Commissary Agreement Sample Contracts

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COMMISSARY AGREEMENT/APPROVED FACILITY
Commissary Agreement • November 22nd, 2023

This form is to be submitted with proposals for a Vehicle, Trailer, Cart, or Temporary Food Facility. Any foods sold or given away to the public must be prepared and stored in an approved facility.

Commissary Agreement
Commissary Agreement • September 8th, 2020

This agreement between the commissary owner and the above establishment owner (herein referred to as vendor) signifies that both parties agree to use and allow the use of the commissary as specified below. This commissary agreement is not transferable to other parties and becomes null and void upon change of ownership of either party. It is the vendor’s responsibility to notify Adams County Health Department (ACHD) in advance of any proposed changes or modifications to this agreement. Modification or cancellation of this agreement by either party for any reason shall result in the suspension of the vendor’s operating permit issued by ACHD. This suspension is effective until a new agreement is provided in writing to ACHD and approved.

Public Health Services Environmental Health
Commissary Agreement • September 14th, 2022
COMMISSARY AGREEMENT
Commissary Agreement • August 11th, 2020

Many food operations use a commissary for various food preparation or other support activities. This agreement signifies that both parties agree to vendor’s use of facilities for services listed below. Vendor may not use a different commissary without prior approval; the agreement must be renewed with every renewal or reissuance of a permit and is not transferable. This agreement is independent of any other agreements made between the commissary kitchen and the vendor.

COMMISSARY AGREEMENT
Commissary Agreement • December 23rd, 2019
◻ Annual Commissary Agreement ◻ Proposed menu and beverage items ◻ Employee Health and Hygiene ◻ Mobile Food Unit Food Preparation Flow Chart
Commissary Agreement • June 20th, 2022

Address: City/State: Zip Code: Owner Name: Phone: Email: Business Hours of Operation: Do other vendors use the commissary: Yes No If yes, how many?

DEPARTMENT OF COMMUNITY SERVICES
Commissary Agreement • April 21st, 2017

I, the MFF owner/operator, will operate out of the commissary listed below and report to the commissary at least once each operating day for cleaning and servicing. I will store the MFF at the approved commissary or another approved location.* I will notify Environmental Health of any changes to this agreement.

COMMISSARY AGREEMENT
Commissary Agreement • November 19th, 2019
COMMISSARY AGREEMENT
Commissary Agreement • January 23rd, 2014
COMMISSARY AGREEMENT
Commissary Agreement • July 8th, 2024
COMMISSARY AGREEMENT
Commissary Agreement • June 23rd, 2020
COMMISSARY AGREEMENT
Commissary Agreement • October 11th, 2023
COMMISSARY AGREEMENT
Commissary Agreement • October 1st, 2010

Mobile Food Facility DBA Commissary DBA Mobile Food Facility Owner Commissary Owner’s Name Address Address City Phone City Phone

SHARED FOOD FACILITY / COMMISSARY AGREEMENT
Commissary Agreement • February 29th, 2024

This form is to be submitted with proposals for a Vehicle or Cart Permit, Temporary/Intermittent Food Facility Permit, Catering Permit or Farmers’ Market Food Vendor permit. The State of Idaho Food Code requires that foods sold or given away to the public be prepared and stored in an approved facility. In addition, the vehicles or carts used in the sale of those foods must be serviced and, sometimes, stored at an approved facility.

COMMISSARY AGREEMENT
Commissary Agreement • December 7th, 2022
COMMISSARY AGREEMENT
Commissary Agreement • May 5th, 2021

A commissary is a base of operations for all mobile food units, pushcarts and Catering business. Each vehicle is required to operate from an approved commissary. Each vehicle must report daily to the commissary for food preparation, supplies, cleaning and servicing operations.

Commissary Agreement
Commissary Agreement • November 2nd, 2021

This agreement between the commissary owner and the above establishment owner (herein referred to as vendor) signifies that both parties agree to use and allow the use of the commissary as specified below. This commissary agreement is not transferable to other parties and becomes null and void upon change of ownership of either party. It is the vendor’s responsibility to notify Adams County Health Department (ACHD) in advance of any proposed changes or modifications to this agreement. Modification or cancellation of this agreement by either party for any reason shall result in the suspension of the vendor’s operating permit issued by ACHD. This suspension is effective until a new agreement is provided in writing to ACHD and approved.

COMMISSARY AGREEMENT
Commissary Agreement • September 30th, 2019
COMMISSARY AGREEMENT
Commissary Agreement • April 16th, 2019

Retail Food Establishment DBA Commissary DBA Retail Food Business Owner Commissary Owner’s Name Address Address City Phone City Phone

Environmental Health Services Commissary Agreement
Commissary Agreement • March 20th, 2014

[ ] Have use of inside preparation facilities [ ] Have access to facility at all times [ ] Limited access to facility [ ] Access Hours

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Commissary Agreement
Commissary Agreement • July 21st, 2011

For mobile unit operators, caterers and temporary vendors this commissary agreement must be completed and signed by the commissary owner before you will be approved to use the commissary. Please provide the following information, including signatures, and submit this agreement with your retail food license or plan review application to Boulder County Public Health. This commissary agreement is valid for the current calendar year only.

