External Catering Request Form

The College’s food vendor is the preferred partner for providing cafeteria and catering services at Palm Beach State College. In certain situations, Palm Beach State College departments/organizations may be granted permission to use another licensed caterer for special events; however,no caterer can use the equipment of the College’s primary food vendor. All catering functions must comply with the standards established by the Florida Department of Health under Chapter 381, Florida Statutes.

Date and Time of the Event*

MonthDayYear

Hour MinutesAM/PM Option

Campus*

Location*

Sponsoring Department/Organization*

Staff Contact Name*

First NameLast Name

Staff Contact Phone Number*

Please enter a valid phone number.

Staff Contact Email*

staff@pbsc.edu

Name of Licensed Caterer*

Caterer Address*

Street Address

Street Address Line 2

CityState

Zip Code

Caterer Phone Number*

Please enter a valid phone number.

How will the food be received?*

PickupDeliveryOn-Site Service

Indicate time and person responsible to pick up.*

Time of expected arrival.*

Has the College’s food vendor been given an opportunity to provide food for this event?*

YesNo

Please provide rationale for obtaining food outside of the College’s food service provider?*

The following documents must be submitted with this form before the request can be reviewed:

Proof of business license*

license can be confirmed at: http://www.myfloridalicense.com/DBPR/

Proof of insurance

General liability coverage minimum of $1,000,000 is required if the vendor will be providing catering services on campus. If the food will be dropped off or picked up by staff members, the COI requirement may be waived. Please contact Jessica Bender for details.

Quote of services to be provided*

Quote or proof of inability to provide services from College's food service provider*

By typing your full name below you acknowledge that you have read and understand the Outside Catering Procedure and will ensure that all guidelines are followed. You understand you are responsible for ensuring that all applicable food and safety guidelines are followed and that all trash is properly removed following the event.*

Date

MonthDayYear

This External catering requests form should be completed at least 2 weeks prior to the event. Requests received without all the documents listed above will not be considered until all documents have been submitted. If you have question please send via email to: Benderj@pbsc.edu