & 11005 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 112/1.4oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: .33(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 8.16 16 .51 Enriched Wheat Flour 7.84 16 .49
Total Creditable GRAINS Amount3 1
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 1.4oz Total contribution of product (per portion) 1.0oz equivalent
I certify that the above information is true and correct and that a 1.4oz portion of this product (ready for serving) provides 1.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza - UNCUT Code No.: 15010 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.50oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.50oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.50oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
________________________________________________________________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza - UNCUT Code No.: 15010 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.50oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. XPepperoni – Beef & Pork .2745 X .94843 .2603
A. Total Creditable M/MMA Amount1 2.0003 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.50oz Total creditable amount of product (per portion) 2.00 oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.50____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
15010
Wild Mike’s Uncut, Pepperoni, cheesy Bottom Crust
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s Uncut, Pepperoni, cheesy bottom Crust
Item Code: 15010
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Students are now able to indulge in the same great taste of Wild Mike’s
while in school! Wild Mike’s Pizza (15010) is on a 51% whole grain cheesy
bottom crust, uncut (suggested 8-cut.) Contains Mozzarella, Provolone,
Romano and Parmesan cheese.
• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2
• Vegatable equivalent = 1/8 Cup
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – UNCUT Code No.: 15011 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.49oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_______________________________________________ _____ ____________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – UNCUT Code No.: 15011 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.49oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X
X A. Total Creditable M/MMA Amount1 2.00
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.49 oz Total creditable amount of product (per portion) 2.00 oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains __2.00___ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
__________________________________________________________________________________________________________________________ __Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
15011
Wild Mike’s Uncut, 4-cheese, Cheesy bottom Crust
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s Uncut, 4-cheese, Cheesy bottom Crust
Item Code: 15011
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Students are now able to indulge in the same great taste of Wild Mike’s
while in school! Wild Mike’s Pizza (15011) is on a 51% whole grain Firebaked
crust, uncut (suggested 8-cut.) Contains Mozzarella, Provolone, Romano
and Parmesan cheese
• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2
• Vegatable equivalent = 1/8 Cup
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 10-Cut Code No.: 20210 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.50oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.50oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_________________________________________________________________________________________________________________ ___Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 10-Cut Code No.: 20210 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.50oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. XPepperoni – Beef & Pork .2745 X .94843 .2603
A. Total Creditable M/MMA Amount1 2.0003 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.50oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a __5.50___ ounce serving of the above product (ready for serving) contains __2.00___ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
20210
Wild Mike’s 10-Cut, Pepperoni,
Cheesy Bottom “Pre-cut”
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s 10-Cut, Pepperoni, Cheesy Bottom “Pre-cut”
Item Code: 20210
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Students are now able to indulge in the same great taste of Wild Mike’s
while in school! Wild Mike’s Pizza (20210) is on a 51% whole grain crust and
pre-cut into 10 slices containing Mozzarella, Provolone, Romano and
Parmesan cheese.
• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2
• Vegatable equivalent = 1/8 Cup
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 10-Cut Code No.: 20211 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.49oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAIN Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
___________________________________________________________________________________________________________ ____Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 10-Cut Code No.: 20211 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.49oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X
X A. Total Creditable M/MMA Amount1 2.00
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.49oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_______________________________________________________________________________________________________________________________________________ __Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
20211
Wild Mike’s 10-Cut, 4-Cheese,
Cheesy Bottom “Pre-cut”
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s 10-Cut, 4-Cheese, Cheesy Bottom “Pre-cut”
Item Code: 20211
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Students are now able to indulge in the same great taste of Wild Mike’s
while in school! Wild Mike’s Pizza (20211) is on a 51% whole grain crust and
pre-cut into 10 slices containing Mozzarella, Provolone, Romano and
Parmesan cheese.
• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2
• Vegatable equivalent = 1/8 Cup
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 8-Cut Code No.: 20310 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: /5.50oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditablegrains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and SchoolBreakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cerealgrains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of graincomponent based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group Huses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24 *Creditable grains are whole-grain meal/flour and enriched meal/flour.1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must beconverted to grams.2Standard grams of creditable grains from the corresponding Group in Exhibit A.3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.50oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.50oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature
Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 8-Cut Code No.: 20310 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 72/5.50oz
I. Meat/Meat AlternatePlease fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. XPepperoni – Beef & Pork .2745 X .94843 .2603
A. Total Creditable M/MMA Amount1 2.0003 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information.
II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, youmust provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz)*Percent of Protein As-Is is provided on the attached APP documentation.**18 is the percent of protein when fully hydrated.***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18.�1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat�equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total�Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.50ozTotal creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.��____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
20310
Wild Mike’s 8-Cut, Pepperoni,
Cheesy Bottom “Pre-cut”
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s 8-Cut, Pepperoni, Cheesy Bottom “Pre-cut”
Item Code: 20310
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Students are now able to indulge in the same great taste of Wild Mike’s
while in school! Wild Mike’s Pizza (20310) is on a 51% whole grain crust
and pre-cut into 8 slices containing Mozzarella, Provolone, Romano and
Parmesan cheese.
• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2
• Vegatable equivalent = 1/8 Cup
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
18g 28%
Updated: 9/07/2017
Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 8-Cut Code No.: 20311 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: �5.49oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditablegrains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and SchoolBreakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cerealgrains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of graincomponent based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group Huses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24 *Creditable grains are whole-grain meal/flour and enriched meal/flour.1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must beconverted to grams.2Standard grams of creditable grains from the corresponding Group in Exhibit A.3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�
_______________________________________________________________________________________________________________________________ ___Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 8-Cut Code No.: 20311 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 72/5.49oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X
X A. Total Creditable M/MMA Amount1 2.00
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.49oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
20311
Wild Mike’s 8-Cut, 4-cheese,
Cheesy Bottom, “Pre-cut”
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s 8-Cut, 4-cheese, Cheesy Bottom, “Pre-cut”
Item Code: 20311
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Students are now able to indulge in the same great taste of Wild Mike’s
while in school! Wild Mike’s Pizza (20311) is on a 51% whole grain crust and
pre-cut into 8 slices containing Mozzarella, Provolone, Romano and
Parmesan cheese.
• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2
• Vegatable equivalent = 1/8 Cup
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 8-Cut – No Pork Code No.: 20312 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 72/5.63oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.63oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.63oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 8-Cut – NO PORK Code No.: 20312 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 72/5.63oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. X
All Beef Pepperoni – 30% Fat .404 X .70 .2828 A. Total Creditable M/MMA Amount1 2.0228
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.63oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.63____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _Signature
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�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 5” Deep Dish Pepperoni Pizza – No Pork – BULK & IW Code No.: 80549 & 80649 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.63oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.63oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.63oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_______________________________________________ _____ ____________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 5” Deep Dish Pepperoni Pizza – No Pork – BULK & IW Code No.: 80549 & 80649 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.63oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. X
All Beed Pepperoni – 30% Fat .404 X .70 .2828 A. Total Creditable M/MMA Amount1 2.0228
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.63oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.63____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
___________________________________________________ _______________________________________________________________ __________________________________________ ________________________________________________________________________________________________________________________________________________ _Signature
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�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 5” Deep Dish Cheese Pizza – BULK & IW Code No.: 80550 & 80650 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.49oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
___________________________________________________________________________________________________________ ____Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 5” Deep Dish Cheese Pizza – BULK & IW Code No.: 80550 & 80650 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.49oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X
X A. Total Creditable M/MMA Amount1 2.00
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.49oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
80550
80650
Wild Mike’s 5” Deep Dish Cheese Bulk/I.W.
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s 5” Deep Dish Cheese Bulk/I.w
Item Code: 80550/80650
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Students are now able to indulge in the same great taste of Wild Mike’s
while in school! Wild Mike’s Pizza (80550/80650) is on a 51% whole grain 5”
Deep Dish Crust. Contains Mozzarella, Provolone, Romano and Parmesan
cheese.
• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2
• Vegatable equivalent = 1/8 Cup
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Breakfast Pizza – No Pork – BULK & IW Code No.: 90302 & 90502 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 144/2.79oz & 160/2.79oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 18.35(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 9.1392 16 .5712 Enriched Wheat Flour 8.7808 16 .5488
Total Creditable GRAINS Amount3 1.12
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 2.79oz Total contribution of product (per portion) 1.0oz equivalent
I certify that the above information is true and correct and that a 2.79oz portion of this product (ready for serving) provides 1.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_______________________________________________ _____ ____________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Breakfast Pizza – No Pork – BULK & IW Code No.: 90302 & 90502 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 144/2.79oz & 160/2.79oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, .70841 X 1 .70841 2.6% Romano, 2.4% Parm. X
Beef Topping (Sausage) .344 X .848125 .291755 A. Total Creditable M/MMA Amount1 1.000165
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 2.79oz Total creditable amount of product (per portion) 1.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _2.79____ ounce serving of the above product (ready for serving) contains _1.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
__________________________________________________________________________________________________________________________ __Signature
15815 SE Piazza Avenue,
Clackamas, OR 97015
Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com
ITEM CODE:
90302
90502
Wild Mike’s Breakfast (No Pork) Breakfast Pizza Bulk/I.w.
Wild Mike’s is an ultra-premium product that
features both high quality and quantity ingredients.
Our products do not contain:
• L-Cysteine
• Calcium Propionate
• BHA-BHT
• sodium nitrates
• sodium benzoate
Wild Mike’s Breakfast (No Pork) Breakfast Pizza Bulk/I.W.
Item Codes: 90302/90502
Description:
Per the Child Nutrition Meal Pattern Requirements, Each serving provides:
Baking Instructions:
Wild Mike’s Pizza (90302) is on a 51% whole grain Crust (8-Cut) with a red
sauce and No Pork, beef sausage topping. A great start to the students day!
• Meat/Meat Alternate equivalent = 1 • Bread Alternate equivalent = 1
• Vegatable equivalent = 1/8 Cup
Preheat oven to 325 degrees. Place pizza on baking sheet.
Frozen: Bake 13-15 minutes
Thawed: Bake 11-13 minutes
Due to oven variances, times and temperatures may require adjustments.
15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com
Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.
Manufacturer:
Updated: 9/01/2017
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Cheesy Bottom Single Slice Pepperoni Pizza – IW Code No.: 90500 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.50oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.50oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.50oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_____________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Cheesy Bottom Single Slice Pepperoni Pizza – IW Code No.: 90500 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.50oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. XPepperoni – Beef & Pork .2745 X .9483 .2603
A. Total Creditable M/MMA Amount1 2.0003 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.50oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.50____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature
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�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Cheesy Bottom Single Slice Cheese Pizza – IW Code No.: 90501 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.49oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
________________________________________________________________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s Cheesy Bottom Single Slice Cheese Pizza – IW Code No.: 90501 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.49oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X
X A. Total Creditable M/MMA Amount1 2.00
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.49oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_______________________________________________________________________________________________________________________________________Signature
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�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – No Pork – 10-Cut Code No.: 90700 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.63oz
I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)
II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)
III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____
Description of Creditable Grain Ingredient*
Grams of Creditable Grain Ingredient per Portion1
A
Gram Standard of Creditable Grain per oz equivalent
(16g or 28g)2
B
Creditable Amount A ÷ B
Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976
Total Creditable GRAINS Amount3 2.24
*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.
Total weight (per portion) of product as purchased 5.63oz Total contribution of product (per portion) 2.0oz equivalent
I certify that the above information is true and correct and that a 5.63oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________ ____________________________________________________________________________________________________________________________________________________Signature
�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.
Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – No Pork – 10-Cut Code No.: 90700 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.63oz
I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable Ingredients Per Food Buying
Guide (FBG)
Ounces Per Raw Portion of Creditable
Ingredient
Multiply FBG Yield/Servings Per Unit
CreditableAmount*
80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. X
All Beef Pepperoni – 30% Fat .404 X .70 .2828 A. Total Creditable M/MMA Amount1 2.0228
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP, Manufacturer’s Name, and Code Number
Ounces Dry APP Per Portion
Multiply % of Protein As-
Is*
Dived by 18**
CreditableAmountAPP***
B. Total Creditable APP Amount1
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased 5.63oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _5.63____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________ National Director of Food Service Signature Title
Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�
________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________ _Signature
Des
cr
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Per
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oz
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: B
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: B
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