COMMISSARY AGREEMENT LETTER
Commissary Agreement • November 7th, 2020

CO hereby agrees to allow use of the commercially licensed kitchen for the storage, preparation and packaging of food items as it relates the operations of and for VR.

Commissary Agreement
Commissary Agreement • July 28th, 2021

This agreement between the commissary owner and the establishment owner (herein referred to as vendor) signifies that both parties agree to use and allow the use of the commissary. This commissary agreement is not transferrable to other parties and becomes null and void upon change of ownership of either party. It is the vendor’s responsibility to notify Spokane Regional Health District (SRHD) in advance of any proposed changes or modifications to the agreement. Modification or cancellation of this agreement by either party for any reason may result in the suspension of the vendor’s operating permit issued by SRHD. This suspension is effective until a new agreement is provided in writing to SRHD and approved. Applicant Information Vendor Name: Permit #: Mailing Address: City: State: Zip: Phone: Email: Cell: Days of week vendor uses commissary: M T W Th F Sat Sun Vendor hours of operation: Commissary Information Name of Commissary: Address: Parcel #: City: State: Zip: Ph

Commissary Agreement Letter
Commissary Agreement • July 24th, 2021

giving him/her and his/her employees the right to use the restroom and other facilities listed below at my kitchen/property at: ____________________________________________________________________

OUT-OF-COUNTY MOBILE FOOD FACILITY COMMISSARY AGREEMENT LETTER
Commissary Agreement • August 30th, 2017

Check all that apply: Adequate designated storage space: Cold storage  Dry / bulk storage Waste water disposal method: Mop sink  Wash pad  Hot and cold water available  Food preparation area and approved preparation sink  Utensil washing area  Frozen food storage  Overnight storage with electrical power  Vehicle and/or cart washing area  Protected water source for EACH mobile unit Sanitary Disposal of: Grease  Garbage  Other service(s) not listed above:

Commissary Agreement Letter
Commissary Agreement • April 2nd, 2019
Contract
Commissary Agreement • November 8th, 2018

Commissary AgreementPhysical Address: 22 South State Street, Clearfield, UT 84015 Mailing Address: P.O. Box 618, Farmington, UT 84025 Phone: 801-525-5128, Fax: 801-525-5119 Establishment Information Establishment Name: License Plate Number: Owner Name: Owner Phone Number: Email Address:  F ood Truck  Limited-Use Food Est.  Temporary Food Est.  Flavored Ice Est. I agree to report to the commissary facility listed below ea failure to use the commissary for the indicated service ope commissary arrangements to the Davis County Environme establishment’s permit to operate. Signature: ch day; and as necessary, for cleaning and rations and failure to immediately report ntal Health Division may result in the sus Title: servicing. I understand that any change in thepension of the food Date: Commissary Information Commissary Name: Phone Number: Commissary Address: City/State/Zip: Commissary Owner: Owner Phone Number: Applicable Services  Sign-in/sign-out sheet  Ware washing facilities

COMMISSARY AGREEMENT
Commissary Agreement • September 24th, 2019

Retail Food Establishment DBA Commissary DBA Retail Food Business Owner Commissary Owner’s Name Address Address City Phone City Phone

COMMISSARY AGREEMENT FOR FOOD SERVICE OPERATORS
Commissary Agreement • August 24th, 2017

A Commissary is a permitted food service establishment that provides shared use kitchen facilities for mobile food units, Push carts and caterers. This Commissary Agreement is part of the plan review approval and Health Department approval is required for shared use kitchen permits. A Commissary may also serve as a restaurant for the permitted food service.

SHARED FOOD FACILITY / COMMISSARY AGREEMENT
Commissary Agreement • October 13th, 2020

This form is to be submitted with proposals for a Vehicle or Cart Permit, Temporary/Intermittent Food Facility Permit, Catering Permit or Farmers’ Market Food Vendor permit. The State of Idaho Food Code requires that foods sold or given away to the public be prepared and stored in an approved facility. In addition, the vehicles or carts used in the sale of those foods must be serviced and, sometimes, stored at an approved facility.

DEPARTMENT OF COMMUNITY SERVICES
Commissary Agreement • April 21st, 2017

I, the MFF owner/operator, will operate out of the commissary listed below and report to the commissary at least once each operating day for cleaning and servicing. I will store the MFF at the approved commissary or another approved location.* I will notify Environmental Health of any changes to this agreement.

Commissary Agreement Form
Commissary Agreement • July 22nd, 2019

Pursuant to Chapter 3717-1-09 of the Ohio Administrative Code (OAC), Mobile Food Establishments, which includes pushcarts, are designed and approved to operate with certain restrictions, limitations, and conditions.

Commissary Agreement
Commissary Agreement • November 19th, 2019

This agreement between the commissary owner and the establishment owner (herein referred to as vendor) signifies that both parties agree to use and allow the use of the commissary. This commissary agreement is not transferrable to other parties and becomes null and void upon change of ownership of either party. It is the vendor’s responsibility to notify Asotin County Public Health District (ACPH) in advance of any proposed changes or modifications to the agreement. Modification or cancellation of this agreement by either party for any reason may result in the suspension of the vendor’s operating permit issued by ACPH. This suspension is effective until a new agreement is provided in writing to ACPH and approved.

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