Commissary/Commercial Kitchen Agreement Sample Contracts
ContractCommissary/Commercial Kitchen Agreement • January 11th, 2023
Johnson County Health Department 460 N Morton St. Ste A Franklin, IN 46131 Phone: 317-346-4365 Fax 317-736-5264 COMMISSARY/COMMERCIAL KITCHEN/SHARED KITCHEN AGREEMENT The Commissary/Commercial Kitchen Agreement allows the named vendor access to the commissary and its facilities during days of operation. MCPHD may contact commissary to verify vendor usage and agreement. This commissary agreement is valid for the current calendar year only. Name of commissary: __________________________________________________________________ Address: ____________________________________________________________________________ Street City/State Zip Code Commissary Authorized Individual: Commissary Food License # ___________________ ______________________________________ ____________________________________ Name Title/Position STATEMENT OF COMMISSARY/COMMERCIAL KITCHEN/SHARED KITCHEN AGREEMENT This agreement is to be completed and signed only by the duly authorized owner, manager, or representative
ContractCommissary/Commercial Kitchen Agreement • September 9th, 2016
COMMISSARY/COMMERCIAL KITCHEN AGREEMENTALAMEDA COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PART D Section 1: Pursuant to California Retail Food Code, I will notify Alameda County Environmental Health upontermination of this agreement or if the operator voluntarily ceases using this facility Commissary / Commercial Kitchen Owner Name Street Address City & Zip Code Cell Phone# Alternate Phone# I, (Facility Owner/ Manager) agree to provide the following services to SERVICES PLEASE CIRCLE YES OR NO:Facilities to prepare or package food YES NO Dry food storage YES NO Toilet & handwashing facilities YES NO Waste grease removal YES NO Waste tank/sewage disposal YES NO Chemical storage YES NO Garbage disposal YES NO Overnight parking (MFPU) YES NO Potable (drinkable) water supply YES NO Enclosed overnight parking (carts) YES NO Electrical hook-up YES NO Refrigeration/frozen food storage YES NO Equipment/utensil storage YES NO Supply food prod
FORM BCommissary/Commercial Kitchen Agreement • February 24th, 2022
EACH FACILITY THAT PROVIDES SERVICES LISTED BELOW MUST FILL OUT A SEPARATE FORM MOBILE FOOD FACILITY (MFF) INFORMATION Vehicle Business Name: MFF Owner: Vehicle Owner’s Address: Operator’s Driver License: Vehicle License Plate Number or Cart Number: Year and Make of Vehicle: COMMISSARY/COMMERCIAL KITCHEN(PROVIDE A COPY OF HEALTH PERMIT OR FACILITY NUMBER) Commissary Commercial Kitchen Owner Name or Person In Charge: Location: City: Zip Code: Cell Phone Number: Alternate Phone: Fax Number: Approximate Arrival Time: Return Time at End of Business Day: CHECK ALL THAT APPLY Food Supply Products Utensil W ashing Area Hot and Cold Water Available Frozen Food Storage Waste Water Disposal Method Mop Sink Wash Pads Food Preparation Space Vehicle and/or Cart Washing Sufficient Designated Storage Space Cold Storage Dry/Bulk Storage Overnight Storage Equipped wIth Electrical PowerNOTE: COVERED AREA REQUIRED FOR CARTS Cart Vehicle Protected Water Source for Each Mobile Unit Sanitary Disposal of G
ContractCommissary/Commercial Kitchen Agreement • September 9th, 2016
COMMISSARY/COMMERCIAL KITCHEN AGREEMENTALAMEDA COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PART D Section 1: Pursuant to California Retail Food Code, I will notify Alameda County Environmental Health upontermination of this agreement or if the operator voluntarily ceases using this facility Commissary / Commercial KitchenThe Prep Station Owner NameMargaret Su Street Address2400 Monarch Street City & Zip CodeAlameda 94501 Cell Phone# 510-504-3867 Alternate Phone# 925-298-2558 I, (Facility Owner/ Manager) Margaret Suagree to provide the following services to SERVICES PLEASE CIRCLE YES OR NO:Facilities to prepare or package food ❒■ YES ❒ NO Dry food storage ❒■ YES ❒ NO Toilet & handwashing facilities ❒■ YES ❒ NO Waste grease removal ❒■ YES ❒ NO Waste tank/sewage disposal ❒■ YES ❒ NO Chemical storage ❒ YES ❒■ NO Garbage disposal ❒■ YES ❒ NO Overnight parking (MFPU) ❒ YES ❒■ NO Potable (drinkable) water supply ❒■ YES ❒ NO Enclosed overnight parking (carts) ❒ YES ❒■ NO Electrical hook-up ❒ Y
Commissary/Commercial Kitchen AgreementCommissary/Commercial Kitchen Agreement • June 13th, 2022
This agreement allows the vendor access to the commissary and its facilities at any time. This commissary agreement is valid for the current calendar year only. Noble County Health Department (NCHD) may contact commissary to verify vendor usage and contract agreement.
COMMISSARY/COMMERCIAL KITCHEN AGREEMENTCommissary/Commercial Kitchen Agreement • January 7th, 2020
This agreement allows the vendor access to the commissary and its facilities at any time. This commissary agreement is valid for the current calendar year only. MCPHD may contact commissary to verify vendor usage and contract agreement.
ContractCommissary/Commercial Kitchen Agreement • July 25th, 2024
COMMISSARY/COMMERCIAL KITCHEN AGREEMENTCommissary/Commercial Kitchen Agreement • July 7th, 2025
This agreement allows the vendor access to the commissary and its facilities at any time. This commissary agreement is valid for the current calendar year only. KCHD may contact commissary to verify vendor usage and contract agreement.
COMMISSARY/COMMERCIAL KITCHEN AGREEMENTCommissary/Commercial Kitchen Agreement • October 5th, 2015
COMMISSARY/COMMERCIAL KITCHEN AGREEMENTCommissary/Commercial Kitchen Agreement • October 5th, 2015