Attachment_6-_Food_Safety_Information_Listing.docx

This is a Food Safety Information Listing form issued by the California Department of General Services, Procurement Division for a statewide Beverage Base contract. Bidders are required to complete this attachment for each company involved in the distribution chain, including manufacturers, warehouses, and the bidder itself if applicable. The contract is a multi-year statewide agreement with a primary term of two years and two optional one-year extension periods, applicable to all California state departments on an "all or none" award basis.

The form requires bidders to provide detailed information for each entity in the supply chain, including company name, address, phone, fax, contact name, and job function. For California-based companies and manufacturers, bidders must verify valid California Department of Public Health (CDPH) registration and provide the registration number and expiration date, or certify that registration will be obtained within ten working days after bid opening with proof submitted to the contract administrator. For companies located outside California, bidders must provide inspection details including the date of the last inspection. Bidders must submit a completed form for every company, manufacturer, and warehouse involved in the distribution process that falls under the Food Safety Program requirements, with additional copies as necessary.