Form Approved By Omb No - Agricultural Marketing Service - Usda
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FORM APPROVED BY OMB No. 0581-0125
UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE, FRUIT AND VEGETABLE PROGRAM
AGREEMENT FOR PARTICIPATION IN AUDIT VERIFICATION PROGRAMS
Good Agricultural Practices & Good Handling Practices Audit Program (GAP&GHP)
Identity Preservation Program (IP)
Partners in Quality Audit Program (PIQ)
Company Information
I
a duly authorized representative of
(Insert Name)
(Name of Company)
(Street Address, City, State, and Zip Code)
hereinafter referred to as the applicant, do hereby agree to be audited under a voluntary USDA, AMS, Specialty Crops
Inspection Division audit program. The audit shall include verification of the company’s farm(s), packing facilities, storage
facilities, wholesale distribution centers or other locations as applicable to the audit scope(s).
1. The applicant agrees that with respect to:
a. Laws, Regulation, Statutes - To conform with all applicable Federal, State, and local government laws, regulations,
or statutes, including, but not limited to: Regulations Governing Inspection and Certification of Fruits and Vegetables
and Related Products (7 CFR, Part 51), any other pertinent regulations, and any such instructions covering inspection
and certification of the products and verification of the processes as may be issued by AMS.
b. Audit Request - To contact and schedule the audit with the appropriate federal or federal-state inspection office
(using the FV-237A form). The request for the initial audit will be made no later than two (2) weeks prior to the end of
the growing/harvesting/packing season.
c. Records - To maintain all records required by the specific audit program including, but not limited to, quality manual,
food safety manual, water test results, employee training records, manure use records, laboratory testing results and
other records as required by the quality manual, food safety manual or specific audit program requirements. The
applicant shall make these records available to USDA federal and/or federal-state auditors.
d. Access to Facilities - To grant permission for AMS authorized personnel to enter any and all farms and/or facilities
covered by the specific audit program for the purposes of conducting the audit. This includes the initial audit and any
unannounced audits as may be required by the program.
e. Payment - To pay by credit card, check, draft, or money order drawn to the order of the appropriate federal or federal-
state agency for the services covered herein on or before the due date specified on the billing statement. Charges for
GAP&GHP audits include, but are not limited to, the audit fee as listed in the fee schedule or Federal Register and
travel expenses for the initial audit and any unannounced audits as may be required by the program. Failure to pay for
services will result in decertification.
2. AMS agrees that with respect to:
a. Perform Audit – To provide objective third-party verification of the applicant’s specific audit program using
internationally recognized audit principles.
b. Opening & Exit Interviews - To discuss the audit prior to and report the results and observations with the applicant
after each audit and provide a timeframe in which a copy of the completed audit report or checklist will be provided.
c. Reports - To issue to the applicant reports of all audits and evaluations of the applicant’s specific audit program and
provide written notification of any deficiencies found, if any.
d. Confidentiality - To consider and treat any trade secrets or confidential information as proprietary and confidential.
To consider any records and related information provided to AMS as information that is voluntarily submitted to AMS
because of their participation in the specific audit program.
e. Issuance of Certificate, Posting and Sharing Audit Results - To issue a certificate to the applicant and to post
audit results to the USDA website, only when the applicant meets the USDA acceptance criteria for each scope being
audited. NOTE: If an applicant does not want their company to be posted on the USDA website they must put their
request in writing. To provide the specific applicant checklist and results of individual questions to other parties or
web-based systems only at the written request of the applicant (See the Optional section on page 2 of this form).
NOTE: Reports containing a compilation of audit information can be shared with the Food and Drug Administration.
In addition, AMS will notify FDA in the event of an imminent food safety risk.
FV-651 (04-14)
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