Addendum #3 to Solicitation # Flour

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1 May 6, 2013 To All Bidders Addendum #3 to Solicitation # Flour The addenda pages of this solicitation are available online at the DGS eprocurement website located at If you are unable to download a copy of the addenda from this web site a hard copy is available upon request. Changes made to this solicitation are as follows: Due to an error, the wrong forms were attached to this solicitation. This addendum updates Exhibit 2, Food Safety, Exhibit 3, Darfur Contracting Act Certification, and Attachment 2, Northern and Southern Institutions to the current forms. If you have further questions, please contact me via or phone. Sincerely, (original on file signed) Robert Ullrey, Manager, Food Acquisitions Robert.ullrey@dgs.ca.gov

2 Exhibit 2 Food Safety Information Listing Please complete the following information for each company (including the bidder if applicable) in the chain of the distribution process: Company Name: Address: Phone Number: Fax Number: Contact Name: Job Performing on Contract: California Companies/Manufacturers/Warehouses: The above company has a valid registration with CDPH. CDPH Registration Number: Expiration Date: The above company is NOT registered with CDPH but will have a registration within 10 working days after the bids opening date. (To be compliant, the validated registration number OR the certification certificate must be provided to the contract administrator.) Companies outside California: Inspection Company Name: Address: Phone Number: Fax Number: Contact Name: Date of Last Inspection: Note: complete a form for every company/manufacturer/warehouse in the process of this contract which applies to the Food Safety Program and submit with your bid make additional copies as necessary for each company.

3 Exhibit 3 DARFUR CONTRACTING ACT CERTIFICATION Public Contract Code Sections applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal. If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form. OPTION #1 - CERTIFICATION If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below. I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) I am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California. Company/Vendor Name (Printed) Federal ID Number By (Authorized Signature) Printed Name and Title of Person Signing Date Executed Executed in the County and State of OPTION #2 WRITTEN PERMISSION FROM DGS Pursuant to Public Contract Code section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case-by-case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below. We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477(b). A copy of the written permission from DGS is included with our bid or proposal. Company/Vendor Name (Printed) Federal ID Number Initials of Submitter Printed Name and Title of Person Initialing

4 CALIFORNIA SCHOOL FOR THE DEAF - FREMONT Gallaudet Drive, Building 20 Fremont, CA CCC - CALIFORNIA CORRECTIONAL SUSANVILLE Center Road Susanville, CA (Co. Rd A-27) 8 miles east of Susanville CA, CCWF - CENTRAL CALIFORNIA WOMENS FACILITY Road 22 Chowchilla, CA CTF - CORRECTIONAL TRAINING FACILITY SOLEDAD 5 Miles North of Soledad on US 101 Soledad, CA DEUEL VOCATIONAL INSTITUTION Warehouse Kasson Road P.O. Box 400 Tracy, CA (Kasson Road Exit, 1 mile south of Hwy 205) HDSP - HIGH DESERT STATE Rice Canyon Road Susanville, CA CHP - HIGHWAY PATROL ACADEMY 3500 Reed Avenue West Sacramento, CA R.A. McGEE CORRECTIONAL TRAINING 9850 Twin Cities Road Galt, CA NORTHERN INSTITUTIONS SHIPPING INFORMATION CMF - MEDICAL FACILITY MAIN 1600 California Drive Vacaville, CA MULE CREEK STATE 4001 Highway 104 Ione, CA MT. BULLION CONSERVATION CAMP 5730 Mt. Bullion Access Road Mariposa, CA Contact: Sgt. Codramal Phone: (209 ) Fax: (209 ) NAPA STATE HOSPITAL 2100 Napa-Vallejo Highway Napa, CA NORTH COAST WAREHOUSE 2 Miles North of Redway off Hwy. 101 Redway, CA NCYC - NORTHERN CALIFORNIA YOUTH CORRECTIONAL 7650 S. Newcastle Road Stockton, CA PBSP - PELICAN BAY STATE Support Warehouse 5905 Lake Earl Drive Crescent City, CA SAC - CALIFORNIA STATE SACRAMENTO Receiving Warehouse 100 Prison Road Represa, CA Attachment 2 SVSP - SALINAS VALLEY STATE Hwy. 101 Soledad, CA SAN QUENTIN STATE Receiving Warehouse/Food Service Department San Quentin, CA SCC - SIERRA CONSERVATION 5100 O Byrnes Ferry Road Jamestown, CA SOL CALIFORNIA STATE SOLANO 2100 Peabody Road Vacaville, CA SONOMA DEVELOPMENTAL Arnold Drive Eldridge, CA VSPW - VALLEY STATE Ave. 24 Chowchilla, CA DEPARTMENT OF VETERAN S AFFAIRS VET S HOME OF CA-YOUNTVILLE 190 California Drive Yountville, CA CHCF - California Health Care Facility 7707 South Austin Road P.O. Box Stockton. CA

