Food Safety Fruit and Vegetable Handling Form

FOOD SAFETY FRUIT AND VEGETABLE HANDLING FORM

Effective Date:   Handler Name:   Client Name:

WHEREAS

WHEREAS, Handler represents that it operates facilities and performs fruit and vegetable handling, packing, storage and transport activities in accordance with applicable food safety program requirements and that it maintains records sufficient to permit traceability of product lots described in this form; and

WHEREAS, Client purchases, accepts and relies upon Handler's representations regarding harvest, handling, sanitation, testing and traceability for the Lots specified below and requires documented evidence of food safety controls, test results and corrective actions; and

WHEREAS, the Parties desire to document the food safety handling procedures, monitoring results and commercial terms that apply to the handling of identified fruit and vegetable Lots.

SCOPE OF WORK

FACILITY & LOT INFORMATION

HANDLING & SANITATION CHECKLIST

Pre-harvest inspection completed:   Date of inspection:

Worker hygiene training completed:   Training date:

Handwashing stations available and stocked:   Number of stations:

Equipment cleaned and sanitized prior to use:   Last clean date:

PESTICIDE & AGRONOMIC PRACTICES

WATER & MICROBIOLOGICAL TESTING

Water test performed:   Test date:

TRACEABILITY & SAMPLING

Representative sample taken for this Lot:   Sample ID:   Sample date:

CORRECTIVE ACTIONS

PAYMENT TERMS

Payment Amount: $   Payment Schedule:

Late fee for overdue payment:

TERM AND TERMINATION

Term Start Date:   Term End Date:

Either Party may terminate for material breach not cured within days' written notice. Termination does not relieve obligations with respect to product already handled, payment for services rendered, or record retention requirements.

CONFIDENTIALITY

Each Party shall keep confidential and protect proprietary food safety records, test results, customer lists and technical processes disclosed in connection with this form. Confidential information shall not be disclosed except as required by law, to regulatory authorities, or to a Party's auditor or legal counsel under a duty of confidentiality. The receiving Party shall use at least the same degree of care it uses to protect its own confidential information, but in no case less than reasonable care.

GOVERNING LAW

This Agreement and any dispute arising out of or related to this form shall be governed by the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This form, together with any attachments and referenced lot records, constitutes the entire agreement between the Parties concerning the handling and sale of the referenced Lots and supersedes all prior oral or written agreements. Any amendment must be in writing and signed by authorized representatives of both Parties.

AUDIT, RETENTION & CERTIFICATION

Handler shall retain all records related to harvest, handling, sanitation, testing and corrective actions for a minimum of years and shall permit Client or Client's designee to audit such records upon reasonable notice. False or misleading statements in this form may subject the signer to civil and criminal penalties under applicable law.

DECLARATION

The undersigned certify that the information provided in this form is true, complete and accurate to the best of their knowledge, that required monitoring and corrective actions have been completed, and that records supporting the statements in this form are available for inspection in accordance with the record retention clause.

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