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iCiX SmartForm

U.S. Foodservice Product Specification

Page 1 of 12
Specification Number: PIM Class Desc.
0

Version Number:

Date Submitted: PIM Class ID PIM Category ID PIM Group ID A-System Co. Vendor #

Product Summary Administrative Use Only

< Select

PIM Category Desc. < Select PIM Group Desc. Product Brand USF SPC Number PIM Description #1 Extended Description
(PIM 2nd Line Description)

< Select

Mfg Prd #

iCiX Org ID

Product Summary
Top Line Information Product Category
Supplier Name USDA / CFIA / USDC / FDA Establishment # SPC # (USF 6-digit product code) GTIN Product # Product Name (as it would appear on the label) 1st Line Descriptor 2nd Line Descriptor 3rd Line Descriptor Quality Tier Information Disclaimers USDA or USDC Grade Finished COOL < Select
Add Clear
< Select

GLN # APN # UPC # MFG/Supplier # SCC #

Piece Size Case Weight Gross Weight

Lbs.

Count
< Select

Lbs.

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U.S. Foodservice Product Specification

Page 2 of 12 Product Name

Raw Material Attributes

Description (i.e. Grade, Cut, etc.) of Raw Materials Used to Manufacture this Product

Attribute/Component

Lower Limit

Target

Upper Limit

Method of Control

Product Description
General (If you require additional space, go to the bottom of page 9)

Standard of Identity (CFR Citation) Reference #

Finished Product
Market Name Scientific Name COOL (What country is the product grown or harvested in) < Select
Add Clear

COOL (What country is the product processed in) < Select

Add

Clear

Sensory Attributes
Appearance Flavor Texture
Color

< Select or Enter

< Select or Enter

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U.S. Foodservice Product Specification

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Finished Product (contd)

Physical Quality Attributes / Defect Limits (specify units of measure)
Attribute Lower Limit Target Upper Limit Method of Control Accept / Reject Criteria

** Please indicate all applicable defects listed in facility AQL's.

USF/USDA Minimum Grading Scores for Processed Fruit and Vegetables

Grading Factors
< Select>

U.S.F. Minimum Score Points

USDA Minimum Score Points

Description

< Select> < Select> < Select>

< Select>

< Select>

Total Minimum Score Points

Chemical Analysis (specify units of measure)

Attribute Lower Limit Target Upper Limit Test Method Frequency

Microbiological Testing
Attribute
< Select>

Max(<)

Test Method

Frequency

< Select>

< Select>
< Select> < Select>
< Select>

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U.S. Foodservice Product Specification

Page 4 of 12 Product Name

Nutritional Information
Select Label Type: Standard Prepared Food Label Weight: Multi-Pack Label Weight Type/Range: < Select >

Count Per Package (If applicable): Serving Size:

Servings per Container:

Calories Calories from Fat

% Daily Value
Total Fat g Saturated Fat g Trans Fat g Polyunsaturated Fat g Monounsaturated Fat g Cholesterol mg Sodium mg Potassium mg Total Carbohydrate g Dietary Fiber g Sugars g Other Carbohydrate g Protein g Vitamin A Vitamin C Calcium Iron Vitamin D < Select < Select < Select < Select < Select

Ingredient Declaration
Ingredient Statement: (Add Ingredient Statement EXACTLY as it appears on the package)

Does your ingredient statement require more space than that provided here?

Yes

No

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U.S. Foodservice Product Specification

Page 5 of 12 Product Name

Allergens/Sensitivity
Allergens
Does not contain Contains Shared Equip. Used in Facility

Eggs Milk Peanuts Soybeans Wheat Tree Nuts Fish Crustacean Mollusks Celery Mustard Sesame Lupin

Specify Source:

Specify Source:
Specify Source:
Specify Source: Specify Source:
Specify Source:

Specify Source:
Specify Source: Specify Source: Specify Source: Specify Source: Specify Source: Specify Source:

Sulphur Dioxide Specify Source: Contains: Processed on Shared Equipment:

Sensitivity
Contains Shared Equip. Used in Facility

<Select>

<Select> <Select> <Select>

<Select>

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U.S. Foodservice Product Specification

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Claims
None Low Fat Reduced Fat Fat Free Trans Fat Free Low Sodium Reduced Sodium Lactose Free Dairy Free Sodium Free Low Cholesterol Cholesterol Free Zero Calories Low Calorie Real Seal (Dairy) Real California Milk Natural Color Other Claims (Not Listed): GMO Free RBST Free Child Nutrition Gluten Free No Sugar Added All Natural Free of Corn/Corn Derivatives Sulfite Free

Process Information
Process Description (If you require additional space, go to the bottom of page 9.)

