5._Food_Safety_Information_Listing.docx

This is a Food Safety Information Listing form required by the California Department of Public Health (CDPH) for a state contract opportunity involving food distribution. Bidders must complete detailed information for each company participating in the distribution chain, including manufacturers, warehouses, and inspection companies. The form requires submission of company names, addresses, phone numbers, fax numbers, contact names, and job descriptions for all entities involved in the contract's food safety program operations.

For California-based companies, bidders must provide proof of valid CDPH registration including the registration number and expiration date, or certify that registration will be obtained within ten working days after the bid opening date. For companies operating outside California, bidders must provide the name, address, contact information, and date of last inspection for the inspection company responsible for that entity. Bidders are required to complete a separate form for every company, manufacturer, and warehouse in the distribution process applicable to the Food Safety Program and submit all forms with their bid proposal, making additional copies as necessary for each entity in the chain.