5._Food_Safety_Information_Listing0000034468.docx

DOCX document 19 KB Posted

Attached to
Frozen Dietary Meals
Solicitation number
0000034468
Issued by
California

About this file

This document is a Food Safety Information Listing form related to California state procurement regulations, specifically designed for documenting food distribution and safety compliance. The form requires comprehensive details about each company involved in the contract's distribution process, including company name, address, contact information, and critical California Department of Public Health (CDPH) registration status. Bidders must complete a separate form for every company/manufacturer/warehouse participating in the food safety program, with specific requirements for California-based and out-of-state companies.

The form mandates that California companies/manufacturers/warehouses provide their valid CDPH registration number and expiration date, with an option to demonstrate pending registration within 10 working days after bid opening. For companies outside California, additional inspection details are required, including the inspection company's information and date of last inspection. The form serves as a critical compliance document to ensure food safety standards are met throughout the distribution chain, with an emphasis on verifying each entity's regulatory adherence and operational credentials before contract award.

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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 .