State of California CONTRACT NOTIFICATION ****MANDATORY****
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1 Department of General Services Procurement Division 707 Third Street, 2 nd Floor West Sacramento, CA State of California CONTRACT NOTIFICATION ****MANDATORY**** CONTRACT NUMBER: Supplement 2 DESCRIPTION: CONTRACTOR(S): Frozen Potato and Onion Products Food Service Systems CONTRACT TERM: 4/1/11 through 3/31/2013 DISTRIBUTION LIST: Statewide STATE CONTRACT ADMINISTRATOR: Jennifer Jee (916) jennifer.jee@dgs.ca.gov original signed Effective Date: 11/21/2012 Cathy Lorenzo, Acquisitions Manager
2 STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES PROCUREMENT DIVISION Contract (Mandatory) , Supplement 2 Contract Notification and User Guide Effective November 15, 2012 subject contract for Frozen Potato and Onion Products has been modified to reflect the following change: Product name change on line item 3, Potatoes, Hash Browns, Frozen. Product brand was formerly Simply Gold, Product #492429, but the name has been discontinued and the product is now branded Frost Queen, Product #7. Updated nutrition sheets and packaging are attached. All other terms and conditions remain the same. User Instructions Page 2 November 15, 2012 Supplement 2
3 THIS MINIATURE SHOULD NOT BE FOLLOWED FOR EXACT SIZE, COLOR, COPY, OR LAYOUT GRAPH ICS, INC TH S.W. Lynnwood, WA Bus: FAX: BRAND: DATE: PRODUCT: PLATE LOCATION: BP-NAMPA PRODUCT CODE: 1007 INK NO. INK NO. 90 BLACK REPLACED: CASE COLOR NEW KRAFT INK NO. PLATE SIZE: x x ART, NEGS, PLATES PROPERTY OF: J.R. SIMPLOT CO. This paper is recyclable REORDER NO SPECIAL INSTRUCTIONS: PLACEMENT OF BAR CODE: 1. 3/4" TO 1" FROM RIGHT SCORE TO FLEXO-BAR. 2. 1" TO 1 1 /4" FROM BOTTOM SCORE TO FLEXO-BAR. 3. ALWAYS IN LOWER RIGHT HAND CORNER. SPEC UPDATED DO NOT RUN OLD CASES! OK TO RUN OLD CASES REASON FOR CHANGES GRAPHICS DESIGN NO. CL--00-RA (CALDWELL) INGREDIENTS: POTATOES, VEGETABLE OIL (CANOLA, SOYBEAN, CORN, PALM, AND/OR SUNFLOWER), AND/OR PARTIALLY HYDROGENATED VEGETABLE OIL (SOYBEAN AND/OR COTTONSEED), SALT, CORN FLOUR, DEHYDRATED POTATO, DISODIUM DIHYDROGEN PYROPHOSPHATE (TO MAINTAIN NATURAL COLOR), NATURAL FLAVOR (WHEAT BRAN, CASEIN), SPICE, DEXTROSE, CITRIC ACID. PREPARATION INSTRUCTIONS: STANDARD OVEN: PREHEAT OVEN TO 450 F. ARRANGE POTATOES IN A SINGLE LAYER ON BAKING PANS. BAKE FOR 20 DEEP FRYER OR MINI FRYER: PREHEAT FRYER ON HIGH (350 TO 375 F). FRY POTATOES IN A SINGLE LAYER FOR 3 TO 4 DISTRIBUTED BY MID AMERICA POTATO CO., 6360 S. FEDERAL WAY, BOISE, ID FRA GILE STORE AT 0 F OR BELOW CL--00-RA INGREDIENTS: POTATOES, VEGETABLE OIL (CANOLA, SOYBEAN, CORN, PALM, AND/OR SUNFLOWER), AND/OR PARTIALLY HYDROGENATED VEGETABLE OIL (SOYBEAN AND/OR COTTONSEED), SALT, CORN FLOUR, DEHYDRATED POTATO, DISODIUM DIHYDROGEN PYROPHOSPHATE (TO MAINTAIN NATURAL COLOR), NATURAL FLAVOR (WHEAT BRAN, CASEIN), SPICE, DEXTROSE, CITRIC ACID. STANDARD OVEN: PREHEAT OVEN TO 450 F. ARRANGE POTATOES IN A SINGLE LAYER ON BAKING PANS. BAKE FOR 20 DEEP FRYER OR MINI FRYER: PREHEAT FRYER ON HIGH (350 TO 375 F). FRY POTATOES IN A SINGLE LAYER FOR 3 TO 4 DISTRIBUTED BY MID AMERICA POTATO CO., 6360 S. FEDERAL WAY, BOISE, ID CL--00-RA
4 Frost Queen Formed HB Patty / Oval SKU:1007 Pack: 6/5 LBS. INGREDIENTS: Potatoes, Vegetable Oil (Canola, Soybean, Corn, Palm, and/or Sunflower) and/or Partially Hydrogenated Vegetable Oil (Soybean and/or Cottonseed), Salt, Corn Flour, Dehydrated Potato, Disodium Dihydrogen Pyrophosphate (to Maintain Natural Color), Natural Flavor (Wheat Bran, Casein), Spice, Dextrose, Citric Acid.
5 Simplot Food Group Product Specification Frost Queen Formed HB Patty Oval 6/5lb Product Code: 1007 SKU: 1007 Date Issued 9/13/2012 4:02:14 PM Revision 4 Written by Gino Favillo Expiration Date 10/26/2015 1:58:38 PM Product : This is a 2.25 oz. oval shaped hash brown patty Raw Materials/Pesticide Raw Material: The product(s) shall consist of approved varieties that are clean, sound and fresh. The product(s) shall be produced, packaged and shipped in accordance with good manufacturing practices and shall conform to the provisions of the Federal Food, Drug and Cosmetic Act as set forth by the FDA. Pesticide: Use of pesticides, herbicides and fungicides during any stage of growing/harvesting of product(s) will be registered as to type. Usage will be in accordance with current regulations by the EPA and residues on the product will not exceed those limits established by FDA, USDA, and/or State regulatory agencies. Packaging Requirements Container Condition: Container(s) must be well-sealed. Staples, metal clips, plastic ties, or twist ties are not acceptable. Pack on well-maintained number one pallets. Sample Size: 1 bag & case Sample Frequency: 60 minutes Ingredient Statement: CL--00-RA / OT--00-RA / PLP--00-RA INGREDIENTS: POTATOES, VEGETABLE OIL (CANOLA, SOYBEAN, CORN, PALM, AND/OR SUNFLOWER) AND/OR PARTIALLY HYDROGENATED VEGETABLE OIL (SOYBEAN AND/OR COTTONSEED), SALT, CORN FLOUR, DEHYDRATED POTATO, DISODIUM DIHYDROGEN PYROPHOSPHATE (TO MAINTAIN NATURAL COLOR), NATURAL FLAVOR (WHEAT BRAN, CASEIN), SPICE, DEXTROSE, CITRIC ACID. Sample Size: 1 bag & case Sample Frequency: 2 /shift Physical Requirements
6 Broken Units: USL 3 units Sample Size: 5 pounds Sample Frequency: 60 minutes Reconstitution: 8 units per hour. Fry temperature 350 F for 2 minutes 35 seconds. Chemical Requirements % Salt (Finished): In-process evaluation required 1 per hour. Sample Frequency: 2 /shift USL 1.9 % Target 0.8 % LSL 0.4 %
Nutrition Facts Serving Size: 1 patty (35g) Servings per Container: 300
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