5._Food_Safety_Information_Listing.docx

This is a Food Safety Information Listing form used by the State of California Department of General Services, Procurement Division (DGS-PD) for a statewide contract opportunity to supply dry mixes, including dry bakery mixes and flour. The contract is a multi-year agreement with an initial two-year term and two optional one-year extension periods, applicable statewide and mandatory for use by all State of California departments. The form requires bidders to provide detailed information for each company in the distribution chain, including manufacturers, warehouses, and inspection companies.

The Food Safety Information Listing requires bidders to complete company information such as name, address, phone number, fax number, contact name, and job description for all entities involved in the product distribution process. For California-based companies or manufacturers, bidders must either provide evidence of valid California Department of Public Health (CDPH) registration with the registration number and expiration date, or certify that registration will be obtained within 10 working days after the bid opening date, with the validated registration number or certification certificate subsequently provided to the contract administrator. For companies located outside California, bidders must supply inspection company details and the date of the last inspection. Bidders must submit a completed form for every company or manufacturer in the distribution chain applicable to the Food Safety Program and make additional copies as necessary.