Producer Application Business Name * Producer Type * Individual/Natural Person Co-ownership: Tenants in Common Co-ownership: Joint Tenancy Co-ownership: Community Property Partnership Limited Liability Company Corporation If not a natural person, who will be the Authorized Representative? Business Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Authorized Representative Email * Authorized Representative Phone Number * (###) ### #### If applicable, please share your business website and any social media platforms on which you have a presence. Include your social media handles. Farm Location(s) If you have a Producer Certificate, you may submit that instead by emailing to farming@feedsonoma.com Are you certified organic? * Yes No In process Facilities & Equipment To assist the Cooperative in planning for aggregation points and micro-hubs to improve efficiency and expand the distribution network, please list the type and capacity for any of the following facilities and equipment you own Disclosure of Production Practices for Produce & Flowers Growers without organic or similar certification are required to submit a disclosure of their production practices. Please email any relevant photos that further reflect the information you share below to farming@feedsonoma.com 1. Describe your tillage and cultivation practices in 3-5 sentences * 2. Describe what you do to maintain or improve soil health and minimize erosion in 3-5 sentences * 3. What type of amendments, nutrients or other applications do you use? Please list those that are most commonly used * 4a. Do you use any non synthetic or synthetic substances prohibited for use in organic crop production by the National Organic Program? * Yes No 4b. If you do use prohibited substances, please list these. If you do not, do you know the last time such substances were used on the land? 5. Does your land have defined boundaries and buffer zones to prevent the unintended application or runoff of a prohibited substance? * Yes No 6a. Do you use organically grown seeds, annual seedlings or planting stock? * Yes No 6b. If something other than these is used, please share 7. What are your practices for pest management? Please describe in 3-5 sentences * 8. How do you manage disease among your crops? Please describe in 3-5 sentences * 9. What is your goal for the habitats and natural resources that encompass your farm? Please describe in 3-5 sentences * Representation and Labeling 1. Are products labeled Certified Organic, if applicable? * Yes No Not Applicable 2. Are products labeled with harvest and/or “best by” date and/or have a lot number displayed? * Yes No Contamination and Hygiene 1. What is the source and quality of water used for irrigation and processing? Any level of contaminants – heavy metals, pesticides, leach field, chemicals, etc? * 2. How is water stored? * 3. Is there access to a restroom and handwashing station for employees? * 4. Is there adequate signage to remind employees of washing hands before returning to work or if contamination occurs? * 5. Any potential cross contamination with equipment used to harvest products? (allergens, chemicals, pests, sewage) * 6. What are processing procedures and what kind of packaging is used? * 7. How are products stored to maintain cleanliness, prevent contamination and proper temperature regulation? * 8. Any risk of contamination from heavy metals, pathogenic organisms, crop nutrients, residues of chemical substances of crops, water or soil? * How often are food contact surfaces sanitized? * This is anything that touches food including packing and picking containers, packing equipment, hands/clothing, coolers/storage area Crop Planning 1. How Far in advance do you plan out your crops? * 2. Please list out crops you have planted or plan to grow in the calendar next year, or email any relevant documents to farming@feedsonoma.com 2a. SPRING: Please list each crop + rough quantity for the season 2b. SUMMER: Please list each crop + rough quantity for the season 2c. FALL: Please list each crop + rough quantity for the season 2d. WINTER: Please list each crop + rough quantity for the season Thank you for applying to be a producer with FEED Cooperative’s network of North Bay farmers.Please make a note to send the following files to us at farming@feedsonoma.com if you did not include in the application submission:Producer CertificateImages that demonstrate your production practicesRelevant crop planning documents
