Common Contracts
2 similar Service Provider Agreement contracts
ContractService Provider Agreement • March 2nd, 2023
Service Provider AgreementPhysical Address: 22 South State Street, Clearfield, UT 84015 Mailing Address: P.O. Box 618, Farmington, UT 84025Email Address: DCEnvHealth@daviscountyutah.gov Phone: 801-525-5128, Fax: 801-525-5119 Establishment Information Establishment Name: License Plate Number: Owner Name: Owner Phone Number: Email Address: 🞎 Food Truck 🞎 Limited-Use Food Est. 🞎 Temporary Food Est. 🞎 Flavored Ice Est. I agree to report to the service provider facility listed below each day, or as approved by the Department, for cleaning and/or services. I understand that failure to use the service provider for the indicated service and failure to immediately report any change in the service provider arrangements to the Davis County Health Department may result in the suspension of my food establishment’s permit to operate. I understand that this agreement must be updated annually or prior to changing service providers. Signature: Title: Date: Service Provider Information: Facility Name: P
ContractService Provider Agreement • March 2nd, 2023
Service Provider AgreementPhysical Address: 22 South State Street, Clearfield, UT 84015 Mailing Address: P.O. Box 618, Farmington, UT 84025Email Address: DCEnvHealth@daviscountyutah.gov Phone: 801-525-5128, Fax: 801-525-5119 Establishment Information Establishment Name: License Plate Number: Owner Name: Owner Phone Number: Email Address: 🞎 Food Truck 🞎 Limited-Use Food Est. 🞎 Temporary Food Est. 🞎 Flavored Ice Est. I agree to report to the service provider facility listed below each day, or as approved by the Department, for cleaning and/or services. I understand that failure to use the service provider for the indicated service and failure to immediately report any change in the service provider arrangements to the Davis County Health Department may result in the suspension of my food establishment’s permit to operate. I understand that this agreement must be updated annually or prior to changing service providers. Signature: Title: Date: Service Provider Information Facility Name: Ph
