ContractAgreement for Authority to Issue Certificates of Compliance • September 29th, 2016
PLEASE CHECK ONE AND RETURN COMPLETED AND SIGNED FORM TO: Yakima RegionWSDA Commodity Inspection Division 21 North 1st Ave, Suite 226Yakima, WA 98902 orFAX (509) 575-2537 Wenatchee RegionWSDA Commodity Inspection Division 270 9th St NE, Suite 101-AEast Wenatchee, WA 98802 orFAX (509) 663-3030 Shipper Number(Refer to this on allcorrespondence) Agreement For Authority to Issue Certificates of Compliance Check One: New Agreement Renewal Add/Remove Signatures Firm Name: Email Address: Mailing Address: Phone Number: City, State, Zip: Fax Number: THIS AGREEMENT will authorize the issuance of Certificates of Compliance for apples, apricots, asparagus, Italian prunes, peaches, pears, and sweet cherriesbeing shipped or transported for the growing and shipping season beginning August 1, to August 31, of the following year. Certificates of compliance must be on forms approved and issued by the director and will be issued only on the identified commodities under this agreement that