5 ATASCADERO STATE HOSPITAL El Camino Real Atascadero, CA ASP - AVENAL STATE 1 Kings Way P.O. Box 8 Avenal, CA CCI - CALIFORNIA CORRECTIONAL INSTITUTION TEHACHAPI End of Hwy 202 Tehachapi, CA CIM - CALIFORNIA INSTITUTION FOR MEN Receiving Warehouse 6101 East Facility Drive Chino, CA CIW - CALIFORNIA INSTITUTION FOR WOMEN FRONTERA Chino-Corona Road Corona, CA CMC - CALIFORNIA MEN S COLONY Food Service, East West camp Highway 1 North San Luis Obispo, CA CRC - CALIFORNIA REHABILITATION Fifth & Western P.O. Box 1841 Norco, CA CAL - CALIPATRIA STATE 7018 Blair Road Calipatria, CA CSP - CENTINELA STATE 2302 Brown Road Imperial, CA WSP - WASCO STATE Attn: Food Service Department 701 Scofield Avenue Wasco, CA SOUTHERN INSTITUTIONS SHIPPING INFORMATION CVSP - CHUCKAWALLA VALLEY STATE Wiley s Well Road Blythe, CA CSH - COALINGA STATE HOSPITAL W. Jayne Avenue Coalinga, CA COR - CORCORAN STATE 4001 King Avenue Corcoran, CA CSATF/STATE CORCORAN II 900 Quebec Avenue Corcoran, CA DEAF SCHOOL RIVERSIDE Maude Street Entrance, 3000 Block Riverside, CA RJD - R. J. DONAVAN CORRECTIONAL FACILITY 480 Alta Road San Diego, CA FAIRVIEW DEVELOPMENTAL 2501 Harbor Blvd. Costa Mesa, CA ISP - IRONWOOD STATE Wiley s Well Road Blythe, CA KERN VALLEY STATE 3000 Cecil Avenue P.O. Box Delano, CA Attachment 2 LANTERMAN DEVELOPMENTAL 3530 W. Pomona Blvd. Pomona, CA LAC - LOS ANGELES COUNTY STATE Support Warehouse th Street, West Lancaster, CA MSH - METROPOLITAN STATE HOSPITAL S. Bloomfield Avenue Norwalk, CA NKSP - NORTH KERN STATE 2737 W. Cecil Avenue Delano, CA PSH - PATTON STATE HOSPITAL Attn: Nutritional Service Warehouse 3102 E. Highland Avenue Patton, CA PVSP - PLEASANT VALLEY STATE West Jayne Avenue Coalinga, CA PORTERVILLE DEVELOPMENTAL P.O. Box Avenue 140 Porterville, CA SOUTHERN CAMP WAREHOUSE 701 South Dupont Avenue Ontario, CA VENTURA YOUTH CORRECTIONAL FACILITY 3100 Wright Road Camarillo, CA