Foreign Material Control

Component
< Select or Enter Value
< Select or Enter Value

Sensitivity mm mm mm mm mm mm

Timing
< Select or Enter
< Select or Enter

Method

< Select or Enter Value

< Select or Enter

< Select or Enter Value

< Select or Enter Value < Select or Enter Value

< Select or Enter

< Select or Enter < Select or Enter

Preparation and Handling

Handling Instructions Prior to Preparation:

Thawing or Slacking Instructions:

Preparation Instructions and Cook Yield Serving Information:

Check here if you require additional space for any of the items above:

Handling

Thawing and Slacking

Preparation

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U.S. Foodservice Product Specification

Page 7 of 12 Product Name

Storage and Shelf Life

What type of storage is required for this product (i.e. Frozen, Refrigerated, Dry)? Refrigerated Ready-to-Eat? Yes No Storage and Transport Temperature Min Max

Shelf-Life from Date of Manufacture (# days only)

Min. DC Delivery Shelf-Life (auto-calculates) Yes No

Certification and Regulatory

Kosher Certified Please post a copy of your Kosher Certification to iCiX. Halal Certified Organic MSDS Required Is this product graded by USDA / USDC? Lot Inspection / Grading Certs Available? Is this product Grown/Harvested in the US? Is this product Processed in a U.S. Processing Plant? Is this product Caught on U.S. Flagship and Processed a U.S. Processing Plant? (SEAFOOD ONLY) Is this product imported into the U.S. and blended with other products of U.S. origin? Berry Amendment Compliant Domestic Product Does product meet USF Sustainability Requirement? See USF Supplier Expectations Manual Does this product meet USF Social Responsibility Requirement? See USF Supplier Expectations Manual
Please post a copy of your Halal Certification to iCiX.

Please post a copy of your Organic Certification and Symbol to iCiX.

Animal Handling Certificates Please post a copy of your Animal Handling Certification to iCiX.

Production Coding
Coding for Internal Packaging
Coding Type < Select or Enter Code Example
Code example will be provided in a separate file.

Narrative Application Method Location of Code

Coding for External Shipping Unit

Coding Type < Select or Enter Code Example
Shipping code example will be provided in a separate file.

Narrative Application Method Location of Code

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U.S. Foodservice Product Specification

Page 8 of 12 Product Name

Vendor Formulation
Vendor Formulation Rights < Select> Vendor Formula Identifier (attach Vendor Formula) Exclusive Formulation Rights Expiration
View Formulation Rights Definitions

Formula Component Lower Limit Target Upper Limit Method of Control

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U.S. Foodservice Product Specification

Page 9 of 12 Product Name

Product Packaging
Packaging Components fall into three categories: 1) Primary Packaging All packaging component/s that "touch" the product. Examples: Bottle, cap, cap liner, label or poly liner, pouch, carton. 2) Secondary Packaging Packaging component/s that contains the primary package. Examples: A carton that contains a bag liner. A corrugated shipper that holds multiple plastic containers. Secondary packaging may be the shipping unit if there are only two levels of packaging. 3) Tertiary Packaging The shipping unit. Corrugated case, tray, shrinkwrap, label. If your product uses only Primary or only Primary and Secondary packaging you may select None under Secondary and Tertiary Packaging. You may make multiple selections under each category by holding down the Control key as you make your selections.

Primary Packaging
None Closure Corrugated Shipper Flexible Lid Stock Flexible Pouch/Film/Bag Label Paperboard/Carton Rigid Plastic Container Can Glass Bottle Plastic Bottle Portion Control Other

Secondary Packaging
None Closure Corrugated Shipper Flexible Lid Stock Flexible Pouch/Film/Bag Label Paperboard/Carton Rigid Plastic Container Other

Tertiary Packaging
None Closure Corrugated Shipper Flexible Lid Stock Flexible Pouch/Film/Bag Label Paperboard/Carton Rigid Plastic Container Other

*If Other was selected, please specify

Labeling
Primary Package Label
Yes Brand dedicated w/ product information Generic w/ logo only Plain (unprinted) No

Secondary Package Label

Yes Brand dedicated w/ product information Generic w/ logo only Plain (unprinted) In-Line Label No

Additional Information
Continuation of the following section:
<Select>

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U.S. Foodservice Product Specification

Page 10 of 12 Product Name

Additional Information Ingredient Statement

Ingredient Statement:
The full Ingredient Statement is located on page 5.

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U.S. Foodservice Product Specification

Page 11 of 12 Product Name

Additional Information Preparation and Handling

Handling Instructions Prior to Preparation:
The Handling Instructions are located on page 6.

Thawing or Slacking Instructions:

The Thawing and Slacking Instructions are located on page 6.

Preparation Instructions and Cook Yield Serving Information:

The Preparation Instructions are located on page 6.

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U.S. Foodservice Product Specification

Page 12 of 12 Product Name

Version Information
Specification Number:
0

Version Number:

Date Submitted:

List of Information Edited

Explanation/Details

Approval
Supplier Approval
Signature Digital Signature Applied During Submission

U.S. Foodservice Final Approval

Signature

Digital Signature Applied During Submission

[Select approval status]

Route

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