5._Food_Safety_Information_Listing.docx

DOCX document 26 KB Posted

Attached to
Condiments, Individual Serving Packets (FAU25-89-13)
Solicitation number
0000035493
Issued by
California

About this file

This document is a Food Safety Information Listing form designed for state and local contract opportunities, specifically related to California's food distribution and safety regulations. The form requires bidders to provide comprehensive details about each company involved in the food distribution process, including company names, contact information, addresses, and California Department of Public Health (CDPH) registration status. Companies located in California must provide their valid CDPH registration number and expiration date, with an option to demonstrate compliance by obtaining registration within 10 working days after bid opening.

The form mandates detailed documentation for every company, manufacturer, and warehouse participating in the food safety program, with separate sections for California-based and out-of-state entities. For companies outside California, additional information such as the inspection company name, last inspection date, and contact details must be completed. Bidders are instructed to submit this form with their bid, making additional copies as necessary to cover all organizations involved in the contract's food safety processes. The form serves as a critical documentation mechanism to ensure regulatory compliance and transparency in the food distribution supply chain.

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Text version

Attachment 5 Food Safety Information Listing

Please complete the following information for each company (including the bidder if applicable) in the chain of the distribution process:

Company Name:

Address:

Address:

Phone Number:

Fax Number:

Contact Name:

Job Performing on Contract:

· California Companies/Manufacturers/Warehouses:

The above company has a valid registration with CDPH.

CDPH Registration Number: Expiration Date:

|_| The above company is NOT registered with CDPH but will have a registration within 10 working days after the bids opening date. (To be compliant, the validated registration number OR the certification certificate must be provided to the contract administrator.)

· Companies outside California:

Inspection Company Name:

Address:

Address:

Phone Number:

Fax Number:

Contact Name:

Date of Last Inspection:

Note: complete a form for every company/manufacturer/warehouse in the process of this contract which applies to the Food Safety Program and submit with your bid – make additional copies as necessary for each company.

File details come from the government source that posted it. Updated .