Epicurean Foods

Primary Vendor Data

Vendor Name

Date

DBA

Address

Street Address Address Line 2 City State ZIP Code

Federal Tax ID #

Terms

Vendor Website

Primary Vendor Data (cont.)

Primary Contact

Secondary Contact

Title

Telephone

Fax

Email

Cell Phone

Manufacturer Representative/Broker Information

Company

Contact

Address

Street Address Address Line 2 City State ZIP Code

Telephone

Fax

Cell Phone

Email

Remit To Address

Payee

Mail to Attention

Address

Street Address Address Line 2 City State ZIP Code

Accounts Receivable Contact Information

Contact

Title

Address

Street Address Address Line 2 City State ZIP Code

Telephone

Fax

Email

Banking Information (for Overseas Vendors Only)

Bank Name

Email

Address

Street Address Address Line 2 City State ZIP Code

IBAN Number

Swift Number

Account Number

Recall Coordinator

Contact

Title

Address

Street Address Address Line 2 City State ZIP Code

Telephone

Fax

Email

24 Hour Recall Telephone or Contact Point

Ordering Information

Ordering Day or Cycle

Lead Time

Cut Off Time for New Orders

:

Cut Off Time for Add-Ons

:

Minimum Order Size

Pricing F.O.B.

Delivered

Price Change Notification Policy

Floor Stock Price Protection Offered?

Y

N

Pick Up Location (if applicable)

Pick-up Allowance

Pick-up Appointment Required?

Y

N

Warehouse Name

Address

Street Address Address Line 2 City State ZIP Code

Primary Contact

Phone

Fax

Hours of Operation

Exchange Pallets?

Y

N

Commercial Information

Spoils Policy
Epicurean Foods reserves the right to bill back to the vendor any items that were received with less shelf life than was stipulated in the new itemset up form required for all items.

Liability Insurance
We require vendors to carry product liability insurance in the amount of $2,000,000. An original certificate of insurance naming Epicurean Foods as "additional insured" must be submitted with this form.

Right of Offset
Epicurean Foods may offset any amounts due from the vendor against amounts owed to the vendor.

Guarantee
Guaranteed sales will be negotiated for new vendors or new items as to establish product in the marketplace. This agreement must be set in writing and will be enforced at the end of the agreed upon time period.

Diversity / Minority Owned Venfor Notification
To qualify as a minority-owned or a woman-owned business, your company must be at least 51% owned, manages, and controlled by one of the following citizens of the United States.

Diversity Selection

African American

Asian Pacific American - Origins from China, Hong Kong, Taiwan, Japan, Phillipines, Korea, Vietnam, Cambodia, Thailand, Mongolia, Nepal, Laos, Samoa, Guam, Northan Marianas, Indonesia

Asian Indian American, Origins from India, Pakistan, Bangladesh

Hispanic - Origins from Latin America, Mexico, Central America, South America, Caribbean Basin

Native American - Origins from American Indian, Eskimo, Aleut, Hawaiian

Woman - any ethnicity

Vendors qualifying for Status of Diversity or Minority Owned Vendors should notify Epicurean Foods by checking the category(s) above for the classification your company would qualify

Please complete form in its entirety. If you have any questions, please call Tammie Rice at 480-969-9333 for clarification.

Name of Person who completed form

Title of Person who completed form

Contact Number

Date

Address

Street Address Address Line 2 City State ZIP Code

Please Complete The Required Form

Epicurean Foods

VENDOR INFORMATION

BROKER INFORMATION

ITEM INFORMATION

VENDOR INFORMATION

BROKER INFORMATION

ITEM INFORMATION

Primary Vendor Data

Primary Vendor Data (cont.)

Manufacturer Representative/Broker Information

Remit To Address

Accounts Receivable Contact Information

Banking Information (for Overseas Vendors Only)

Food Safety Data

Recall Coordinator

Ordering Information

Pick Up Location (if applicable)

Commercial Information